Pulpotomy in primary teeth: Review of the literature according to standardized assessment criteria

被引:32
作者
Fuks A.B. [1 ]
Papagiannoulis L. [2 ]
Duggal M.S. [3 ]
机构
[1] Dept. of Pediatric Dentistry, Hebrew University, Hadassah School of Dental Medicine, P.O.Box 12272, Jerusalem
[2] Dept. of Pediatric Dentistry, School of Dentistry, Athens University, Athens
[3] Dept. Paediatric dentistry, University of Leeds
关键词
dressing materials; Primary teeth; pulpotomy;
D O I
10.1007/BF03320817
中图分类号
学科分类号
摘要
Aim: To assess the relevant literature using a modification of the criteria listed in the introductory paper to this issue [Curzon and Toumba, 2006], and to review several new publications on pulpotomies with different materials and techniques that appeared after previously published reviews. Methods: A search of the relevant literature on pulpotomies was identified through Medline between the years 1966–2005. The search generated a total of 358 citations and sieving of these papers was conducted by examining the paper title and assessing its relevance [Loh et al, 2004]. Only clinical studies (non-specified) and retrospective studies were included for assessment. There were 17 criteria (considered major) weighed 2 points and 8 criteria weighed 1 point. A paper that would score between 38–42 points (90+ %) was assessed as Grade A, a score from 32 to 37 points (75–89%) was Grade B1, and between 25 to 31 points (60–74%) Graded B2. Any other paper that reached 24 points or less (less than 59%) was rated Grade C. Results: Of the 358 papers originally identified 48 clinical trials were evaluated according to the set criteria. There was only one paper grade A, 5 papers graded B1, 3 graded B2 and 39 received a C grade. Formocresol or ferric sulphate medicaments were found to be likely to have similar clinical/radiographic results, and MTA seemed to be a more favourable pulp dressing. Conclusion: No conclusion can be made as to the optimum treatment or technique for pulpally involved primary teeth. More high quality, properly planned prospective studies are necessary to clarify these points. © 2006, European Academy of Paediatric Dentistry.
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页码:64 / 72
页数:8
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