Clinical and radiographic comparision of primary teeth pulpotomy using formocresol, MTA and biodentine
DOI:
https://doi.org/10.33448/rsd-v10i13.21492Keywords:
Primary teeth; Pulpotomy; Endodontics.Abstract
Introduction: The pulpotomy procedure is conventionally done with formocresol, however, due to its mutagenic characteristics, new filling materials were developed as an alternative. Objective: The aim of this study was to review the literature in an integrative way regarding the most suitable filling material for pulpotomy in primary teeth. Methodology: The databases searched were Pubmed and Medline. The descriptors used for search were: “child”, “children”, “primary teeth”, “tooth, deciduous”, “primary tooth”, "pulpotomy", "pediatric dentistry", "endodontics", "root canal filling materials", "materials", "material", "biodentine", "mineral trioxide aggregate", "formocresol", "formocresols", "cytotoxicity", "biocompatible materials", "biocompatibility", "radiopacity", "radiographic" and "radiography, dental". The inclusion criteria were clinical studies, retrospective studies and prospective studies published from 2016 to 2021, in English or Portuguese. The exclusion criteria were thesis, dissertations, monographs, letters to the editor, textbooks and literature reviews. Results: After the search of the articles, 9 articles from both databases were included in the literature review, with higher prevalence of clinical trials. Conclusion: The most recommended filling materials for pulpotomies in primary teeth are Biodentine and Mineral Trioxide Aggregate. The filling material must be chosen according to the criteria of the professional and the patient’s case. It also needs to be considered the costs and the collaboration of the patient during the treatment.
References
Alencar, A. V., Santos, V. E., Jr., Calixto, M. S., Santos, N., Heimer, M. V., & Rosenblatt, A. (2018). Evaluation of the genotoxic effects of formocresol application in vital pulp therapy of primary teeth: a clinical study and meta-analysis. Clinical Oral Investigations, 22(7), 2553–2558.
American Academy of Pediatric Dentistry (2020). Pulp therapy for primary and immature permanent teeth. The Reference Manual of Pediatric Dentistry. American Academy of Pediatric Dentistry, 384-92.
Carti, O. & Oznurhan, F. (2017). Evaluation and comparison of mineral trioxide aggregate and biodentine in primary tooth pulpotomy: Clinical and radiographic study. Nigerian Journal of Clinical Practice, 20(12), 1604-1609.
Casas, J. M., Kenny, D. J., Judd, P. L. & Johnston, D. H. (2005). Do We Still Need Formocresol in Pediatric Dentistry? Journal of the Canadian Dental Association, 71(10), 749-751.
Çelik, B. N., Mutluay, M. S., Arikan, V. & Sari, Ş. (2019). The evaluation of MTA and Biodentine as a pulpotomy materials for carious exposures in primary teeth. Clinical Oral Investigations, 23(2), 661-666.
Çelik, B. N. & Sari, S (2016). Carious Exposure versus Mechanical Exposure for MTA Pulpotomy in Primary Teeth. BioMed Research International, 2016(3), 1-6.
Cuadros-Fernández, C., Rodríguez, A. I. L., Sáez-Martínez, S., García-Binimelis, J., About, I. & Mercadé, M. (2016). Short-term treatment outcome of pulpotomies in primary molars using mineral trioxide aggregate and Biodentine: a randomized clinical trial. Clinical Oral Investigation, 20(7), 639-45.
Dimitraki, D., Papageorgiou, S. N. & Kotsanos, N. (2019) Direct pulp capping versus pulpotomy with MTA for carious primary molars: a randomised clinical trial. European Archives of Paediatric Dentistry, 20(5), 431-440.
Gadallah, L., Hamdy, M., Bardissy, A. E. & Yazeed, M. A. M. (2018). Pulpotomy versus pulpectomy in the treatment of vital pulp exposure in primary incisors. A systematic review and meta-analysis. F1000Res, 26(7), 1-21.
Ghoniem, N. & Vaidyanathan, V. et al (2018). Mineral Trioxide Aggregate and Diluted Formocresol Pulpotomy: Prospective and Retrospective Study Outcomes. The Journal of the Michigan Dental Association, 100(4), 40-65.
Goyal, S., Abuwala, T., Joshi, K., Mehta, J., Indushekar, K. R. & Hallikerimath, S. (2014). The Clinical, Radiographic and Histological evaluation of three different concentrations of Formocresol as a pulpotomy agent. Journal of international oral health, 6(2), 118–125.
Guven, Y., Aksakal, S. D., Üstün, N., & Unsal, G (2017). Success Rates of Pulpotomies in Primary Molars Using Calcium Silicate-Based Materials: A Randomized Control Trial. BioMed Research International, 2017(2), 1-7.
Juneja, P. & Kulkarni, S. (2017). Clinical and radiographic comparison of biodentine, mineral trioxide aggregate and formocresol as pulpotomy agents in primary molars. European Archives of Paediatric Dentistry, 18(4), 271-278.
Junqueira, M. A., Cunha, N. N. O., Caixeta, F. F., Marques, N. C. T., Oliveira, T. M., Moretti, A. B. D. S., Cosme-Silva, L. & Sakai, V. T. (2018). Clinical, Radiographic and Histological Evaluation of Primary Teeth Pulpotomy Using MTA And Ferric Sulfate. Brazilian Dental Journal, 29(2), 159-165.
Koubi, S., Elmerini, H., Koubi, G., Tassery, H. & Camps, J. (2012). Quantitative Evaluation by Glucose Diffusion of Microleakage in Aged Calcium Silicate-Based Open-Sandwich Restorations. International Journal of Dentistry, 2012(2), 1-6.
Meligy, O. A. E. S., Alamoudi, N. M., Allazzam, S. M., & El-Housseiny; A. A. M. (2019). BiodentineTM versus formocresol pulpotomy technique in primary molars: a 12-month randomized controlled clinical trial. BMC Oral Health, 19(1), 1-8.
Mestieri, L. B. et al (2015). Biocompatibility and bioactivity of calcium silicate-based endodontic sealers in human dental pulp cells. Journal of Applied Oral Science [online], 23(5), 467-471.
Milnes, A. R. (2006). Persuasive Evidence that Formocresol Use in Pediatric Dentistry Is Safe. Journal of the Canadian Dental Association, 72(3), 247-248f.
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015). Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015 statement. Syst Rev, 4(1):1.
Subay, R. K., Ilhan, B.& Ulukapi, H. (2013) Mineral trioxide aggregate as a pulpotomy agent in immature teeth: Long-term case report. European Journal of Dentistry, 7, 133-138.
Yang, W. C., Tsai, L. Y., Hsu, Y. H., Teng, N. C., Yang, J. C., & Hsieh, S. C. (2021). Tooth discoloration and the effects of internal bleaching on the novel endodontic filling material SavDen® MTA. Journal of the Formosan Medical Association, 120(1), 476-482.
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Copyright (c) 2021 Larissa Maria Monteiro de Albuquerque; Camila Carla de Andrade Silva; Wenys Cláudio Gomes da Silva; Ana Cláudia da Silva Araújo
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