scholarly journals Comparison of Mineral Trioxide Aggregate and Calcium Hydroxide as pulpotomy agents in Primary Molars

2014 ◽  
Vol 3 (1) ◽  
pp. 24-31
Author(s):  
Md Farid Uddin ◽  
Md Shamsul Alam ◽  
Ali Asgor Moral ◽  
Md Mujibur Rahman Howlader ◽  
Md Ismail Hossain
Keyword(s):  
Calcium Hydroxide ◽  
Traumatic Injury ◽  
Glass Ionomer Cement ◽  
Radiographic Finding ◽  
Mineral Trioxide Aggregate ◽  
Evaluation Study ◽  
Primary Molars ◽  
Suitable Alternative ◽  
Group 2

Background: The greatest threats to developing teeth are dental caries and traumatic injury. If pulpal exposure occurs, then a pulpotomy procedure aims to preserve pulp vitality to allow for normal root development. Historically, calcium hydroxide has been the material of choice for pulpotomy procedures. Recently, an alternative material called mineral trioxide aggregate (MTA) has demonstrated the ability to induce hard-tissue formation in pulpal tissue. Objectives: This prospective study was conducted to observe the clinical and radiological findings of pulpotomies done with Mineral Trioxide Aggregate (MTA) &Calcium Hydroxide{Ca(OH)2} and to evaluate success rate of MTA in maintaining pulpal health in teeth with carious lesion. Materials and Methods: In this clinical trial study, 40 primary molars were treated by a conventional pulpotomy technique. They all fulfill the inclusion criteria and gave consent regarding this study. All selected teeth were evenly divided into 2 test groups. In group 1, the MTA pulpotomy (experimental) was performed, whereas in group 2, the conventional Ca(OH)2 pulpotomy (control) was done. The teeth of both groups were finally restored by Glass Ionomer Cement (GIC). The children were recalled for clinical and radiographic evaluations after 3, 6, and 12 months. Result: The follow-up evaluations revealed failure due to pain and swelling detected at 6 and 12 months postoperative evaluations in only 3 teeth treated with Ca(OH)2 and one treated with MTA. The remaining 36 teeth appeared to be clinically and radiographically successful 12 months postoperatively. Calcific metamorphosis was a radiographic finding in 4 teeth treated with MTA and 2 teeth treated with Ca(OH)2. Conclusion: Based on this clinical and radiographical evaluation study of 3, 6, and 12 months follow-up, MTA could be used as a safe material for pulpotomy in cariously and mechanically exposed primary molars and seems to be a suitable alternative to calcium hydroxide. Further research, however, is required to clarify this conclusion. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17981 Update Dent. Coll. j: 2013; 3 (1): 24-31

scholarly journals Evaluation of formocresol, calcium hydroxide, ferric sulfate, and MTA primary molar pulpotomies

2014 ◽  
Vol 08 (02) ◽  
pp. 234-240 ◽  
Author(s):  
Esma Yildiz ◽  
Gul Tosun
Keyword(s):  
Calcium Hydroxide ◽  
Clinical Symptoms ◽  
Clinical Success ◽  
Mineral Trioxide Aggregate ◽  
Ferric Sulfate ◽  
Primary Molars ◽  
Success Rates ◽  
Chi Square ◽  
Primary Molar

ABSTRACT Objective: The aim of this study is to evaluate four different pulpotomy medicaments in primary molars. Materials and Methods: A total of 147 primary molars with deep caries were treated with four different pulpotomy medicaments (FC: formocresol, FS: ferric sulfate, CH: calcium hydroxide, and MTA: mineral trioxide aggregate) in this study. The criteria for tooth selection for inclusion were no clinical and radiographic evidence of pulp pathology. During 30 months of follow-up at 6-month intervals, clinical and radiographic success and failures were recorded. The differences between the groups were statistically analyzed using the Chi-square test and Kaplan-Meier analysis. Results: At 30 months, clinical success rates were 100%, 95.2%, 96.4%, and 85% in the FC, FS, MTA, and CH groups, respectively. In radiographic analysis, the MTA group had the highest (96.4%), and the CH group had the lowest success rate (85%). There were no clinical and radiographic differences between materials (P > 0.05). Conclusions: Although there were no differences between materials, only in the CH group did three teeth require extraction due to further clinical symptoms of radiographic failures during the 30-month follow-up period. None of the failed teeth in the other groups required extraction during the 30-month follow-up period.

