Vital Pulp Therapy with New Materials for Primary Teeth: New Directions and Treatment Perspectives

Odontoblastic Cell Quantification and Apoptosis within Pulp of Deciduous Teeth Versus Pulp of Permanent Teeth

“…Many reports have documented that the vital pulp treatments used in primary dentition have lower success rates in comparison to permanent dentition but this fact has been no correlated with the extent of odontoblastic layer and the apoptosis of odontoblastic cell population. 17,[21][22][23][24] Further studies are needed to evaluate whether…”

The obsolescence of formocresol

“…14 Formocresol is widely accepted for vital pulpotomy. The simple defi nition of vital pulpotomy involves the surgical amputation of the coronal portion of exposed vital pulp and the placement of a dressing over the exposed, healthy pulp stumps.…”

“…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. There are several viable and superior noninvasive clinical alternatives.…”

Clinical Assessment of Pulp Therapy for Primary Molars Performed Under General Anesthesia, Using Two Pulpotomy Agents-A Retrospective Cohort Study

“…[3] It is a common view that a pulp dressing material should be bactericidal, protecting root pulp, promoting healing and not harming the pulp and periradicular tissues. [4] Unlike the Portland cement in Mineral Trioxide Aggregate (MTA), Tricalcium Silicate based dental materials are developed by in-vitro synthesis of the high-purity raw materials. One of those materials, Biodentine TM (BD), has become a commercially available dentine substitute.…”