Pulpotomy in primary teeth: Review of the literature according to standardized assessment criteria

Fuks, Anna B.; Papagiannoulis, L.; Duggal, M. S.

doi:10.1007/bf03320817

Cited by 49 publications

(37 citation statements)

References 28 publications

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“…Significant differences involving formocresol were not shown [30]. A literature review from the year 2006 evaluating 48 clinical trials also found similar clinical/radiographic results for formocresol and ferric sulphate [3]. The distinct difference between the clinical and radiographic success rates for ferric sulphate Dropouts and exfoliations were noted over the 36-month follow-up CF clinical failures, RF radiographic failures, R radiolucency, RR root resorption pulpotomies was pointed out earlier [31]; this difference emphasises the importance of regular radiographic monitoring.…”

Section: Discussionsupporting

confidence: 62%

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Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

et al. 2011

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A pulpotomy is the therapy for management of pulp exposures due to caries in symptom-free primary molars. The aim was to longitudinally compare the relative effectiveness of the Er:YAG laser, calcium hydroxide and ferric sulphate techniques with dilute formocresol in retaining symptom-free molars. Two hundred primary molars in 107 healthy children were included and randomly allocated to one technique. The treated teeth were blindly reevaluated after 6, 12, 18, 24 and 36 months. Descriptive data analysis and logistic regression analysis accounting for multiple observations per patient by generalised estimating equation were used. Additionally, various influences including tooth type, upper and lower jaws, type of anaesthesia, operator and the final restoration on treatment success were evaluated (Wald chi-square test). After 36 months, the following total (considering clinical and clinically symptom-free radiographic failures) and clinical success rates were determined (in percent): Formocresol 72 (92), laser 73 (89), calcium hydroxide 46 (75), ferric sulphate 76 (97). No significant differences were detected between formocresol and any other technique after 36 months. However, the odds ratio of failure appeared to be three times higher for calcium hydroxide than for formocresol. No significant differences in total success rates were seen regarding the aforementioned influencing clinical parameters. The correct diagnosis of the pulpal status, bleeding control and the specific technique are highly important for long-term success of pulpotomies in primary molars. According to the presented long-term data, pulpotomies using ferric sulphate revealed the best treatment outcome among the used techniques, while calcium hydroxide resulted in the lowest success rates after 3 years. Therefore, we can recommend ferric sulphate for easy and successful treatment of primary molars with caries-exposed pulps.

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Section: Discussionsupporting

confidence: 62%

“…Although many techniques have been suggested, longterm studies, which ideally cover the functional lifetime of primary molars, are required to provide evidence of the most appropriate pulpotomy procedure [3,4].…”

Section: Introductionmentioning

confidence: 99%

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

et al. 2011

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“…Commonly, the pulp remains half dead, half vital, and chronically inflamed (10). Although several reports published during the 1990s questioned the safety and efficacy of FC (11)(12)(13)(14)(15)(16)(17) and most authorities now agree that it is at least potentially immunogenic and mutagenic, it continues to be a preferred treatment for primary teeth pulpotomies (2,6,10,18). Clinical and radiographic studies have shown that FC pulpotomies have success rates ranging between 70% and 97% (8, 19 -21).…”

mentioning

confidence: 98%

A Comparison of Four Pulpotomy Techniques in Primary Molars: A Long-term Follow-up

Sönmez

Sarı

Çetinbaş

2008

Journal of Endodontics

111

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“…In 2006, Fuks aptly concluded after examining a review of the pulpotomy literature from 1966-2005, 'More high quality, properly planned prospective studies are necessary…' although noted that MTA is currently the most favourable choice. 59 As many others before, Fuks reported in 2008 that suitable alternatives to formocresol exist. 60 The decades of research have identifi ed old-fashioned formaldehyde products like formocresol as problematic because of its toxicity, carcinogenicity, and genotoxicity.…”

Section: Opinionmentioning

confidence: 87%

The obsolescence of formocresol

Lewis

2009

Br Dent J

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Pulpotomy in primary teeth: Review of the literature according to standardized assessment criteria

Cited by 49 publications

References 28 publications

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

A Comparison of Four Pulpotomy Techniques in Primary Molars: A Long-term Follow-up

The obsolescence of formocresol

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