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Pulpotomy

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https://www.readbyqxmd.com/read/28206897/retrospective-study-of-the-survival-rates-of-indirect-pulp-therapy-versus-different-pulpotomy-medicaments
#1
Patrice Barsamian Wunsch, Marissa M Kuhnen, Al M Best, Tegwyn H Brickhouse
PURPOSE: The purposes of this retrospective chart review were to determine: (1) how primary molars in need of vital pulp therapy (VPT) have been treated over a period of four years at a university-based pediatric dental practice (UBP); and which treatments-indirect pulp therapy (IPT), formocresol pulpotomy (FCP), and ferric sulfate pulpotomy (FSP)-have been successful. METHODS: Electronic patient records (axiUm) that contained the procedure codes D3120 (pulp cap-indirect) or D3220 (therapeutic pulpotomy) were totaled by year...
October 15, 2016: Pediatric Dentistry
https://www.readbyqxmd.com/read/28205326/an-innovative-method-for-fragment-reattachment-after-complicated-crown-fracture
#2
Riccardo Tonini
: The case of a nineteen-year-old female with atypical fractures to three maxillary incisors (#11 FDI, #8 universal; #21 FDI, #9 universal and #22 FDI, #10 universal) with one showing a complicated crown fracture and pulp exposure is reported. A partial pulpotomy had been carried out immediately after trauma and the patient complained of acute pain on percussion of the left central incisor. Direct restoration with resin-based composite was carried out on the two teeth where fragments were not available (tooth #8 and #10) and root canal treatment with reattachment of fragments and fiber post was carried out on the third (tooth #9)...
February 16, 2017: Journal of Esthetic and Restorative Dentistry
https://www.readbyqxmd.com/read/28179936/vital-pulp-therapy-with-calcium-silicate-cements-report-of-two-cases
#3
Hengameh Ashraf, Afsaneh Rahmati, Neda Amini
This article describes successful use of calcium-enriched mixture (CEM) cement and Biodentine in apexogenesis treatment in two 8-year-old patients, one with immature permanent molar diagnosed primarily with irreversible pulpitis and the other with partially vital maxillary central incisor. After access cavity preparation, partial pulpotomy in molar and full pulpotomy in central was performed, and the remaining pulps was capped with either Biodentine or CEM cement, in each tooth. The crowns were restored with composite filling material at the following visit...
2017: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/28179916/postoperative-pain-following-pulpotomy-of-primary-molars-with-two-biomaterials-a-randomized-split-mouth-clinical-trial
#4
Leili Shafie, Hamide Barghi, Masoud Parirokh, Hamed Ebrahimnejad, Nozar Nakhae, Sara Esmaili
INTRODUCTION: The aim of this randomized clinical trial split-mouth study was to compare the postoperative pain following use of mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cement as pulpotomy agents in carious primary molars. METHODS AND MATERIALS: Forty-seven children aged between 6-10 years old were enrolled in this study. Each child had two cariously involved primary molar in need of pulpotomy. After caries removal and preparing access cavity in one of the carious teeth, either MTA or CEM cement was randomly used as the pulpotomy agent, while the other cariously involved primary molar tooth was capped with the other material in a separate visit...
2017: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/28169432/cytotoxicity-and-bioactivity-of-various-pulpotomy-materials-on-stem-cells-from-human-exfoliated-primary-teeth
#5
M Collado-González, D García-Bernal, R E Oñate-Sánchez, P S Ortolani-Seltenerich, T Álvarez Muro, A Lozano, L Forner, C Llena, J M Moraleda, F J Rodríguez-Lozano
AIMS: To investigate the cytotoxicity and bioactivity of several pulpotomy materials: Biodentine (Septodont, Saint- Maur-des-Fosses, France) MTA (Angelus, Londrina, PR, Brazil), Theracal LC (Bisco Inc., Schamburg, IL, USA) and IRM (Dentsply DeTrey GmbH, Konstanz, Germany), after contact with stem cells isolated from human exfoliated deciduous teeth (SHEDs). METHODOLOGY: SHEDs were cultured in the presence of the eluates of various pulpotomy materials for 24, 48 and 72h...
