Ferric Sulfate Versus Calcium-Enriched Mixture Cement in Pulpotomy of Primary Molars: A Randomized Clinical Trial

ABSTRACT Objective: To evaluate the postoperative pain and clinical and radiographic success of pulpotomized primary molars using two materials, Ferric Sulfate (FS) and Calcium-Enriched Mixture (CEM) cement, over a period of 3 and 6 months. Material and Methods: This randomized clinical trial was conducted on a total of 38 teeth selected from 19 patients aged 3-9 years. FS 15.5% and CEM cement were used as pulpotomy agents. Permanent restorations were Stainless Steel Crowns (SSCs) in both groups. Patients were recalled for follow-up at 3 and 6 months intervals for clinical and radiographic assessment. Postoperative pain was recorded by using Visual Analogue Scale up to ten days following the treatment. The data were statistically analyzed using chi-square test and repeated measures ANOVA. Results: At 6 months, a 100% clinical success rate was observed in the FS and CEM cement groups. The radiographic success rate in the FS group was 94.7%, whereas 100% in the CEM cement group at 6 months. No statistically significant difference was found between the two groups (p>0.05). There was no significant difference in postoperative pain between the teeth that received either FS or CEM cement as pulpotomy agents following the procedure (p>0.05). Conclusion: There were favorable outcomes of FS and CEM cement in pulpotomy of primary molar teeth.

Aspergillosis in a Child with Acute Myeloid Leukemia: Complications, and Treatment.

Microbial infection is common in patients with leukemia. However, aspergillosis is a rare complication of oral region. Attention to early diagnosis and multidisciplinary treatment can reduce the wide range of complications of the infection in these patients. This article reports 4-year history of a child with leukemia, who suffered from a rare aspergillosis infection in the palatal region of oral cavity during chemotherapy. Early diagnosis and treatment of bacterial and fungal infections, especially rare types such as aspergillosis, in patients with leukemia is important for reducing widespread complications. However, prosthetic treatment and attention to psychological complications of orofacial defects would also improve their quality of life significantly. These improvements can be seen more clearly in children.