The Journal of clinical pediatric dentistry · 2010
Formocresol versus calcium hydroxide direct pulp capping of human primary molars: two year follow-up.
Сравнительное исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Aminabadi Naser Asl, Farahani Ramin Mostofi Zadeh, Oskouei Sina Ghertasi
Аннотация
OBJECTIVES: Clinical and radiographic evaluation of the premedicated direct pulp capping using formocresol (PDC) versus conventional direct pulp capping using calcium hydroxide (CDC) in human carious primary molars.
STUDY DESIGN: A total of 120 vital primary molars with pinpoint exposure during caries removal in 84 patients aged 4-5 years were selected. In the PDC group (n = 60), 20% Buckley's formocresol solution, and in the CDC group (n = 60), calcium hydroxide powder were applied to the exposure sites followed by placement of zinc oxide-eugenol base. Teeth were restored with preformed stainless steel crowns. Clinical and radiographic evaluations of the treatment outcomes were performed at regular intervals of 6 and 12 months, respectively, for two years post-operatively.
RESULTS: The prevalence of spontaneous pain, sensitivity on percussion, and fistula were significantly higher in the CDC group compared to the PDC group (P < 0.05). The number of teeth exhibiting periapical/furcal radiolucency or external/internal root resorption was also higher in the CDC group (P < 0.05). The clinical success rate of the PDC was 90% compared to the 61.7% of the CDC (P < 0.05). The radiographic success rates of the PDC and CDC groups were 85% and 53.3%, respectively (P < 0.05).
CONCLUSION: It seems formocresol premedicated direct pulp capping could safely be used as a substitute for conventional direct pulp capping.
STUDY DESIGN: A total of 120 vital primary molars with pinpoint exposure during caries removal in 84 patients aged 4-5 years were selected. In the PDC group (n = 60), 20% Buckley's formocresol solution, and in the CDC group (n = 60), calcium hydroxide powder were applied to the exposure sites followed by placement of zinc oxide-eugenol base. Teeth were restored with preformed stainless steel crowns. Clinical and radiographic evaluations of the treatment outcomes were performed at regular intervals of 6 and 12 months, respectively, for two years post-operatively.
RESULTS: The prevalence of spontaneous pain, sensitivity on percussion, and fistula were significantly higher in the CDC group compared to the PDC group (P < 0.05). The number of teeth exhibiting periapical/furcal radiolucency or external/internal root resorption was also higher in the CDC group (P < 0.05). The clinical success rate of the PDC was 90% compared to the 61.7% of the CDC (P < 0.05). The radiographic success rates of the PDC and CDC groups were 85% and 53.3%, respectively (P < 0.05).
CONCLUSION: It seems formocresol premedicated direct pulp capping could safely be used as a substitute for conventional direct pulp capping.
Предметные рубрики MeSH
Calcium HydroxideChild, PreschoolCrownsDental AlloysDental CariesDental Cavity LiningDental MaterialsDental Pulp CappingDental Pulp ExposureFollow-Up StudiesFormocresolsHumansMolarOral FistulaPercussionPeriapical DiseasesRadiographyRoot ResorptionStainless SteelTooth, DeciduousToothacheTreatment OutcomeZinc Oxide-Eugenol Cement