Forest plot of comparison: mineral trioxide aggregate (MTA) versus calcium hydroxide (CH) at…, NLM Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--part III: clinical applications, drawbacks, and mechanism of action. Results: With its consistent success rate with MTA and better biocompatibility than MTA, PRF would be a good substitute for MTA and CH in the treatment of pulp exposure in immature permanent teeth. Four studies had a low risk of detection bias [15,16,17,18], as they reported the blinding of the investigator, whereas the remaining study was assessed as unclear risk of detection bias as they did not mention whether the investigator was blinded [19]. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Pulpotomy is an established technique for preserving vital pulp functions in immature teeth which have been subject to pulp-exposing trauma. Also at 6 months in the CEM group 4 roots dropped out (15). Camilleri J. Staining potential of neo MTA plus, MTA plus, and biodentine used for Pulpotomy procedures. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. PLoS Med. doi: 10.1002/14651858.CD003220.pub2. Researchers could try to minimize bias through isolating the investigator from the operating process, which might make the ivestigator quantify the effect of the interventions more objectively. Materials used in pulpotomy dressing usually affect the success rate of pulpotomy. A full account of the Cvek pulpotomy is provided in Chapter 17 (see Fig. Endodontic management included partial pulpotomy by the Cvek technique; restorative management included resin restoration and reattachment of the teeth fragments. BACKGROUND: Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. In permanent dentition, crown fracture with pulp exposure corresponds to 6.4-18.3% of the injuries [3–5]. Aim: This report aims to present the application of partial pulpotomy procedures in fractured maxillary central incisors with immature roots. 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. 2015;41:1139–45. High-resolution images describe in depth each clinical step of all the procedures reviewed in the chapter. 2019;23(4):1967–76. Background: Reporting bias and other bias were not observed in the included studies. https://doi.org/10.1186/s12903-019-0917-z, DOI: https://doi.org/10.1186/s12903-019-0917-z. Esmaeili B, Alaghehmand H, Kordafshari T, et al. Epub 2014 Jun 26. As a common adverse event for MTA, crown discoloration caused by the oxidation of heavy metal oxides (ie. | Pediatr Dent. Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. Background: Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. Pulpotomy is considered as a treatment for immature permanent teeth with pulp exposure due to caries or trauma that gives evidence of extensive coronal pulpitis, and also as an emergency procedure for permanent mature teeth until root canal treatment can be accomplished [2]. Pulpotomy is a vital pulp therapy in which a portion of the coronal pulp tissue is surgically removed, and the remaining radicular tissue is covered with suitable material that protects the pulp from further injury and permits and promotes healing. Part of NIH 1, and the characteristics of each included study are summarized in Table 1. At 6 months in the MTA and PRF group, 2 and 1 teeth dropped out respectively; at 12 months, another 2 and 1 teeth dropped out respectively and at 24 months, 1 and 2 teeth dropped out respectively. No Article Media. This conclusion may be biased, owing to the lack of high quality studies and limited number of study subjects. -. El-Meligy 2006 (40 teeth in the MTA group and 40 teeth in the CH group) described outcomes in 3, 6 and 12-month follow-ups and Özgür 2017 (15 teeth in the MTA group and 15 teeth in the CH group) reported 6, 12, 18 and 24-month follow-up outcomes [17, 18]. Bitewing radiographs obtained as part of the patient’s periodic comprehensive examinations may suffice. However, most of the outcomes were based on single studies. Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. Diagnosis and pulpotomy of immature permanent teeth 247 Several materials have been used as pulp-capping agents in pulpotomized teeth, among which formocresol, calcium hydroxide, ferrous sulfate and more recently mineral trioxide aggregate (1,3,4,7,8). In partial pulpotomy (Cvek pulpotomy), 2 mm of the pulp below the exposure are removed, leaving a wound of healthy pulp, where dressing should be … The selection of agent can influence the success rate of vital-pulp therapy [3]. The challenge in the management of immature permanent teeth with pulp exposed to caries or trauma is to maintain the pulp vitality as well as achieve continued root formation. An electronic literature search was conducted using MEDLINE (via Pubmed), EMBASE, the Cochrane library (CENTRAL) and the clinicaltrials.gov database between the inception date and October 2018. Vital pulp therapies have been used in primary teeth and immature permanent teeth. These failed cases were reported at 3 months. The aim of this meta-analysis and systemic review is to synthesize the available evidences to compare different pulpotomy dressing agents for pulpotomy treatment in immature … Int J Paediatr Dent. MTA has taken the place of CH as the first choice for pulpotomy recently due to its better capability in apexogenesis, disinfection capabilities, biocompatibility and lack of cytotoxicity [5]. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Preserving the dental pulp, or part of it, is important when treating a vital tooth with an exposed pulp, particularly if the tooth is immature and root formation is incomplete. To assess the outcome of mineral trioxide aggregate (MTA) complete pulpotomy in permanent teeth with carious exposures. St. Louis: Mosby Elsevier; 2011. p. 808–57. The authors assume that the resin degrade due to the contact of saliva might lead to the marginal discoloration and a long-term follow up is needed to elucidate the outcomes. 2018;9:158–63. Marginal discoloration was reported, suggesting the microleakage of restoration in marginal area, which might open an access for bacteria. The I2 test on the level of α = 0.10 was used to evaluate statistical heterogeneity. Methodology. 2010;36:400–13. When data was incomplete or missing, we tried to contact authors to obtain the missing part. Parhizkar A, Nojehdehian H, Asgary S. Triple antibiotic paste: momentous roles and applications in endodontics: a review. As more pulpotomy dressing agents are being introduced in the treatment of pulp exposure caused by caries or trauma, the different treatment outcomes of each agent should be evaluated.
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