RESUMO
BACKGROUND: The medicament formocresol (FC) used for pulpotomy in primary teeth has great concerns regarding its toxicity due to one of its constituent formaldehyde which acts by tissue fixation. Therefore, new medicaments were introduced which claimed preservation and regeneration of pulp. AIM: The present study is aimed to compare and evaluate the clinical and radiographic success of FC, pulpotec, mineral trioxide aggregate (MTA), and emdogain (EMD) as pulpotomy medicaments in human primary molars. DESIGN: A sample of 21 patients with 84 teeth were selected. All the patients have at least four teeth eligible for pulpotomy according to selection criteria. In each mouth, the teeth selected were randomly allocated into four groups with 21 each. RESULTS: After 24 months of follow-up, the clinical success rates were FC (94%), pulpotec (94%), MTA (100%), and EMD (83%) and radiographically FC (88%), pulpotec (83%), MTA (94%), and EMD (72%), which were statistically not significant (p > 0.05). CONCLUSION: The outcome of this study demonstrates MTA has a high success rate compared with FC, pulpotec, and EMD as pulpotomy agent. In addition, MTA, pulpotec, and EMD can be considered as alternatives to FC as pulpotomy agent. HOW TO CITE THIS ARTICLE: Sunitha B, Puppala R, Kethineni B, Mallela MK, Peddi R, Tarasingh P. Clinical and Radiographic Evaluation of Four Different Pulpotomy Agents in Primary Molars: A Longitudinal Study. Int J Clin Pediatr Dent 2017;10(3):240-244.
RESUMO
BACKGROUND: Dental restorative materials, especially those applied in direct contact with the contaminated substrate, should have appropriate antibacterial activity in order to prevent residual bacteria from continuing their metabolic activity in addition to impairing new bacteria from reaching the tooth-restoration interface. AIM: To determine the antibacterial efficacy of three different restorative materials against the common cariogenic microorganism i.e., Streptococcus mutans. MATERIALS AND METHODS: Three different restorative materials were evaluated in this study: Giomer (Beautifil), Compomer (F2000) & Resin modified Glass ionomer (Fuji II LC) for their anti microbial efficacy against Streptococcus mutans by standard agar diffusion method and zones of inhibition for each restorative material were calculated. STATISTICAL ANALYSIS: Inhibition zones around each restorative material were measured and values were subjected to one-way ANOVA with least square difference (LSD) Post-hoc test. RESULTS: The mean inhibitory zones for Resin modified glass ionomers, Giomers & Compomers ranged from 10.1 - 6.90mm. Fuji II LC exhibited the highest mean inhibitory zone of 10.1 ± 1.97 for S.mutans. Beautifil exhibited mean inhibitory zone of 8.20 ± 1.62, whereas F2000 showed the least mean inhibitory zone of 6.90 ± 1.29. CONCLUSION: Based on the inhibitory zones of three restorative materials, Fuji II LC is recommended as the best restorative material among the three tested restorative materials.
