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International Journal of Environmental... Aug 2020A higher chance of carrying out a successful full pulpotomy may depend on whether the coronal restoration can be completed within a single appointment. The development...
A higher chance of carrying out a successful full pulpotomy may depend on whether the coronal restoration can be completed within a single appointment. The development of chairside CAD/CAM (Computer Aided Design and Manufacturing) technology has made it possible to carry out indirect restoration of endodontically treated teeth in a single session. This study aimed to evaluate the long-term outcome of a full pulpotomy with Biodentine™ immediately covered with a chairside CAD/CAM endocrown on teeth affected by pulpitis and deep carious lesions. The investigation involved a cohort of 30 molars that were treated by pulpotomy and CAD/CAM endocrown. Clinical and radiological examinations were scheduled at 1, 6, and 12 months postoperatively. Overall, all treatments were effective at any time during the follow-up. The results of this study need to be confirmed with a longer-term follow-up to allow for comparison with the literature. This original combination of endodontic and restorative treatments provides an Endo-prosthetic continuum in a single session, with the objective of long-term success in terms of tooth health.
Topics: Computer-Aided Design; Humans; Molar; Probability; Pulpitis; Pulpotomy
PubMed: 32878168
DOI: 10.3390/ijerph17176340 -
International Journal of Paediatric... Jan 2014
Topics: Dental Caries; Dental Pulp Capping; Formocresols; Humans; Pulpotomy; Tooth, Deciduous
PubMed: 24589175
DOI: 10.1111/ipd.12084 -
Scandinavian Journal of Dental Research Jun 1979The aim of this study was to evaluate whether formocresol can be used successfully in teeth with carious exposure and a vital pulp with clinical symptoms of chronic...
The aim of this study was to evaluate whether formocresol can be used successfully in teeth with carious exposure and a vital pulp with clinical symptoms of chronic pulpitis. Further, the study concerned the influence on the success rate of the vehicle for formocresol. Pulpotomies were performed on 81 primary molars. Radiographic and other clinical symptoms were used to divide the material into a coronal chronic and a total chronic pulpitis group. Chosen by lot, zinc oxide-eugenol or Pharmatec (a plaster-like non-eugenol cement) was used as the vehicle for formocresol. After an observation period of 2.5 years the success rate for the whole material was 55%. No statistically significant difference in the rate of success could be demonstrated either between the two diagnostic groups or between the two vehicle groups.
Topics: Bandages; Child; Child, Preschool; Chronic Disease; Drug Evaluation; Follow-Up Studies; Formocresols; Humans; Molar; Pulpitis; Pulpotomy; Tooth, Deciduous
PubMed: 293883
DOI: 10.1111/j.1600-0722.1979.tb00674.x -
The Journal of Clinical Pediatric... Nov 2023The aim was to investigate the relationship between time to hemostasis and pulpotomy outcomes with the use of iRoot BP Plus (Innovative Bioceramics, Vancouver, Canada)...
The aim was to investigate the relationship between time to hemostasis and pulpotomy outcomes with the use of iRoot BP Plus (Innovative Bioceramics, Vancouver, Canada) for young permanent teeth of patients aged from 7 to 12 with symptomatic irreversible pulpitis and evaluate the outcomes of pulpotomy. The present study was a prospective cohort study. Two hundred and six young permanent teeth with symptomatic irreversible pulpitis underwent pulpotomy with the use of iRoot BP Plus. All patients underwent pulpotomy in accordance with a standardized protocol. Patients were postoperatively re-called after 3, 6, 12 months. Successful cases were defined according to clinical and radiographic evaluations. Main outcome measures included tooth position, cave shape, previous restoration, preoperative symptoms, time to hemostasis and outcomes. On the basis of univariate linear regression model, the relationships between time to hemostasis was evaluated, and < 0.05 indicated a difference that achieved statistical significance. One hundred and ninety-three teeth can be evaluated after a follow-up for 6 to 36 months. The mean age of subjects was 9.43 ± 1.51 years. The overall clinical and radiographic success rate of pulpotomy reached 71.5% (138/193). After adjusting potential confounders (age, sex, previous restoration), non-linear relationship was detected between time to hemostasis and pulpotomy outcomes whose point was 4 minutes. The relationship between time to hemostasis and pulpotomy outcomes is non-linear. Pulpotomy outcomes was negatively related with time to hemostasis when time to hemostasis is more than 4 minutes.
Topics: Humans; Child; Pulpotomy; Calcium Compounds; Prospective Studies; Pulpitis; Silicates; Hemostasis; Treatment Outcome; Oxides
PubMed: 37997245
DOI: 10.22514/jocpd.2023.088 -
Special Care in Dentistry : Official... May 2018Hemophilia-a bleeding disorder due to the lack of clotting factors-is mostly induced by genetic factors. Its most common type is hemophilia A. Hemorrhage in hemophilia A...
Hemophilia-a bleeding disorder due to the lack of clotting factors-is mostly induced by genetic factors. Its most common type is hemophilia A. Hemorrhage in hemophilia A may occur in several different sites of the body, including those inside the oral cavity, such as mucous membrane and gum. However, only a few studies and case reports on dental issues of hemophilia A patients have been conducted. In clinical dentistry, treatment procedures are invasive, possibly leading to more severe bleeding, especially in hemophilia A cases. This paper presents the case of a 4-year-old boy diagnosed with severe hemophilia A, who also had several dental problems that needed endodontic treatment. We used laser diode to manage pulpotomy under general anesthesia to treat his dental diseases. His treatment procedure was performed by a dental surgeon, a hematologist, and an anesthesiologist.