scholarly journals Clinical, Radiographic and Histological Evaluation of Primary Teeth Pulpotomy Using MTA And Ferric Sulfate

2018 ◽  
Vol 29 (2) ◽  
pp. 159-165 ◽  
Author(s):  
Marina Azevedo Junqueira ◽  
Nayara Nery Oliveira Cunha ◽  
Fernanda Ferreira Caixeta ◽  
Nádia Carolina Teixeira Marques ◽  
Thais Marchini Oliveira ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Clinical Success ◽  
Mineral Trioxide Aggregate ◽  
Ferric Sulfate ◽  
Histological Evaluation ◽  
Primary Molars ◽  
Suitable Alternative ◽  
First Choice ◽  
Radiographic Data

Abstract The aim of this study was to evaluate the clinical, radiographic and histological outcomes of the dentin-pulp complex from primary molars after pulpotomy with mineral trioxide aggregate (MTA) and 15.5% ferric sulfate (FS). Thirty-one primary molars were randomly allocated into MTA or FS groups. Clinical and radiographic evaluations were recorded at 3-, 6-, 12- and 18-month follow-up. Teeth at the regular exfoliation period were extracted and processed for histological analysis. Clinical and radiographic data were tested by statistical analysis (p≤0.01). Histological outcomes were analyzed descriptively. All of the treated teeth presented clinical success over the experimental periods. Both groups exhibited 100% of radiographic success at 3, 6 and 12 months. At the 18-month follow-up, one tooth from FS group presented inter-radicular radiolucency (p>0.01). Histologically, the treated teeth presented pulp vitality and absence of inflammatory infiltrate into the connective tissue. Only MTA group showed hard tissue barrier surrounded by odontoblasts over the pulp stumps. Both MTA and 15.5% FS are effective for pulpotomies of primary teeth. Although MTA is considered the first-choice material, FS may be a suitable alternative when treatment cost is an issue.

COMPARATIVE EVALUATION OF RESTORATIVE TREATMENTS ON NON-CARIOUS CERVICAL LESIONS OF COMPOSITE AND GLASS IONOMER CEMENT

2020 ◽  
pp. 38-45
Author(s):  
Duong Nguyen Thi Thuy ◽  
Huong Nguyen Thi Kim
Keyword(s):  
Glass Ionomer Cement ◽  
Glass Ionomer ◽  
Cervical Lesions ◽  
Composite Restorations ◽  
Significant Difference ◽  
Composite Glass ◽  
Group 2 ◽  
Ionomer Cement ◽  
Group 1

Background: Composite and Glass ionomer cement (GIC) are common restorative materials of non carious cervical lesions (NCCLs), which effects are controverisial. The aim of the present study was to compare the result of restorations on NCCLs between Composite and GIC. Materials and Methods: follow-up clinical trial with split-mouth design. Thirty-six patients with 96 NCCLs were divided into 2 groups (n=48/group): Group 1 restored by Composite, Group 2 restored by GIC. The restorations were evaluated at baseline, 1 and 3 months for pulpal sensitivity, restoration morphology and overall success grade. Results: GIC restorations gained 100% Good results for all parameters at 3 time points. Composite showed 87.5%, 93.8% and 97.9% Good results at baseline, 1 and 3 months, sequentially. At 3 weeks recall, 1 Composite restorations (2.1%) showed Moderate results of Retention and 2 Composite restorations (4.2%) changed colour. Conclusions: There was no statistically significant difference seen among the three groups for 3 parameters. Key words: non-carious cervical lesion, Composite, Glass ionomer cement