February 7, 2017: International Endodontic Journal
https://www.readbyqxmd.com/read/28124615/formulation-of-saudi-propolis-into-biodegradable-chitosan-chips-for-vital-pulpotomy
#6
Gihan F Balata, Mohamed I S Abdelhady, Ghada M Mahmoud, Moustafa A Matar, Amani N Abd El-Latif
BACKGROUND: Propolis has been widely used to treat oral cavity disorders, such as endodontal and periodontal diseases and microbial infections. OBJECTIVE: The study aimed at formulation of commercial Saudi propolis into biodegradable chitosan chips and evaluation of its effectiveness as a pulpotomy agent. METHOD: The composition of 80% ethanolic propolis extract was evaluated regarding its total phenolic content, total flavonoid content and antioxidant activity...
January 25, 2017: Current Drug Delivery
https://www.readbyqxmd.com/read/28041685/treatment-outcomes-of-mineral-trioxide-aggregate-pulpotomy-in-vital-permanent-teeth-with-carious-pulp-exposure-the-retrospective-study
#7
Pairoj Linsuwanont, Kongthum Wimonsutthikul, Uht Pothimoke, Busayarat Santiwong
INTRODUCTION: This study aimed to illustrate the treatment outcomes of mineral trioxide aggregate (MTA) pulpotomy in vital permanent teeth with carious pulp exposure. METHODS: MTA pulpotomy was performed in 66 vital permanent teeth with carious pulp exposure including teeth with signs and symptoms of irreversible pulpitis and the presence of periapical radiolucency. Patients were assessed for clinical and radiographic outcomes by 2 examiners. The relationship between treatment outcomes and factors was analyzed by means of univariate analysis and binary logistic regression...
December 29, 2016: Journal of Endodontics
https://www.readbyqxmd.com/read/27995139/carious-exposure-versus-mechanical-exposure-for-mta-pulpotomy-in-primary-teeth
#8
COMPARATIVE STUDY
Burcu Nihan Çelik, Şaziye Sarı
Introduction. The etiology of exposure determines pulpal response, making it crucial to distinguish between mechanical and carious exposure. This study clinically and radiographically evaluated the success of MTA pulpotomies conducted to treat carious and mechanical pulp exposure. Materials and Methods. This study was conducted with 50 mandibular primary molar teeth. Teeth were divided into 2 groups according to status of the exposure site, with teeth surrounded by carious dentin placed in a carious exposure group and those surrounded by sound dentin in a mechanical exposure group...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27994420/comparative-evaluation-of-platelet-rich-fibrin-mineral-trioxide-aggregate-and-calcium-hydroxide-as-pulpotomy-agents-in-permanent-molars-with-irreversible-pulpitis-a-randomized-controlled-trial
#9
Varun Kumar, Ruchi Juneja, Jigyasa Duhan, Pankaj Sangwan, Sanjay Tewari
BACKGROUND: Pulpotomy has been proposed as an alternative for the management of irreversible pulpitis in permanent molars with closed apices. AIM: To compare the performances of calcium hydroxide (CH), mineral trioxide aggregate (MTA), and platelet-rich fibrin (PRF) as pulpotomy agents in mature permanent molars with irreversible pulpitis. MATERIALS AND METHODS: Fifty-four permanent mandibular molars with carious exposure and symptoms of irreversible pulpitis were randomly allocated to three groups, and full pulpotomy was performed using CH, MTA, or PRF as pulpotomy agents...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994411/comparative-evaluation-of-calcium-silicate-based-dentin-substitute-biodentine-%C3%A2-and-calcium-hydroxide-pulpdent-in-the-formation-of-reactive-dentin-bridge-in-regenerative-pulpotomy-of-vital-primary-teeth-triple-blind-randomized-clinical-trial
#10
Navneet Grewal, Rubica Salhan, Nirapjeet Kaur, Hemal Bipin Patel
BACKGROUND: Considering the biological concerns of calcium hydroxide (CH) as a pulpotomy agent, an alternative silicate based dentin substitute i.e. Biodentine (Ca3SiO5) was evaluated clinically and radiographically. AIMS: To evaluate the effectiveness of dentin substitute (Biodentine) in regenerative pulpotomy of vital primary teeth that would giv a biological base to its use in forming reactive dentin bridge and overcoming the drawbacks of calcium hydroxide. MATERIAL AND METHODS: Randomised clinical trial on 40 bilateral carious primary molars in 20 participant children (aged 5-10 years) was carried out by same operator using Ca3SiO5(group-1) and CH (group-2) as vital pulpotomy agents...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27928103/biological-efficacy-of-two-mineral-trioxide-aggregate-mta-based-materials-in-a-canine-model-of-pulpotomy
#11
Myeongyeon Lee, Chung-Min Kang, Je Seon Song, Yooseok Shin, Seunghye Kim, Seong-Oh Kim, Hyung-Jun Choi
The aim of this study was to compare the biocompatibility of Endocem Zr(®) and ProRoot MTA(®) by histopathologic analysis in a canine model of pulpotomy. This study utilized 39 teeth of two beagle dogs. The exposed pulp tissues were treated by pulpotomy using ProRoot MTA (n=19) or Endocem Zr (n=20). After 8 weeks, the teeth were extracted and processed with hematoxylin-eosin staining for histologic evaluation. Most of the specimens in both groups developed a calcific barrier at the pulp amputation site and formed an odontoblast layer...
