formocresol and Dental-Pulp-Diseases

The Editorial Board of the Journal of Endodontics has developed a literature-based study guide of topical areas related to endodontics. This study guide is intended to give the reader a focused review of the essential endodontic literature and does not cite all possible articles related to each topic. Although citing all articles would be comprehensive, it would defeat the idea of a study guide. The topics presented in this section are formocresol pulpotomy, electrosurgical pulpotomy, and pulpectomy in primary teeth.

Topics: Dental Pulp Diseases; Electrosurgery; Endodontics; Formocresols; Humans; Internet; Pulpectomy; Pulpotomy; Tooth, Deciduous

This article outlines the counterpoint delivered in the debate "Is Formocresol Obsolete?" It addresses the opinion supporting the need to move away from formaldehyde-containing preparations in the dental care of children. It is suggested that such a move should be made not just because of concerns relating to the possible toxicity of formaldehyde but to reflect a more contemporary, biologic approach to pulp therapy in the primary dentition.

Topics: Animals; Child; Dental Care for Children; Dental Pulp; Dental Pulp Diseases; Drug Compounding; Formocresols; Guidelines as Topic; Humans; Pulpectomy; Pulpotomy; Tooth, Deciduous; United Kingdom

The purpose of this study was to determine the level of agreement between pediatric dentists and endodontists at a pulp therapy symposium conjointly sponsored by the American Association of Endodontists (AAE) and the American Academy of Pediatric Dentistry (AAPD) on November 2-3, 2007. Presymposium and postsymposium tests were administered, and respondent answers were compared between pediatric dentists and endodontists. Opinions on 3 areas were sought: pulp therapy for cariously involved primary teeth; indirect pulp treatment (IPT) for cariously involved immature permanent teeth; and innovative treatment options including pulpal revascularization and regeneration. Results were analyzed with chi2 tests. Comparisons of presymposium and postsymposium responses and between the 2 groups of attendees indicated that the pediatric dentistry and endodontic communities agree that formocresol will be replaced as a primary tooth pulpotomy agent, that mineral trioxide is the first choice to take its place, that IPT in primary teeth holds hope as a replacement for pulpotomy, and that IPT is an acceptable pulp therapy technique for cariously involved young permanent teeth. Both groups believe that pulp revascularization and regeneration will be viable treatment modalities in the future. The AAE and the AAPD are positioned to begin preparation of best practice guidelines that share common language and treatment recommendations for pulp therapies performed by both specialties.

Topics: Aluminum Compounds; Attitude of Health Personnel; Calcium Compounds; Dental Caries; Dental Cavity Preparation; Dental Pulp; Dental Pulp Capping; Dental Pulp Diseases; Drug Combinations; Endodontics; Formocresols; Humans; Neovascularization, Physiologic; Oxides; Pediatric Dentistry; Pulpotomy; Regeneration; Root Canal Filling Materials; Silicates; Surveys and Questionnaires

The clinical success and effect upon the age at which teeth exfoliated was prospectively observed in 175 primary molars that had received formoceresol pulpotomies performed by one operator. The success rate among 142 vital teeth was 99.3% and among 33 non-vital teeth 84.8%. There was no significant effect upon age at exfoliation after either type of pulpal treatment.

Topics: Child; Dental Pulp Diseases; Dental Pulp Necrosis; Formocresols; Humans; Molar; Prospective Studies; Pulpotomy; Statistics, Nonparametric; Time Factors; Tooth Exfoliation; Tooth, Deciduous; Tooth, Nonvital; Treatment Outcome

Topics: Child; Child, Preschool; Dental Pulp Diseases; Female; Formocresols; Humans; Infant; Longitudinal Studies; Male; Observer Variation; Pulpectomy; Pulpotomy; Root Canal Obturation; Root Resorption; Tooth, Deciduous; Zinc Oxide-Eugenol Cement