Clinical and Radiographic Evaluation of Success of Two commercially Available Pulpotomy Agents in Primary Teeth: An in vivo Study

2016 ◽  
Vol 17 (7) ◽  
pp. 557-563 ◽  
Author(s):  
Radhika Muppa ◽  
NCh Srinivas ◽  
K Naveen ◽  
Veerakishore K Reddy ◽  
VC Rebecca

ABSTRACT 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. Restorations were placed in respective groups and immediate postoperative radiographs were taken. Follow-ups were done at every 3 months intervals, i.e., 3, 6, 9, and 12 months respectively. Results Statistical evaluation was carried out by using paired t-test which showed no significant difference between the two groups (p ≥ 0.05) with high success rate of 95.5%. Conclusion Pulpotomy with MTA and Biodentine is a reliable biological method for pulp treatment of primary teeth. Clinical significance Mineral trioxide aggregate and Biodentine could be considered as a reliable biological method for pulpotomy of primary teeth. How to cite this article Togaru H, Muppa R, Srinivas NCh, Naveen K, Reddy VK, Rebecca VC. Clinical and Radiographic Evaluation of Success of Two commercially Available Pulpotomy Agents in Primary Teeth: An in vivo Study. J Contemp Dent Pract 2016;17(7):557-563.

2012 ◽  
Vol 37 (2) ◽  
pp. 189-191 ◽  
Author(s):  
AR Jaya ◽  
P Praveen ◽  
A Anantharaj ◽  
K Venkataraghavan ◽  
S Prathibha Rani

Aim : The purpose of this study is to evaluate and compare the clinical and radiographic effectiveness of Ciprofloxacin, Minocycline, Metronidazole combination with Ciprofloxacin, Minocycline and Tinidazole combination when used for Lesion Sterilization and Tissue Repair in primary teeth. Method: 25 healthy children, visiting Dept. of Pediatric & Preventive Dentistry, D.A.P.M.R.V.Dental College, Bangalore, India, aged between 6 - 9 years who were having 30 infected primary teeth are selected and divided into 2 groups. In Group A, a mixture of 3mix-MP Ciprofloxacin, Metronidazole and Minocycline was placed on the floor of the pulp chamber covering the root canal orifices. In Group B a mixture of Ciprofloxacin, Tinidazole and Minocycline was placed as a layer on the floor of the pulp chamber. The procedure was completed in a single visit. Post operative clinical evaluation was done after 1,6,12 and 24 months. Postoperative radiographic evaluation was done at 6,12 and 24 months. Results: No statistically significant difference is observed between both the groups and a combination of Ciprofloxacin, Minocycline and Tinidazole antibacterial drugs can be used on teeth pulpally involved with physiologic root resorption. Conclusion: After a 24 Month follow up, we can conclude that primary teeth with the periradicular lesions, can be conserved by using combination of Ciprofloxacin, Minocycline and Tinidazole antibacterial drugs.


2014 ◽  
Vol 39 (1) ◽  
pp. 30-34 ◽  
Author(s):  
SG Tulsani ◽  
N Chikkanarasaiah ◽  
S Bethur

Objectives: Biopure MTAD™, a new root canal irrigant has shown promising results against the most common resistant microorganism, E. faecalis, in permanent teeth. However, there is lack of studies comparing its antimicrobial effectiveness with NaOCl in primary teeth. The purpose of this study was to compare the in vivo antimicrobial efficacy of NaOCl 2.5% and Biopure MTAD™ against E. faecalis in primary teeth. Study design: Forty non vital single rooted primary maxillary anterior teeth of children aged 4-8 years, were irrigated either with NaOCl 2.5% (n=15), Biopure MTAD™ (n=15) and 0.9% Saline (n=10, control group). Paper point samples were collected at baseline (S1) and after chemomechanical preparation (S2) during the pulpectomy procedure. The presence of E. faecalis in S1 & S2 was evaluated using Real time Polymerase Chain Reaction. Results: Statistical significant difference was found in the antimicrobial efficacy of NaOCl 2.5 % and BioPure MTAD™ when compared to saline (p>0.05). However, no statistical significant difference was found between the efficacies of both the irrigants. Conclusions: NaOCl 2.5% and BioPure MTAD™, both irrigants are equally efficient against E. faecalis in necrotic primary anterior teeth. MTAD is a promising irrigant, however clinical studies are required to establish it as ideal root canal irrigant in clinical practice.


