Vital pulp therapy following pulpotomy in immature first permanent molars with deep caries using novel fast-setting calcium silicate cement: A retrospective clinical study

被引:17
作者
Vafaei, Ali [1 ]
Nikookhesal, Mahsa [1 ]
Erfanparast, Leila [1 ]
Lovschall, Henrik [2 ]
Ranjkesh, Bahram [3 ]
机构
[1] Tabriz Univ Med Sci, Fac Dent, Dept Pediat Dent, Tabriz, Iran
[2] Aarhus Univ, Dept Dent & Oral Hlth, Sect Oral Ecol & Caries Control, Aarhus, Denmark
[3] Aarhus Univ, Dept Dent & Oral Hlth, Sect Prosthet Dent, Aarhus, Denmark
关键词
Calcium silicate cement; Pulpotomy; Apexogenesis; Vital pulp therapy; MINERAL TRIOXIDE AGGREGATE; HYDROXIDE; TEETH; REPAIR; MTA;
D O I
10.1016/j.jdent.2021.103890
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives: To compare the success rate of vital pulp therapy following complete pulpotomy in immature first permanent molars, during caries treatment, using novel fast-setting calcium silicate cement (Novel CSC) versus MTA. Methods: Six- to eight- years old children, who received pulpotomy of first immature permanent molar using one layer novel CSC (Protooth) or two layers slow-setting MTA (MTA Angelus) covered with glass ionomer were recalled for radiographic and clinical evaluation after two years. The effects of cement type, age, gender, jaw, anesthesia type, and restoration type were assessed on the clinical success of pulpotomy and continued root formation (apexogenesis) as the treatment outcome. Results: Out of 366 included teeth in the study, 316 teeth were available for statistical analysis. The mean observation time was 28.2 +/- 2.7 months. Novel CSC showed significantly higher clinical success rate (93.1%) compared to MTA (84.5%). Restored teeth with stainless steel crowns after pulpotomy and treatments performed under general anesthesia had a statistically significant effect on treatment outcome in contrast to age, gender, and jaw type. Conclusion: The observations of this retrospective study suggested that the success rate of vital pulp therapy following complete pulpotomy using one layer fast-setting novel CSC was significantly higher than slow-setting MTA covered with glass ionomer. Treatment under general anesthesia and restoration using stainless steel crowns influenced the treatment outcome. Clinical significance: Novel fast-setting calcium silicate cement is a promising new biomaterial for vital pulp therapy in immature permanent molars that allows complete root formation overtime with apexogenesis. Clinicians must also be aware of the importance of immediate definitive restoration and proper sealing and isolation in vital pulp therapy.
引用
收藏
页数:6
相关论文
共 39 条
[1]  
[Anonymous], 2018, ORAL HLTH
[2]  
[Anonymous], AM ASS ENDODONTISTS
[3]   A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth [J].
Barriesbi-Nusair, Kefab Mabmood ;
Qudeimat, Muawia Abdulla .
JOURNAL OF ENDODONTICS, 2006, 32 (08) :731-735
[4]   Direct pulp capping with mineral trioxide aggregate - An observational study [J].
Bogen, George ;
Kim, Jay S. ;
Bakland, Leif K. .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2008, 139 (03) :305-315
[5]  
Dummer PMH, 2019, INT ENDOD J, V52, P923, DOI 10.1111/iej.13080
[6]  
Einwag J, 1996, Quintessence Int, V27, P321
[7]  
El Meligy OAS, 2006, PEDIATR DENT, V28, P399
[8]   Response of the pulp of dogs to capping with mineral trioxide aggregate or a calcium hydroxide cement [J].
Faraco, IM ;
Holland, R .
DENTAL TRAUMATOLOGY, 2001, 17 (04) :163-166
[9]   A quantitative method for determining the antiwashout characteristics of cement-based dental materials including mineral trioxide aggregate [J].
Formosa, L. M. ;
Mallia, B. ;
Camilleri, J. .
INTERNATIONAL ENDODONTIC JOURNAL, 2013, 46 (02) :179-186
[10]   The Hall Technique; A randomized controlled clinical trial of a novel method of managing carious primary molars in general dental practice: Acceptability of the technique and outcomes at 23 months [J].
Innes N.P. ;
Evans D.J. ;
Stirrups D.R. .
BMC Oral Health, 7 (1)