5488
Lamia Mohamed Khairy
Clinical and Radiographic Evaluation of “Pulpotomy” versus “Pulpectomy” in the Treatment of Vital Pulp Exposure in Primary Incisors: A Randomized Controlled Trial
Pulpotomy, Pulpectomy, Primary Incisors
Early childhood caries (ECC) is a serious public health problem occurring in young children. When caries extend to involve the pulp, various forms of pulp treatment were tried to treat and /or remove the pulp or to stimulate tooth repair. Pulpotomy is the treatment of choice for vital primary tooth pulp exposure, however there is a preference among many pediatric dentists to perform pulpectomy in primary incisors as they were taught to do so in their pediatric residencies. The aim of this study was to compare formocresolpulpotomy and zinc-oxide and eugenol pulpectomy in the treatment of vital pulp exposure in primary incisors clinically in terms of pain, pathological tooth mobility, soft tissue pathology and radiographically in terms periapical radiolucency, pathological root resorption. Randomized clinical trial with split mouth design was performed. It was conducted in the General Anesthesia operatory room in Pediatric Dentistry and Children with special needs Unit at the Pediatric Dentistry and Dental Public Health Department in the Faculty of Dentistry, Cairo University, Egypt. Thirty nine pairs of incisors (25 pairs of central incisors and 14 pairs of lateral incisors) in 31 patients (20 males and 11 females) aging from 18 to 66 months with a mean age of 48.9±13.8 months old were randomly assigned by a coin toss to either the intervention (pulpotomy group) on the head side or the control (pulpectomy group) on the tail side with the contralateral paired incisor being designated to the other treatment group. The clinical and radiographical success rates of pulpotomy and pulpectomy reported in this study showed no statistical difference between the two techniques at 6 and 12 months, although not statistically significant but there were higher numbers of successful radiographic outcomes for formocresolpulpotomy than zinc oxide and eugenol pulpectomy at each observation interval. It was concluded that formocresolpulpotomy and zinc oxide eugenol pulpectomy are successful techniques in the treatment of carious vital pulp exposure in primary incisors.
2018
Ph.d
Cairo
Dental Medicine