December 6, 2016: Dental Materials Journal
https://www.readbyqxmd.com/read/27892627/withdrawn-pulp-management-for-caries-in-adults-maintaining-pulp-vitality
#12
REVIEW
Hiroshi Miyashita, Helen V Worthington, Alison Qualtrough, Alphons Plasschaert
BACKGROUND: There is a range of treatment options for the management of the pulp in extensively decayed teeth. These include direct and indirect pulp capping, pulpotomy or pulpectomy. If the tooth is symptomatic or if there are periapical bone changes, then endodontic treatment is required. However, if the tooth is asymptomatic but the caries is extensive, there is no consensus as to the best method of management. In addition, there has been a recent move towards using alternative materials and methods such as the direct or indirect placement of bonding agents and mineral trioxide aggregate...
28, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27847756/mandibular-bone-necrosis-after-use-of-paraformaldehyde-containing-paste
#13
Chi-Hwan Lee, Yoorina Choi, Sujung Park
Paraformaldehyde has been used in the past as a pulpotomy agent. However, it has a severe cytotoxic effect and may cause alveolar bone necrosis. Depulpin, a devitalizing agent containing 49% paraformaldehyde, is no longer used frequently due to its severe side effects. In the two cases described in the present study, Depulpin was used as a devitalizing agent during root canal treatment. It caused a gradual loss of sensibility in adjacent teeth, gingival necrosis, and osteomyelitis. This case report demonstrates the serious side effects of using a paraformaldehyde-containing paste as a devitalizing agent for pulp, particularly mandibular bone necrosis...
November 2016: Restorative Dentistry & Endodontics
https://www.readbyqxmd.com/read/27843254/success-rate-of-mta-pulpotomy-on-vital-pulp-of-primary-molars-a-3-year-observational-study
#14
REVIEW
Brinda Godhi, Rishi Tyagi
INTRODUCTION: Vital pulp therapy is a major contributor in the preservation of primary dentition after caries affliction. Introduction of mineral trioxide aggregate (MTA) has revolutionized such treatment. AIM: The aim of our study was to evaluate and correlate the effects of MTA clinically and radiographically on pulpotomized primary molars till their exfoliation or extraction followed by histological evaluation. STUDY DESIGN: This is an observational study...
July 2016: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/27805885/effects-of-two-different-anesthetic-solutions-on-injection-pain-efficacy-and-duration-of-soft-tissue-anesthesia-with-inferior-alveolar-nerve-block-for-primary-molars
#15
RANDOMIZED CONTROLLED TRIAL
Ülkü Şermet Elbay, Mesut Elbay, Emine Kaya, Sinem Yıldırım
OBJECTIVES: The purpose of the study was to compare the efficacy, injection pain, duration of soft tissue anesthesia, and postoperative complications of two different anesthetics (2% lidocaine with 1:80,000 epinephrine and 3% plain mepivacaine) in pediatric patients in inferior alveolar nerve block (IANB) administered by a computer-controlled delivery system (CCDS). STUDY DESIGN: The study was conducted as a randomized, controlled-crossover, double-blind clinical trial with 60 children requiring bilateral pulpotomy or extraction of primary mandibular molars...
