TODENTJ-25-03-2019_TODENTJ-10-43
1553506416
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
3
7
2016
10
1
Calcium-Enriched Mixture Pulpotomy of Primary Molar Teeth with Irreversible Pulpitis. A Clinical Study
Mahtab
Memarpour
Soleiman
Fijan
Saeed
Asgary
Marzieh
Keikhaee
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.
3
7
2016
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1553506416
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Cochrane Database Syst. Rev.
Smaïl-Faugeron V.
8
CD003220
2014
Smaïl-Faugeron V, Courson F, Durieux P, Muller-Bolla M, Glenny AM, Fron Chabouis H.
Pulp treatment for extensive decay in primary teeth.
Cochrane Database Syst Rev
2014;
8
(8)
: CD003220.
Pediatr. Dent.
Tannure P.N.
33
316
2011
Tannure PN, Azevedo CP, Barcelos R, Gleiser R, Primo LG.
Long-term outcomes of primary tooth pulpectomy with and without smear layer removal: a randomized split-mouth clinical trial.
Pediatr Dent
2011;
33
(4)
: 316-20.
Int. J. Paediatr. Dent.
Barcelos R.
22
369
2012
10.1111/j.1365-263X.2011.01210.x
Barcelos R, Tannure PN, Gleiser R, Luiz RR, Primo LG.
The influence of smear layer removal on primary tooth pulpectomy outcome: a 24-month, double-blind, randomized, and controlled clinical trial evaluation.
Int J Paediatr Dent
2012;
22
(5)
: 369-81.
J. Am. Dent. Assoc.
McDougal R.A.
135
1707
2004
10.14219/jada.archive.2004.0123
McDougal RA, Delano EO, Caplan D, Sigurdsson A, Trope M.
Success of an alternative for interim management of irreversible pulpitis.
J Am Dent Assoc
2004;
135
(12)
: 1707-12.
J. Endod.
Barrieshi-Nusair K.M.
32
731
2006
10.1016/j.joen.2005.12.008
Barrieshi-Nusair KM, Qudeimat MA.
A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth.
J Endod
2006;
32
(8)
: 731-5.
Aust. Endod. J.
Eghbal M.J.
35
4
2009
10.1111/j.1747-4477.2009.00166.x
Eghbal MJ, Asgary S, Baglue RA, Parirokh M, Ghoddusi J.
MTA pulpotomy of human permanent molars with irreversible pulpitis.
Aust Endod J
2009;
35
(1)
: 4-8.
Pediatr. Dent.
Holan G.
27
129
2005
Holan G, Eidelman E, Fuks AB.
Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol.
Pediatr Dent
2005;
27
(2)
: 129-36.
Br. Dent. J.
Noorollahian H.
204
E20
2008
10.1038/sj.bdj.2008.319
Noorollahian H.
Comparison of mineral trioxide aggregate and formocresol as pulp medicaments for pulpotomies in primary molars.
Br Dent J
2008;
204
(11)
: E20.
Simancas-Pallares MA, Díaz-Caballero AJ, Luna-Ricardo LM.
Mineral trioxide aggregate in primary teeth pulpotomy. A systematic literature review.
Med Oral Patol Oral Cir Bucal
2010;
1
(15)
: e 942-6.
J. Endod.
Asgary S.
34
990
2008
10.1016/j.joen.2008.05.006
Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S.
The properties of a new endodontic material.
J Endod
2008;
34
(8)
: 990-3.
Iran. Endod. J.
Amini Ghazvini S.
4
74
2009
Amini Ghazvini S, Abdo Tabrizi M, Kobarfard F, Akbarzadeh Baghban A, Asgary S.
Ion release and pH of a new endodontic cement, MTA and Portland cement.
Iran Endod J
2009;
4
(2)
: 74-8.
J. Oral Sci.
Asgary S.
50
469
2008
10.2334/josnusd.50.469
Asgary S, Kamrani FA.
Antibacterial effects of five different root canal sealing materials.
J Oral Sci
2008;
50
(4)
: 469-74.
Acta Odontol. Scand.
Asgary S.
71
130
2013
10.3109/00016357.2011.654251
Asgary S, Eghbal MJ.
Treatment outcomes of pulpotomy in permanent molars with irreversible pulpitis using biomaterials: a multi-center randomized controlled trial.
Acta Odontol Scand
2013;
71
(1)
: 130-6.
Clin. Oral Investig.
Asgary S.
17
431
2013
10.1007/s00784-012-0712-6
Asgary S, Eghbal MJ, Ghoddusi J, Yazdani S.
One-year results of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter, randomized, non-inferiority clinical trial.
