Pulpotomy of human primary molars with MTA and Portland cement: a randomised controlled trial

Sakai, Vivien Thiemy; Moretti, Aníbal de Sant’Anna; Oliveira, Thaís Marchini de; Fornetti, Ana Paula Camolese; Santos, Carlos; Machado, Maria Aparecida de Andrade Moreira; Abdo, Ruy Cesar Camargo

doi:10.1038/sj.bdj.2009.665

Cited by 62 publications

(105 citation statements)

References 29 publications

(37 reference statements)

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“…24 Sakai et al reported the beginning of mineralized deposition could be detected radiographically after pulpotomy in all 100% cases with PC in contrast to 57.14% at 6 months follow up and 78.6% at 12 months follow up with MTA. 23 Ultimately, in the present study, dentin bridge was evident in 65% cases in PC group, in comparison to 63.2% cases in MTA group and there was no statistically significant difference. Earliest dentin bridge formation was noted at PC pulp tissue interface around 14-21 days.…”

Section: Discussionmentioning

confidence: 62%

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Clinical and Radiographic Efficacy of Portland Cement as Pulpotomy Material in Human Primary Molar

Santa¹,

Bashar

Hossain

et al. 2018

Bangladesh Med Res Counc Bull

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Mineral trioxide aggregates (MTA) has been considered one of the most effective pulpotomy materials as it induces the formation of dentine at a greater rate with superior structural integrity, minimal inflammation and nominal hyperplasia. Portland cement (PC), posing the principal chemical elements with similar mechanisms of action, physical properties and biocompatibility like MTA, may be considered as effective alternative for the same. So, the objective of the study was to compare the clinical and radiographic outcome of Portland cement and mineral trioxide aggregates as pulpotomy material in primary teeth. A total of 40 patients having deep carious primary tooth with mild thermal sensitivity were enrolled in this study. Pulpotomy 20 patients were treated with Portland cement and the remaining 20 patients were treated with mineral trioxide aggregates, those considered as group A and group B respectively. Then, clinical and radiological examinations were performed at 3, 6 and 12 months interval to investigate the incidence of postoperative pain, swelling, dentinal bridge formation and root resorption. After a period of one year, a total of 60.0% teeth treated by Portland cement and 50.0% teeth treated by MTA group came out successfully both clinically and radiographically. All these treated teeth that came out successful remained vital having no pain clinically along with radiological evidence of dentin bridge formation and absence of internal resorption. The difference between the tested groups was not statistically significant (p>0.05). It can be considered that Portland cement (PC) can also be used as successful pulpotomy material as an effective and economic substitute of MTA.

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Section: Discussionmentioning

confidence: 62%

“…In the present study only one case (5% of the patients) after 6 months in MTA group and after 12 months in PC group showed moderate pain and ultimately lost their vitality. 23 The rest of the patients (95% in both groups) neither complained for immediate nor long term post-operative pain, and ultimately remained vital.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiographic Efficacy of Portland Cement as Pulpotomy Material in Human Primary Molar

Santa¹,

Bashar

Hossain

et al. 2018

Bangladesh Med Res Counc Bull

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“…Portland cement (PC) has emerged as an alternative to MTA because of its relative lower cost, similar chemical composition and biocompatibility with MTA, and several studies have compared both materials (12)(13)(14)(15)(16). As PC may potentially be used as an endodontic material (11,17), it does not have sufficient radiopacity to be visualized radiographically, and therefore a radiopacifying agent must be added to it (11).…”

Section: Introductionmentioning

confidence: 99%

Biocompatibility of Portland cement combined with different radiopacifying agents

et al. 2014

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The aim of this study was to evaluate the response of rat subcutaneous tissue to Portland cement combined with two different radiopacifying agents, iodoform (CHI 3 ) and zirconium oxide (ZrO 2 ). These materials were placed in polyethylene tubes and implanted into the dorsal connective tissue of Wistar rats for 7 and 15 days. The specimens were then stained with hematoxylin and eosin, and inflammatory reaction parameters were evaluated by light microscopy. The intensity of the inflammatory response to the sealants was analyzed by two blind calibrated observers throughout the experimental period. Histological analysis showed that all the materials caused a moderated inflammatory reaction at 7 days, which then diminished with time. At 15 days, the inflammatory reaction was almost absent, and fibroblasts and collagen fibers were observed indicating normal tissue healing. The degrees of the inflammatory reaction on different days throughout the experimental period were compared using the non-parametric Kruskal-Wallis test. Statistical analysis demonstrated no significant differences amongst the groups, and Portland cement associated with radiopacifying agents gave satisfactory results. Therefore, Portland cement used in combination with radiopacifying agents can be considered a biocompatible material. Although our results are very encouraging, further studies are needed in order to establish safe clinical indications for Portland cement combined with radiopacifying agents. (J Oral Sci 56, 29-34, 2014)

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“…The success of the therapy depends mainly on the correct diagnosis of the inflamed dental pulp and the selection of biocompatible and bioinductive material [7,8]. An ideal pulpotomy agent must be bactericidal, promote healing of the radicular pulp, be biocompatible, offer the dentin-pulp complex a relatively stable environment, support the regeneration of dentin-pulp complex and not interfere with the physiological process of root resorption [9].…”

Section: Introductionmentioning

confidence: 99%

“…Recently a great interest has been focused on the evolution of Portland cement (PC) as an alternative to MTA [7,8,10]. Portland cement is the primary component of MTA [11].…”

Section: Introductionmentioning

confidence: 99%

Success Rate of Medcem Portland Cement as a Pulp Capping Agent in Pulpotomies of Primary Teeth

Vilimek¹,

Gateva²,

Christof³

2018

JofIMAB

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ABSTRACT:Aim: To evaluate the clinical and radiographic outcomes of Portland cement (PC) as a pulp capping agent in primary teeth pulpotomies.Material and methods: The study included 71 primary teeth (9 incisors and 62 molars), from 20 children aged 3-8 years, of both genders. The teeth had deep carious lesions and symptoms of inflammation of the coronal pulp. Treatment was performed under general anaesthesia, and with the technique of vital amputation. MedCem Portland cement was used as pulp capping agent. GIC was placed over the PC. Incisors were finally restored with composite and molars with preformed stainless steel crowns. Clinical and radiographic success and failure were recorded at 6, 12, 18 and 24-month follow-ups. The treatment success was measured using predetermined criteria and the results were statistically evaluated.Result: After 12 months 69 teeth (97.18%) were assessed as successfully treated. After 24 months, the treatment of 66 teeth (92.96%) were defined as successful. The results showed a satisfactory success rate of pulpotomies using MedCem PC as a pulp agent in the primary dentition during the observation period.Conclusions: Portland cement may serve as an effective and inexpensive material in primary teeth pulpotomies. Further studies and longer follow-up assessments are needed.

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Pulpotomy of human primary molars with MTA and Portland cement: a randomised controlled trial

Cited by 62 publications

References 29 publications

Clinical and Radiographic Efficacy of Portland Cement as Pulpotomy Material in Human Primary Molar

Clinical and Radiographic Efficacy of Portland Cement as Pulpotomy Material in Human Primary Molar

Biocompatibility of Portland cement combined with different radiopacifying agents

Success Rate of Medcem Portland Cement as a Pulp Capping Agent in Pulpotomies of Primary Teeth

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