formocresol and Periapical-Diseases

This in vivo study aimed to assess and compare the relative clinical and radiographic success of formocresol, glutaraldehyde and ferric sulphate as medicaments following pulpotomies in primary molars at three-monthly intervals over one year.. The study was carried out on 90 primary molars in 54 children aged from 3 to 9 years. Selected teeth were equally distributed and randomly assigned to formocresol, glutaraldehyde and ferric sulphate pulpotomy medicament groups (30 in each group). The teeth were then evaluated clinically and radiographically at three-monthly intervals over one year. The resulting data were tabulated and statistically analysed using the chi-square test.. After one year, the clinical success rate was 100% with glutaraldehyde, 96.7% with ferric sulphate, and 86.7% with formocresol. The radiological success rate gradually decreased over the year in all pulpotomy medicament groups. Radiological success rates in formocresol, glutaraldehyde, and ferric sulphate groups were 56.7%, 83.3%, and 63.3%, respectively.. Two per cent glutaraldehyde may be recommended as a more effective alternative to formocresol and ferric sulphate as a pulpotomy medicament.

Topics: Child; Child, Preschool; Crowns; Dental Alloys; Edema; Female; Ferric Compounds; Follow-Up Studies; Formocresols; Glass Ionomer Cements; Glutaral; Humans; Male; Molar; Periapical Diseases; Pulpotomy; Radiography; Root Canal Irrigants; Stainless Steel; Tooth Resorption; Tooth, Deciduous; Treatment Outcome

The aim of this randomised clinical trial was to compare the clinical and radiographic success rate of 5% sodium hypochlorite (NaOCl) and 20% Formocresol (FC) as a pulpotomy medicament in carious primary molars.. Twenty-four children aged 4-8 years with at least 2 primary molars indicated for pulpotomy were included in this study. Eighty-two teeth received either 5% NaOCl or 20% FC using split mouth design, followed by restoration with IRM base/stainless steel crown (SSC). Clinical and radiographic evaluations were performed at 3, 6 and 12 months.. NaOCl and FC groups demonstrated 100% clinical success at 3 months. At 6 months, NaOCl showed 95% and 87.5% clinical and radiographic success rate respectively, while FC showed 95% clinical and radiographic success rate. After 12 months, the clinical and radiographic success rates were 94.6% and 86.5% respectively for NaOCl, and 92.1% and 86.8% for FC.. The results of this study showed the success rate for NaOCl pulpotomy to be comparable to those for FC pulpotomy.

Topics: Child; Child, Preschool; Crowns; Dental Alloys; Dental Caries; Dental Pulp; Female; Follow-Up Studies; Formocresols; Humans; Male; Methylmethacrylates; Molar; Periapical Diseases; Prospective Studies; Pulpotomy; Radiography; Root Canal Filling Materials; Root Canal Irrigants; Sodium Hypochlorite; Stainless Steel; Tooth Root; Tooth, Deciduous; Treatment Outcome; Zinc Oxide-Eugenol Cement

To compare the clinical and radiographic success rates of two vital pulpotomy agents: formocresol (FC) and Ankaferd Blood Stopper(®) (ABS), in primary molars during a 12-month follow-up period.. A randomised, single-blind study design was used in a sample of 30 healthy 6-9 year old children with 60 carious primary molars without clinical or radiographic evidence of pulp degeneration.. The pulpotomy agents were assigned as follows: Group 1 was 1:5 diluted Buckley's formocresol (FC) and Group 2 was ABS. Clinical and radiographic follow-up at 3, 6, and 12 months used the following criteria: pain, swelling, sinus tract, mobility, internal root resorption, and furcation and/or periapical bone destruction.. The data were analysed using Chi-square tests.. The clinical and radiographic evaluation at 3 months revealed total success rates of 100% in the FC and ABS groups. Success rates in FC and ABS groups at 6 months were 96.7% and 93.3% respectively. At the 12-month follow-ups, the total success rates in the FC, and ABS groups were 89.3% and 85.7%, respectively. When the groups were compared according to the time intervals, no significant differences were observed between the 3, 6, and 12 month values. The success rates of the materials decreased over time.. FC and ABS were found successful as pulp dressings in primary molars. ABS appears to be an alternative pulpotomy agent but periodical follow-ups must be considered to evaluate long term success rates.

Topics: Child; Dental Amalgam; Dental Caries; Dental Pulp Exposure; Dental Restoration, Permanent; Female; Follow-Up Studies; Formocresols; Hemostatics; Humans; Male; Molar; Periapical Diseases; Phytotherapy; Plant Extracts; Postoperative Complications; Pulp Capping and Pulpectomy Agents; Pulpotomy; Radiography; Root Resorption; Single-Blind Method; Tooth, Deciduous; Treatment Outcome; Zinc Oxide-Eugenol Cement

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.. 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.. 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).. It seems formocresol premedicated direct pulp capping could safely be used as a substitute for conventional direct pulp capping.

Topics: Calcium Hydroxide; Child, Preschool; Crowns; Dental Alloys; Dental Caries; Dental Cavity Lining; Dental Materials; Dental Pulp Capping; Dental Pulp Exposure; Follow-Up Studies; Formocresols; Humans; Molar; Oral Fistula; Percussion; Periapical Diseases; Radiography; Root Resorption; Stainless Steel; Tooth, Deciduous; Toothache; Treatment Outcome; Zinc Oxide-Eugenol Cement

The purpose of this study was to compare clinical, radiographic, and histopathologic effects of Nd:YAG laser pulpotomy to formocresol pulpotomy on human primary teeth. Patients with at least two vital primary molar teeth that required pulpotomy, because of pulpal exposure to caries, were selected for this study. After hemorrhage control, complete hemostasis into the canal orifice was achieved by exposure to Nd:YAG laser (1064 nm) and an He-Ne laser (the aiming beam of the Nd:YAG laser) in noncontact mode at 2 W, 20 Hz, 100 mJ, or was achieved by applying 1:5 dilution of formocresol. Forty-two teeth in two groups were to be followed up clinically and radiographic at 1, 3, 6, 9, and 12 months. Eighteen teeth planned for serial extractions were selected for histopathologic study. The teeth were extracted at 7 and 60 days. The teeth in the laser group had a clinical success rate of 85.71% and a radiographic success rate 71.42% at 12 months. The teeth in the formocresol group had a clinical and radiographic success rate of 90.47% at 12 months. There were no statistically significant differences between laser and formocresol group with regard to both clinical and radiographic success rates. There was a statistically significant difference between 7- and 60-day laser groups with regard to inflammatory cell response criteria. Dentin bridge was absent in all samples. No stained bacteria were observed in any of these samples. In conclusion, Nd:YAG laser may be considered as an alternative to formocresol for pulpotomies in primary teeth.

Topics: Aluminum Silicates; Bacteria; Child; Dental Caries; Dental Pulp Exposure; Dentin, Secondary; Female; Follow-Up Studies; Formocresols; Hemostatic Techniques; Humans; Laser Therapy; Male; Molar; Neodymium; Periapical Diseases; Pulpotomy; Radiography; Root Resorption; Tooth, Deciduous; Treatment Outcome; Yttrium