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J Endod ; 40(5): 599-605, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24767550

RESUMO

INTRODUCTION: The purpose of this study was to evaluate and compare, clinically and radiographically, the effects of platelet-rich fibrin (PRF) and mineral trioxide aggregate (MTA) as pulpotomy agents in permanent teeth with incomplete root development. METHODS: A total number of 70 children requiring pulpotomy in 70 permanent molars with incomplete root development were screened. Sixty-two patients met the inclusion criteria and were enrolled in the study. The patients were randomly allocated equally in 2 treatment groups. MTA pulpotomy was performed in group A (the control group), and PRF pulpotomy was performed in group B (the experimental group). The treated teeth were restored with amalgam followed by stainless steel crowns. Clinical and radiographic evaluations were performed after 6, 12, and 24 months. Thus, the data obtained were blindly analyzed using the chi-square test. RESULTS: There was no significant difference between the 2 groups in terms of clinical and radiologic success. Radiographically, all available cases (53 teeth) showed evidence of root growth and canal narrowing. Complete apical closure was observed in 88.8% in the PRF group (experimental group) and 80.07% of roots in the MTA group (control group), respectively, at 24 months. CONCLUSIONS: PRF could be used as a suitable biological and economic alternative to MTA in pulpotomy procedures of permanent teeth with incomplete root development.


Assuntos
Compostos de Alumínio/uso terapêutico , Plaquetas/fisiologia , Compostos de Cálcio/uso terapêutico , Fibrina/uso terapêutico , Odontogênese/efeitos dos fármacos , Óxidos/uso terapêutico , Pulpotomia/métodos , Materiais Restauradores do Canal Radicular/uso terapêutico , Silicatos/uso terapêutico , Raiz Dentária/efeitos dos fármacos , Criança , Coroas , Amálgama Dentário/química , Cavidade Pulpar/diagnóstico por imagem , Cavidade Pulpar/efeitos dos fármacos , Restauração Dentária Permanente/métodos , Combinação de Medicamentos , Feminino , Seguimentos , Humanos , Masculino , Dente Molar/diagnóstico por imagem , Dente Molar/efeitos dos fármacos , Radiografia , Aço Inoxidável/química , Ápice Dentário/diagnóstico por imagem , Ápice Dentário/efeitos dos fármacos , Ápice Dentário/crescimento & desenvolvimento , Raiz Dentária/diagnóstico por imagem , Raiz Dentária/crescimento & desenvolvimento
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