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 .
Comparative evaluation of formocresol and mineral trioxide aggregate as pulpotomy agents in deciduous teeth.
AIM To evaluate and compare mineral trioxide aggregate ( MTA ) and formocresol as pulpotomy medicaments by clinical and radiographic assessment s and to assess the histological features of both pulpotomy medicaments in deciduous teeth . MATERIAL S AND METHODS This study was performed on 100 m and ibular deciduous molar teeth requiring pulpotomy treatment . Children between age four and six years were r and omly selected and divided into formocresol or MTA group . The patients were recalled after 3 , 6 , 9 , 12 months respectively and evaluated clinical ly and radiographically . Histological assessment was done on lower deciduous canine teeth , which were undergoing serial extraction for interceptive orthodontic purpose . Pulpotomy was done on four teeth with formocresol and another four teeth with MTA . The teeth were extracted after six months following pulpotomy procedure and histologically evaluated . Two freshly extracted carious teeth were taken as controls . RESULTS Clinical and radiographic criteria were laid and Chi analysis revealed significant difference in mobility ( P≤0.05 ) , periodontal ligament widening ( P≤0.01 level ) and inter - radicular radiolucency ( P≤0.02 level ) between two groups at the end of 12 months . Histologically , in MTA group , a layer of new dentine formation with less dentinal tubules at the pulpotomized site was found . In formocresol group , increased inflammatory cells , a zone of atrophy , were noted in radicular portion of pulp . CONCLUSION MTA is superior to formocresol clinical ly , radiographically . Histological analysis showed better reparative ability with hard tissue barrier formation with MTA compared to formocresol
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 .