Success Rates of Calcium-Hydroxide-Iodoform Paste in Vital Pulpotom y of Primary Molars | ||||
| Egyptian Dental Journal | ||||
| Article 2, Volume 64, Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry), October 2018, Page 2933-2939 PDF (1.43 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2018.78104 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hany Mohamed Saber 1; Samah Mohamed Awad2
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| 1Lecturer-Pediatric Dentistry & Dental Public Health Department, Faculty of Dentistry, Cairo University. | ||||
| 2Associate Professor-Pediatric Dentistry & Dental Public Health Department, Faculty of Dentistry, Cairo University. | ||||
| Abstract | ||||
| Background: Despite customary utilization of calcium-hydroxide-iodoform-paste in treatment of necrotic primary teeth few studies reported its use in vital pulpotomy. Aim: This longitudinal study aimed to evaluate success rates of primary molars treated with vital pulpotomy (VP) using calcium-hydroxide-iodoform-paste and stainless steel crowns (SSC) to those subjected to cavity preparations (CP) & compomer restorations (CM). Design: Eighty molars were subjected to either VP (n=40) or CP-applying double bond- (n=40). Split mouth technique was employed. Medically free children aged four to eight years old possessing carious lower second primary comprised inclusion criteria. Treated molars were followed up 3, 6 & 12 months. Treated molars were considered clinically successful when free from pain, abscess and/ or abnormal mobility. When either internal (IR) or external (ER) root resorption, periapical (PR) or inter-radicular (IRR) radiolucency was encountered, radiographic failure was recorded. Chi square test was used for data analysis. Results: Clinical success was evident in 97.5% (n=39) of cases treated by VP whereas failure in the form of abscess was noted in 2.5% (n=1) which was statistically insignificant (p=0.33). Radiographically, success was shown in 75% (n=30) whereas failure was noted in 25% (n=10) out of which IR, ER and IRR represented 7.5% (n=3), 15% (n=6) and 2.5% (n=1) respectively. Molars treated by CP showed neither clinical nor radiographic signs of failure. No significant difference was noted comparing results of molars treated by VP to CP clinically (p=0.314) whereas significant difference was noted radiographically (p=0.001). Conclusion: Calcium-hydroxide-iodoform-paste proved to be successful in treatment of vital primary molars. | ||||
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