Premature loss of primary molars: impact on the oral health-related quality of life of schoolchildren

Evangelista, M. E.; Brancher, G. P.; Borgatto, Adriano F.; Bolan, Michele; Santana, Carla Miranda; Cardoso, Mariane

doi:10.1007/s40368-022-00736-4

Cited by 4 publications

(3 citation statements)

References 35 publications

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“…Consequently, some parents may opt for tooth extraction to avoid the stress of a prolonged procedure [12]. This may result in malocclusion and aesthetic, phonetic, and functional problems owing to the early loss of primary teeth [13].…”

Section: Introductionmentioning

confidence: 99%

Treatment Outcomes of Pulpotomy in Primary Teeth with Irreversible Pulpitis: A Systematic Review and Meta-Analysis

Lin,

Chin,

Choong

et al. 2024

Children

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Aim: This systematic review and meta-analysis aimed to evaluate the success rates of pulpotomy treatment for irreversible pulpitis in primary teeth. Methods: This study was registered and conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. Relevant studies published between January 1980 and April 2023 were identified across eight online databases and two paediatric dentistry textbooks. Study selection, data extraction, and quality assessment were conducted by multiple investigators independently. Data analysis involved single-arm and two-arm meta-analyses, leave-one-out sensitivity analysis, meta-regression, and assessment of publication bias. The risks of bias were evaluated using the Cochrane Collaboration’s assessment tools. The levels of evidence were determined using the Oxford Centre for Evidence-Based Medicine (OCEBM) tool. Results: Five primary studies were included. The weighted mean overall success rates at 6-month and 12-month follow-ups were 97.2% and 94.4%, respectively. Two-arm meta-analysis revealed no significant difference (p > 0.05) between the use of mineral trioxide aggregate (MTA) and non-MTA bioceramic-based materials as pulpotomy medicaments. The sample size of each study did not affect the degree of data heterogeneity. Egger’s test revealed no significant publication bias. Conclusions: Pulpotomy may be regarded as an alternative modality for treating primary teeth with irreversible pulpitis. Nevertheless, future well-designed trials and extended follow-up periods are warranted.

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Section: Introductionmentioning

confidence: 99%

Treatment Outcomes of Pulpotomy in Primary Teeth with Irreversible Pulpitis: A Systematic Review and Meta-Analysis

Lin,

Chin,

Choong

et al. 2024

Children

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“…The main objective of pulp treatment is to maintain the health and integrity of the oral tissues. Early loss of primary teeth leads to malocclusion and esthetic, phonetic, and functional problems (Evangelista et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the efficacy of mineral trioxide aggregate and bioceramic putty in primary molar pulpotomy with symptoms of irreversible pulpitis (a randomized‐controlled trial)

Alnassar

Altinawi

Rekab

et al. 2022

Clinical & Exp Dental Res

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Objectives Preserving the primary teeth is important, as they play an important role in the integrity of the dental arch, the development of the craniofacial complex, speech, and chewing. This study aimed to evaluate the effectiveness of both Mineral Trioxide Aggregate (MTA) and Bioceramic putty in primary molar pulpotomy with symptoms of irreversible pulpitis. Materials and Methods In this study, 40 s primary mandibular molars in 40 healthy children aged 6−8 years were examined and classified into 2 groups according to the material: group A, with 20 primary molars capped by MTA, and group B, with 20 teeth capped by Bioceramic putty. Clinical and radiographic evaluation of the treatment results was carried out after 1 week, 3 months, 6 months, 9 months, and 1 year. Results Clinical and radiological success rates in the MTA group reached 95%, where a case of failure was observed after a year of follow‐up. In the Bioceramic group, the success rate reached 100% after a year of follow‐up, without any statistically significant differences between groups ( p = .311). Conclusions Pulpotomy using biocompatibility materials (MTA‐Bioceramic) in primary molars with symptoms of irreversible pulpitis is considered effective due to the better advantages of the use of Bioceramic over MTA. This clinical trial was approved by Australian New Zealand Clinical Trials (12621001631897).

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“…On the long-term orthodontically, this is further important when it is a strategic tooth, especially when a child in their primary dentition with no 1 st permanent molars erupted yet [13][14][15][16]. Consequently, leading to preventable occlusion problems or even further burden on Quality of life due to orthodontics appointments for mixed dentition ectopic eruptions and malocclusion [11,17]. At present, there are two recommended non-vital pulp therapies for primary teeth for the aforementioned cases; One is conventional pulpectomy, but when roots are resorbed and the 1st permanent molars are not erupted, second recommended therapy would be lesion sterilization and tissue repair (LSTR) [18].…”

Section: Introductionmentioning

confidence: 99%

Lesion Stabilization and Tooth Preservation (Lstop) Reflection on Pulp-Therapy-Lstr when Resources are Undersupplied: A Technical Note

Alshehri

Alahmari

2022

ADOH

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The World Health Organization Global Oral Health 2022 report estimated oral disease to be affecting around 3.5 billion people worldwide, where untreated dental caries represents 71% of this estimate. If left untreated, the inevitable pulpal sequalae occur. At our Pediatric dental department, many children attend with extensive carious teeth. This technical note aims to reflect on this realistic demand of pulp therapy needs, for children with extensive carious 2nd primary molars and no 1st permanent molars erupted yet and introduce an innovative modified pulp therapy technique: Lesion Stabilization and Tooth Preservation (LSToP) that aims to stabilize and preserve those teeth, as a natural space maintainer. This technique, if proven beneficial, would add to the dental literature and clinicians another option to preserve teeth as a natural space maintainer, and delay/avoid premature extractions, particularly when supply and resources (dental materials/laboratory and pharmacy) are insufficient.

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Premature loss of primary molars: impact on the oral health-related quality of life of schoolchildren

Cited by 4 publications

References 35 publications

Treatment Outcomes of Pulpotomy in Primary Teeth with Irreversible Pulpitis: A Systematic Review and Meta-Analysis

Treatment Outcomes of Pulpotomy in Primary Teeth with Irreversible Pulpitis: A Systematic Review and Meta-Analysis

Evaluation of the efficacy of mineral trioxide aggregate and bioceramic putty in primary molar pulpotomy with symptoms of irreversible pulpitis (a randomized‐controlled trial)

Lesion Stabilization and Tooth Preservation (Lstop) Reflection on Pulp-Therapy-Lstr when Resources are Undersupplied: A Technical Note

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