A Bacteriological study on mineral trioxide aggregate and calcium hydroxide as materials against Streptococcus mutans

2021 ◽  
Vol 30 (1) ◽  
pp. 1-7
Author(s):  
Kareman A. Eshra ◽  
Rasha Adel Elkholy ◽  
Arafa Mohamed Khatab ◽  
Radwa Abd Elmotaleb Eissa
Keyword(s):  
Dental Caries ◽  
Calcium Hydroxide ◽  
Streptococcus Mutans ◽  
Potent Inhibitor ◽  
Mineral Trioxide Aggregate ◽  
The Other ◽  
Primary Molars ◽  
Restorative Material ◽  
Bacteriological Study ◽  
Microbiological Parameters

Background: Streptococcus mutans play an important role in occurrence of dental caries objective: to compare the clinical and microbiological antibacterial outcomes of Mineral trioxide aggregate (MTA) and Calcium hydroxide cement Ca(OH)2. Methodology: 20 primary molars in 10 children with year’s 5-9 y .For each child one tooth was treated with Ca(OH)2 and the other with MTA. Finally, all the cavities were restored using compomer restorative material, and then microbiological parameters were recorded. Results: MTA treated teeth did not show any clinical sign or symptoms of failure. While three teeth treated with Ca(OH)2 were excluded because of necrosis. Changes in color and consistency of dentin were nearly the same for both groups. Microbiological evaluation showed a decrease in the count of Str. mutans with calcium hydroxide and complete killing of bacteria with MTA. Conclusion: The treatment showed satisfactory results of MTA as it was more potent inhibitor of bacterial-growth than Ca(OH)2

scholarly journals Clinical study of Mineral Trioxide Aggregate in primary molars. Comparison between Grey and White MTA—A long term follow-up (84 months)

2011 ◽  
Vol 39 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Cristina Cardoso-Silva ◽  
Elena Barbería ◽  
Myriam Maroto ◽  
Franklin García-Godoy
Keyword(s):  
Clinical Study ◽  
Mineral Trioxide Aggregate ◽  
Primary Molars ◽  
Long Term Follow Up

A one-year follow-up of partial pulpotomy and calcium hydroxide capping in primary molars

1987 ◽  
Vol 3 (6) ◽  
pp. 304-306 ◽  
Author(s):  
Ulla Schroder ◽  
Maria Szpringer-Nodzak ◽  
Jadwiga Janicha ◽  
Maria Wacinska ◽  
Jerzy Budny ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Primary Molars ◽  
One Year

scholarly journals Management of Horizontal and Multiple Crown-Root Fractures

2011 ◽  
Vol 2 (4) ◽  
pp. 338-341
Author(s):  
Ramya Raghu ◽  
DS Sahana
Keyword(s):  
Dental Health ◽  
Traumatic Injury ◽  
Mineral Trioxide Aggregate ◽  
Fracture Site ◽  
Root Fracture ◽  
Delayed Treatment ◽  
Crown Root ◽  
Root Fractures ◽  
One Year

ABSTRACT Traumatic injury to oral cavity with accompanying tooth fracture can be a tragic experience for the patient and is a problem that requires experience, judgment and skill of the dentist. The dental health and appearance marred by an unsightly injury must be restored to normal as soon as possible. Though, root fractures comprise 0.5 to 7% of injuries affecting the permanent dentition, improper and delayed treatment can lead to loss of tooth. This report records a clinical case of intraalveolar horizontal mid root fracture in maxillary right central incisor with subluxation of coronal segment, which was managed endodontically using mineral trioxide aggregate (MTA), as an apical barrier at the fracture site. Maxillary right lateral and left central incisors affected by oblique crown-root fracture which were restored by custom-cast post and crown. After one year follow-up, the teeth were asymptomatic and showed signs of healing apical to the MTA barrier.

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