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Pulpotomy in the Primary Teeth: Comparison of Four Techniques

دراسة مقارنة بين الطرق الدوائية و الطرق غير الدوائية في بتر اللب على الأسنان المؤقتة

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 Publication date 2005
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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The purpose of this study was to evaluate the success of Formocresol pulpotomy compared with Ferric sulfate and Electro coagulation and Laser pulpotomy in primary teeth. Fourty seven primary second molars of children aged 5-8 years, were divided randomly into four groups: 10 Formocresol , 13 Ferric sulfate , 13 Electro coagulation, 10 Laser. All teeth were filled with ZOE and sealed with Compomer, and S.S.Crown as final restoration. The success rate was 90 % - 84.6 % - 84.6 % - 83.3 % respectively. These differences were not statistically significant p=0.05), but there were a relation between the pretreatment physiologic resorption of roots and the type of hemorrhage during the amputation procedure. This study revealed that Ferric sulfate, and Electro coagulation, and Laser pulpotomy are good alternative to Formocresol pulpotomy.

References used
Ahn,J., Porger,M.A, The effects of lidocaine with 1:100.000 epinephrine on pulpal and gingival .Blood flow , OralSurg. Oral Med. Oral Path. Vol.85;No.2;P:197;1998
Aktoren,O. Ferric sulfate, Glutaraldehyde and Formocresol pulpotomies in primary teeth. J. Dental.Research, Vol.77;1998
Boeve,V.M, Dermaut,L.R, Formocresol pulpotomy in primary molars : A long term radiographic evaluation, ASDC;49(4);P:191;1982
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When the caries become near the pulp in primary molars, the treatment will be the pulpotomy to remove the involved coronal portion of the pulp, preserving the vitality and function of the remaining radicular portion. Formocresol, Glutar-aldehyde, F erric sulphate, AMT, Laser application and Electro surgery may used in primary teeth pulpotomy.
Dental caries increasingly affects the children nowadays. Statistics concerning caries prevalence aim to guide and improve the prevention of dental caries. Objective: The purpose of this study is to assess the prevalence of dental caries in the posterior primary teeth depending on the presence of decay, missing due to caries or filling.
Pulpectomy was performed on 100 primary teeth and the radiograph was exposed immediately post treatment to observe weather the root canal filling was: flush-undefiled or overfilled. Teeth were examined periodically, clinically and radio graphically to assess success of the treatment.

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