Topics: Anesthesia, General; Child, Preschool; Dental Care for Children; Dental Care for Chronically Ill; Hemophilia A; Humans; Lasers, Semiconductor; Male; Pulpotomy
PubMed: 29537665
DOI: 10.1111/scd.12279 -
Pediatric Dentistry May 2019The purpose of this study was to determine which pulp treatment technique, performed at the Alaska Native Medical Center, is most successful by comparing failure rates...
The purpose of this study was to determine which pulp treatment technique, performed at the Alaska Native Medical Center, is most successful by comparing failure rates of primary molars treated with ferric sulfate (FS) pulpotomy, sodium hypochlorite (SH) pulpotomy or pulpectomy between January 2005 and January 2016. All data were abstracted from the dental records of Alaska Native children aged 2-13 years, retrospectively. Clinical and radiographic failures up to five years after treatment were assessed. Cox proportional hazards models using random effects to account for correlated failure time were adjusted for age, sex, molar tooth position, and visit type. A total of 1,149 procedures in 830 children met the inclusion criteria: 490 pulpectomies, 111 SH Pulpotomies and 548 FS Pulpotomies. Teeth treated with FS pulpotomy had 3.7 times higher risk of radiographic failure (adjusted hazard ratio [aHR]=3.73, 95% confidence interval [CI]= 2.25-6.16), and teeth treated with SH pulpotomy had 2.5 times higher risk of failure (aHR=2.57, 95% CI= 1.17-5.64) than those treated with pulpectomy. The findings from this large cohort study suggest that molar teeth treated with pulpectomies survive significantly longer than those treated with either FS or SH pulpotomies. Randomized trials are warranted to confirm findings. (Pediatr Dent 2019; 41(3):214-20) Received June 14, 2018 | Last Revision January 28, 2019 | Accepted March 14, 2019.
Topics: Adolescent; Alaska Natives; Child; Child, Preschool; Cohort Studies; Dental Caries; Humans; Longitudinal Studies; Molar; Pulpectomy; Pulpotomy; Retrospective Studies; Tooth, Deciduous; Treatment Outcome
PubMed: 31171074
DOI: No ID Found -
Pediatric Dentistry Nov 2023to update the 2016 systematic review evidence for vital pulp therapy (VPT) for primary teeth affected by caries or trauma. The population, intervention, comparison,... (Meta-Analysis)
Meta-Analysis
to update the 2016 systematic review evidence for vital pulp therapy (VPT) for primary teeth affected by caries or trauma. The population, intervention, comparison, outcomes, and study (PICOS) design inclusion/exclusion was used for multiple databases. Risk of bias, meta-analyses using RevMan, and certainty of evidence was created. A total of 299 studies were included; no trauma was found. Indirect pulp treatment (IPT) resulted in 97 percent success. Two calcium silicate cement (CSC) pulpotomies' success using mineral trioxide aggregate (MTA) and Biodentine were 94 percent and 90 percent, respectively, greater than for direct pulp capping (DPC; 86 percent) and other pulpotomies (moderate certainty). The success of IPT versus pulpotomy at 24 months showed no significant difference (P=0.31). Different liners or capping agents did not affect the success of IPT (P=0.79) or DPC at 24 months (P=0.24). The two CSC pulpotomies were not significantly different based on 24-month success (P=0.34). The formocresol pulpotomy success at 24 months was significantly lower than for MTA (P=0.02). Ferric sulfate had a significant lower success at 24 months than MTA pulpotomy (69 percent versus 92 percent; P=0.03). Zinc oxide eugenol, as a singular pulpotomy, had low success (65 percent). Selective/stepwise caries removal did significantly better at avoiding pulp exposures than complete excavation (P<0.001). Complete, selective, and no caries removal (Hall technique [HT], steel crown placement with no caries removal) had no significant difference in pulp vitality success for deep caries at 24 months (P=0.29). For deep caries affecting vital incisors, pulpotomy had significantly greater success than pulpectomy (P=0.002). The following had no significant effect on MTA pulpotomy success: coronal pulp removal methods; irrigation solution; method to control hemorrhage; base over MTA; treatment in one or two visits; and anterior or posterior teeth. Vital pulp therapy success of indirect pulp treatment or two calcium silicate cement pulpotomies demonstrated improved success over direct pulp capping and other pulpotomies based on 24-month evidence with moderate certainty. The Hall technique did not significantly reduce pulp vitality success versus caries removal.
Topics: Humans; Calcium Compounds; Silicates; Dental Care; Dental Cements; Zinc Oxide-Eugenol Cement; Dental Pulp Capping; Pulpotomy; Glass Ionomer Cements; Tooth, Deciduous; Oxides; Drug Combinations; Treatment Outcome; Aluminum Compounds
PubMed: 38129755
DOI: No ID Found -
Annals of Dentistry Jun 1947
Topics: Humans; Pulpotomy
PubMed: 20266566
DOI: No ID Found -
Journal (Canadian Dental Association) Aug 1984
Topics: Adult; Calcium Hydroxide; Child; Dental Pulp; Dental Pulp Devitalization; Dental Pulp Necrosis; Dentin, Secondary; Formaldehyde; Formocresols; History, 19th Century; History, 20th Century; Humans; Pulpotomy
PubMed: 6386116
DOI: No ID Found -
British Dental Journal Nov 1999
Topics: Child; Humans; Pulpotomy; Tooth Injuries
PubMed: 10630038
DOI: No ID Found