Clin Oral Investig
2013;
17
(2)
: 431-9.
Int. Endod. J.
Tabarsi B.
43
565
2010
10.1111/j.1365-2591.2010.01711.x
Tabarsi B, Parirokh M, Eghbal MJ, Haghdoost AA, Torabzadeh H, Asgary S.
A comparative study of dental pulp response to several pulpotomy agents.
Int Endod J
2010;
43
(7)
: 565-71.
Int. Endod. J.
Nosrat A.
43
940
2010
10.1111/j.1365-2591.2010.01777.x
Nosrat A, Asgary S.
Apexogenesis of a symptomatic molar with calcium enriched mixture.
Int Endod J
2010;
43
(10)
: 940-4.
Int. J. Paediatr. Dent.
Nosrat A.
23
56
2013
10.1111/j.1365-263X.2012.01224.x
Nosrat A, Seifi A, Asgary S.
Pulpotomy in caries-exposed immature permanent molars using calcium-enriched mixture cement or mineral trioxide aggregate: a randomized clinical trial.
Int J Paediatr Dent
2013;
23
(1)
: 56-63.
J. Endod.
Asgary S.
36
837
2010
10.1016/j.joen.2010.03.005
Asgary S, Eghbal MJ, Ehsani S.
Periradicular regeneration after endodontic surgery with calcium-enriched mixture cement in dogs.
J Endod
2010;
36
(5)
: 837-41.
Odontology
Asgary S.
98
126
2010
10.1007/s10266-010-0127-2
Asgary S, Eghbal MJ.
The effect of pulpotomy using a calcium-enriched mixture cement versus one-visit root canal therapy on postoperative pain relief in irreversible pulpitis: a randomized clinical trial.
Odontology
2010;
98
(2)
: 126-33.
Iran. Endod. J.
Fallahinejad Ghajari M.
8
149
2013
Fallahinejad Ghajari M, Asgharian Jeddi T, Iri S, Asgary S.
Treatment outcomes of primary molars direct pulp capping after 20 months: a randomized controlled trial.
Iran Endod J
2013;
8
(4)
: 149-52.
Eur. J. Paediatr. Dent.
Malekafzali B.
12
189
2011
Malekafzali B, Shekarchi F, Asgary S.
Treatment outcomes of pulpotomy in primary molars using two endodontic biomaterials. A 2-year randomised clinical trial.
Eur J Paediatr Dent
2011;
12
(3)
: 189-93.
Eur. Arch. Paediatr. Dent.
Khorakian F1.
15
223
2014
Khorakian F1, Mazhari F, Asgary S.
Two-year outcomes of electrosurgery and calcium-enriched mixture pulpotomy in primary teeth: a randomised clinical trial.
Eur Arch Paediatr Dent
2014;
15
(4)
: 223-8.
Clin. Oral Investig.
Asgary S.
18
635
2014
10.1007/s00784-013-1003-6
Asgary S, Eghbal MJ, Ghoddusi J.
Two-year results of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter randomized clinical trial.
Clin Oral Investig
2014;
18
(2)
: 635-41.
Pediatr. Dent.
Barrêtto Ede.P.
26
485
2004
Barrêtto EdeP, Ferreira e Ferreira E, Pordeus IA.
Evaluation of toothache severity in children using a visual analogue scale of faces.
Pediatr Dent
2004;
26
(6)
: 485-91.
Fuks AB.
Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives.
J Endod
2008;
34
(Suppl 7)
: S 18-24.
J. Endod.
Salehrabi R.
30
846
2004
10.1097/01.don.0000145031.04236.ca
Salehrabi R, Rotstein I.
Endodontic treatment outcomes in a large patient population in the USA: an epidemiological study.
J Endod
2004;
30
(12)
: 846-50.
Restor. Dent. Endod
Nosrat A.
38
227
2013
10.5395/rde.2013.38.4.227
Nosrat A, Peimani A, Asgary S.
A preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide.
Restor Dent Endod
2013;
38
(4)
: 227-33.
Am. J. Dent.
Maroto M.
18
151
2005
Maroto M, Barbería E, Planells P, García Godoy F.
Dentin bridge formation after mineral trioxide aggregate (MTA) pulpotomies in primary teeth.
Am J Dent
2005;
18
(3)
: 151-4.
Iran. Endod. J.
Yazdani S.
9
23
2014
Yazdani S, Jadidfard MP, Tahani B, Kazemian A, Dianat O, Alim Marvasti L.
Health technology assessment of CEM pulpotomy in permanent molars with irreversible pulpitis.
Iran Endod J
2014;
9
(1)
: 23-9.