2021 ◽  
Vol 15 (1) ◽  
pp. 532-538
Author(s):  
Mostafa M. El-Bialy ◽  
Magdy M. Ali ◽  
Engy M. Kataia ◽  
Reham S. El Nemr ◽  
Reham Hassan

Background: The interaction between the root canal system and the oral cavity caused by iatrogenic perforations significantly affects the treatment outcome and tooth survival. Objectives: This study was directed to compare the biocompatibility of an experimental tricalcium phosphate cement versus biodentine and mineral Trioxide aggregate used for furcation perforation repair in dogs. Methods: Perforations were done in 60 teeth (premolars and molars) of six adult dogs. Animals were divided randomly into 3 equal groups of 2 animals each according to the post-operative evaluation period of 1 week, 1 month, and 3-months. Each group was further subdivided into 4 subgroups according to either being repaired with the experimental tricalcium phosphate cement (n=6), or Biodentine (n=6), Mineral Trioxide Aggregate (MTA) (n=6), and positive control(n=2). After evaluation periods, tissue blocks were harvested and histologically examined. Results: No statistically significant difference was found regarding bone deposition scores and inflammatory reaction in the three groups after 1 week, 1 month, or 3 months. All three groups showed a statistically significant difference between all three time periods. Regardless of the repair material used, inflammation scores at 1-week showed the highest scores, decreasing over time except for the control group. Conclusion: The experimental material could be considered as a successful treatment option for repairing furcation perforation.


2012 ◽  
Vol 37 (2) ◽  
pp. 143-147 ◽  
Author(s):  
P Airen ◽  
A Shigli ◽  
B Airen

Aim: The aim of the present study was to clinically and radiographically evaluate Mineral Trioxide Aggre-gate (MTA) as an agent for pulpotomy in primary teeth and to compare it with that of Formocresol (FC) pulpotomy. Method: Seventy first and second primary mandibular molars of children were chosen on patients who required minimum two pulpotomies in either arch or same arch. After the standardized technique of Pulpotomy with MTA and Formocresol, all molars were treated with a thick mix of Zinc oxide Eugenol cement into the coronal pulp chamber followed by preformed stainless steel crown. The children were followed up for clinical and radio graphical examination after 6,12 and 24 month for Pain, Swelling, Sinus/ fistula, Periapical changes, Furcation radiolucency and internal resorption. Results: MTA represents 97% clinical success rate in comparison to Formocresol with 85% success. Radiographically also MTA showed more promising results with 88.6% success in comparison to Formocresol with 54.3%. Conclusions: Thus, MTA pulpotomy has emerged as an easier line of treatment to save the premature loss of primary teeth due to caries or trauma.


2005 ◽  
Vol 29 (4) ◽  
pp. 307-311 ◽  
Author(s):  
Najat Farsi ◽  
Najlaa Alamoudi ◽  
Khalid Balto ◽  
Abdullah Mushayt

The aim of the present study was to compare, clinically and radiographically, the mineral trioxide aggregate (MTA) to formocresol (FC) when used as medicaments in pulpotomized vital human primary molars. Methods: The sample consisted of 120 primary molars, all teeth were treated with the same conventional pulpotomy technique. Sixty molars received FC and 60 received MTA throughout a random selection technique. Results: At the end of 24-month evaluation period, 74 molars (36 FC, 38 MTA) were available for clinical and radiographic evaluation. None of the MTA treated teeth showed any clinical or radiographic pathology, while the FC group showed a success rate of 86.8% radiographically and 98.6% clinically. The difference between the two groups in the radiographic outcomes was statistically significant. It was concluded that MTA treated molars demonstrated significantly greater success.MTA seems to be a suitable replacement for formocresol in pulpotomized primary teeth.


