RESEARCH ARTICLE
Calcium-Enriched Mixture Pulpotomy of Primary Molar Teeth with Irreversible Pulpitis. A Clinical Study
Mahtab Memarpour1, *, Soleiman Fijan2, Saeed Asgary3, Marzieh Keikhaee4
Article Information
Identifiers and Pagination:
Year: 2016Volume: 10
First Page: 43
Last Page: 49
Publisher ID: TODENTJ-10-43
DOI: 10.2174/1874210601610010043
Article History:
Received Date: 20/12/2014Revision Received Date: 8/11/2015
Acceptance Date: 10/11/2015
Electronic publication date: 7/3/2016
Collection year: 2016
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Abstract
Objectives:
To evaluate the outcome of vital pulp therapy in primary teeth with irreversible pulpitis by using calcium-enriched mixture (CEM) cement according to clinical and radiographic assessment.
Participants and Methods:
Fifty primary molar teeth with irreversible pulpitis in 50 children aged 6-8 years underwent pulpotomy using CEM cement as the dressing material. Following pulpotomy, pain intensity was evaluated by use of a visual analog scale at 1 and 7 days from the treatment and in clinical appointments at 3, 6 and 12 months after baseline. Radiographic evaluation was performed at 6 and 12 months. Data were analyzed using the McNemar test.
Results:
A total of 42 children (mean age 7.26 ± 0.82 year) completed the study. After one day treatment 56 % of children reported complete relief of pain and after 7 days 62% reported the same. However, two children complained of increased pain 1 day after treatment. None of the children reported pain in the subsequent appointments. One child complained of tenderness in percussion after 6 months. Pulp canal obliteration was the most common change in the radiographic assessment. There was no significant difference between clinical (92.8%) and radiographic (90.4%) success (p=0.990).
Conclusion:
Pulpotomy using CEM cement could present a successful treatment in primary molar teeth with irreversible pulpitis.
