After 18 - 24 months , in terms of treatment failure , the odds ratio for calcium hydroxide vs. formocresol was 1.94 [ 95 % credible interval ( CI ) : 1.11 , 3.25 ] ; 3.38 ( 95 % CI : 1.37 , 8.61 ) for lasers vs. formocresol ; 2.16 ( 95 % CI : 1.12 , 4.31 ) for calcium hydroxide vs. ferric sulfate ; 3.73 ( 95 % CI : 1.27 , 11.67 ) for lasers vs. ferric sulfate ; 0.47 ( 95 % CI : 0.26 , 0.83 ) for MTA vs. calcium hydroxide ; 3.76 ( 95 % CI : 1.39 , 10.08 ) for lasers vs. MTA CONCLUSIONS After 18 - 24 months , formocresol , ferric sulfate , and MTA showed significantly better clinical and radiographic outcomes than calcium hydroxide and laser therapies in primary molar pulpotomies .
CLINICAL SIGNIFICANCE The network meta-analyses showed that MTA is the first choice for primary molar pulpotomies .
However , if treatment cost is an issue , especially when the treated primary molars are going to be replaced by permanent teeth , ferric sulfate may be the choice
OBJECTIVE Pulpotomy is a common procedure to treat asymptomatic reversible pulpitis in primary molars .
The aim of this study is to undertake a systematic review and a network meta- analysis to compare the clinical and radiographic outcomes of different pulpotomy procedures in primary molars .
Assessment of a novel alternative to conventional formocresol-zinc oxide eugenol pulpotomy for the treatment of pulpally involved human primary teeth: diode laser-mineral trioxide aggregate pulpotomy.
OBJECTIVE The purpose of this study was to investigate whether a diode laser pulpotomy with mineral trioxide aggregate ( MTA ) sealing could be an acceptable alternative to the conventional formocresol pulpotomy and zinc oxide eugenol ( ZOE ) sealing in human primary teeth . METHODS A r and omized , single-blind , split-mouth study was used with a sample of 16 children aged from 3 to 8 years ( mean age=5.10 years ) . A total of 26 pairs of teeth from these 16 patients were selected based on clinical and radiographic criteria . One tooth from each pair was r and omly assigned to either the laser-MTA pulpotomy group or the formocresol-ZOE pulpotomy group . All teeth were followed up clinical ly and radiographically at 2.3 , 5.2 , 9.5 and 15.7 months . All extracted failures were sectioned and photographed to assess possible reasons for this . RESULTS A total of seven laser-MTA-treated teeth were deemed to be radiographic failures ( mean time until failure=9.1 months ) compared to three formocresol-ZOE treated teeth ( mean time until failure=12.5 months ) . These results were not significant using Fisher 's exact test ( P>0.05 ) . Six of the laser-MTA failures and all three formocresol-ZOE failures exhibited furcal and /or periapical radiolucencies with or without pathologic root resorption . One of the laser-MTA failures displayed premature root resorption and is being observed for exfoliation . Analysis of photographs of teeth available for extraction revealed errors in clinical technique in addition to expected signs of a disease process such as the presence of granulation tissue and areas of pathologic root resorption . CONCLUSIONS The laser-MTA pulpotomy showed reduced radiographic success rates compared to the formocresol-ZOE pulpotomy at 15.7 months ; however , these results were not statistically significant . Improved success rates among a larger patient sample and a longer follow-up period would be required for the laser-MTA pulpotomy to be considered a routine alternative to the conventional formocresol-ZOE procedure . Meticulous restorative techniques must be followed to ensure the success of laser-MTA pulpotomies
After 18 - 24 months , in terms of treatment failure , the odds ratio for calcium hydroxide vs. formocresol was 1.94 [ 95 % credible interval ( CI ) : 1.11 , 3.25 ] ; 3.38 ( 95 % CI : 1.37 , 8.61 ) for lasers vs. formocresol ; 2.16 ( 95 % CI : 1.12 , 4.31 ) for calcium hydroxide vs. ferric sulfate ; 3.73 ( 95 % CI : 1.27 , 11.67 ) for lasers vs. ferric sulfate ; 0.47 ( 95 % CI : 0.26 , 0.83 ) for MTA vs. calcium hydroxide ; 3.76 ( 95 % CI : 1.39 , 10.08 ) for lasers vs. MTA CONCLUSIONS After 18 - 24 months , formocresol , ferric sulfate , and MTA showed significantly better clinical and radiographic outcomes than calcium hydroxide and laser therapies in primary molar pulpotomies .
CLINICAL SIGNIFICANCE The network meta-analyses showed that MTA is the first choice for primary molar pulpotomies .
However , if treatment cost is an issue , especially when the treated primary molars are going to be replaced by permanent teeth , ferric sulfate may be the choice
OBJECTIVE Pulpotomy is a common procedure to treat asymptomatic reversible pulpitis in primary molars .
The aim of this study is to undertake a systematic review and a network meta- analysis to compare the clinical and radiographic outcomes of different pulpotomy procedures in primary molars .