2013 ◽  
Vol 83 (6) ◽  
pp. 981-986 ◽  
Author(s):  
Enas T. Enan ◽  
Shaza M. Hammad

ABSTRACT Objectives: To estimate the in vivo effect of nano-hydroxyapatite (HA) modification of banding glass-ionomer cement on microleakage under orthodontic bands. Materials and Methods: Eighty noncarious premolars scheduled for extraction in 20 orthodontic patients were randomly divided into four groups. Grouping was based on the ratio of nano-HA (0%, 5%, 10%, 15% by weight) added to the luting glass-ionomer cement (GIC) Ketac-Cem, which was used for cementation of prefabricated micro-etched orthodontic bands. Dye penetration method was used for microleakage evaluation at the cement-band and cement-enamel interfaces. Statistical evaluation was performed with a Kruskal-Wallis test and a Mann-Whitney U-test, and a Bonferroni-adjusted significance level was calculated. Results: Bands cemented with conventional GIC showed the highest microleakage scores in comparison to those cemented with nano-HA-modified GIC. No significant difference was found between teeth banded with 10% and 15% modified GIC. Conclusions: Modification of the banding GIC with 15% nano-HA revealed a positive effect on reducing microleakage around orthodontic bands.


2018 ◽  
Vol 23 (6) ◽  
pp. 42-47 ◽  
Author(s):  
Daniela Ferreira de Carvalho Notaroberto ◽  
Mariana Martins e Martins ◽  
Maria Teresa de Andrade Goldner ◽  
Alvaro de Moraes Mendes ◽  
Cátia Cardoso Abdo Quintão

ABSTRACT Objective: This clinical study was conducted in order to evaluate force decay over time of latex and non-latex orthodontic intraoral elastics. Methods: Patients (n = 15) were evaluated using latex and non-latex elastics in the periods of : 0, 1, 3, 12 and 24 hours. The rubber bands were transferred to the testing machine (EMIC DL-500 MF), and force values were recorded after stretching the elastic to a length of 25mm. Paired t test was applied and analysis of variance (ANOVA) was used to evaluate the variation of force generated. LSD (Fisher’s least significant difference) post-hoc test was thus employed. Results: As regards the initial forces (zero time), the values of force for non-latex elastic were slightly higher than for the latex elastic. In the subsequent times, the forces generated by the latex elastic showed higher values. Regarding the material degradation, at the end of 24 hours the highest percentage was observed for non-latex elastic. Conclusions: The latex elastics had a more stable behavior during the studied period, compared with non-latex.


2021 ◽  
Vol 13 ◽  
pp. 7-14
Author(s):  
Mallayya C. Hiremath ◽  
S K. Srinath ◽  
Bineesh Balan ◽  
Sushma H S

Background: The success of pulpectomy relies upon exact measurement of root length. Traditionally, radiographs were the main tools for measuring root length; however, they have several limitations. Hence, Electronic apex locators have become popular these days. Aim and objective: To assess the efficiency of Propex Pixi and traditional radiographic method in measuring the root length of single rooted primary teeth. Materials and Methods: Thirty extracted human single rooted primary teeth were selected randomly. In-vivo environment was simulated by inserting tooth sample in alginate and the root length was determined by using Propex Pixi. Secondly, the root length was determined by conventional radiographic method and finally the exact root length was measured by direct visual method. Statistical analysis: The obtained data was assessed using Student paired ‘t’ test, intra-class correlation coefficient and regression analysis. Results: The study showed no significant difference between Propex Pixi and radiographic method(p=0.280). Both the electronic and radiographic methods displayed a high equivalence and compliance R=0.947 and R=0.826 with the actual measurement. Conclusions: Propex Pixi was as effective as radiographic method in measuring the root length of primary teeth. However, regression analysis showed that Propex Pixi can anticipate the exact value with 94.3% accuracy and radiographic method with 67.2% accuracy.


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