2016: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/27790270/vital-pulp-therapy-of-a-symptomatic-immature-permanent-molar-with-long-term-success
#16
Sedigheh Sabbagh, Alireza Sarraf Shirazi, Mohammad Jafar Eghbal
Vital pulp therapy (VPT) is the preferred conservative treatment for preservation of symptomatic pulps in immature permanent teeth. The present case report summarizes VPT of an immature permanent molar with irreversible pulpitis associated with apical periodontitis in a 9-year-old boy. Cervical pulpotomy was performed and radicular pulp stumps were covered with calcium-enriched mixture (CEM) cement; the tooth was then restored with stainless steel crown. After a 50-month follow-up period, the pulpotomized molar was clinically functional and asymptomatic...
2016: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/27776876/comparison-of-the-potential-discoloration-effect-of-bioaggregate-biodentine-and-white-mineral-trioxide-aggregate-on-bovine-teeth-in%C3%A2-vitro-research
#17
Selen Esin Yoldaş, Mehmet Bani, Didem Atabek, Haluk Bodur
INTRODUCTION: Tricalcium silicate cements can be used for pulp capping, pulpotomies, apical barrier formation in teeth with open apices, repair of root perforations, regenerative endodontics, and root canal filling. The aim of this study was to evaluate and compare the discoloration potential of 3 different tricalcium cements using a bovine tooth model. METHODS: Forty bovine anterior teeth have been used for the study. Crowns separated from the roots were randomly divided into 4 groups: the BioAggregate (IBC, Vancouver, Canada) group, the Biodentine (Septodont, Saint Maur des Fosses, France) group, the mineral trioxide aggregate Angelus (Angelus, Londrina, PR, Brazil) group, and the only blood group...
December 2016: Journal of Endodontics
https://www.readbyqxmd.com/read/27630966/biodentine-pulpotomy-in-mature-permanent-molar-a-case-report
#18
Harleen Kaur Soni
Irreversible pulpitis is the most common reason for endodontic treatment in primary and permanent teeth. Root canal therapy and extraction are the two viable and most documented treatment options for the same. Studies with regards to management of mature permanent teeth with carious exposure and treatment with vital pulp therapies such as adult permanent tooth pulpotomy are scarce. However, permanent tooth pulpotomy with the new calcium-silicate based cements (Mineral Trioxide Aggregate and Biodentine) can help preserve the tooth pulp vitality and promote healing and repair foregoing the more invasive root canal therapy procedure...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27595722/clinical-and-radiographic-evaluation-of-success-of-two-commercially-available-pulpotomy-agents-in-primary-teeth-an-in-vivo-study
#19
Harshini Togaru, Radhika Muppa, NCh Srinivas, K Naveen, Veerakishore K Reddy, V C Rebecca
AIM: The aim of this study is to evaluate and compare Biodentine and mineral trioxide aggregate (MTA) as pulpotomy agents by clinical and radiological assessments in primary teeth. MATERIALS AND METHODS: In this study, 90 decayed primary molars indicated for pulpotomy were chosen and are divided into two groups. Soft enamel and dentinal caries were removed using spoon excavator. Access opening was done using highspeed cool water handpiece. Normal saline was used to irrigate pulp chamber, later saline moistened cotton pellet was used to obtain hemostasis in both groups...
July 1, 2016: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/27557921/success-rate-of-treatments-provided-for-early-childhood-caries-under-general-anesthesia-a-retrospective-cohort-study
#20
Maryam Amin, M-Reza Nouri, Sarah Hulland, Mohamed ElSalhy, Amir Azarpazhooh
PURPOSE: The purpose of this study was to assess the success rate of various treatments provided under general anesthesia for early childhood caries (ECC) over three-year follow-up period. METHODS: ECC children no older than 72 months at the time of dental surgery, who had completed a three-year follow-up, were included. The success rate of every treatment was evaluated. The longevity of each treatment and significant factors associated with failures were assessed...
2016: Pediatric Dentistry
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