formocresol and Tooth-Resorption

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

To compare the clinical and radiographic response of primary teeth to vital pulpotomy using mineral trioxide aggregate (MTA) or formocresol (FC).. A group of 17 children aged 4-9 were selected from those referred to the Paedodontic Department at Shahid Beheshti University, Dental School. Cases with at least two matching teeth were selected (40 teeth), showing signs of pulp involvement. A pulpotomy procedure was carried out in all cases with FC in control teeth whilst MTA was placed in experimental teeth. Clinical and radiographic evaluations were performed at 1-, 6-, 12- and 24-month recall. Statistical analysis using a Fischer exact test was performed on the data to determine significant differences between the groups.. Overall, 22 second and 18 first primary molars were included. The gender ratio was one male to three female. No significant difference was found between the clinical and radiographic outcomes of the two groups at 6-, 12- and 24-month follow-up (P > 0.05). Internal resorption was seen significantly more often in FC cases after 12 months than MTA cases. Overall radiographic appearance of normal structures at 24th month was seen in more than 95% of the cases in MTA and 90% in the FC-treated group (P > 0.05).. Mineral trioxide aggregate for pulp treatment of primary teeth can be considered a replacement for FC.

Topics: Aluminum Compounds; Calcium Compounds; Case-Control Studies; Child; Child, Preschool; Crowns; Dental Amalgam; Dental Caries; Dental Pulp; Dental Restoration, Permanent; Dental Restoration, Temporary; Drug Combinations; Female; Follow-Up Studies; Formocresols; Humans; Male; Molar; Oxides; Periodontal Ligament; Pulpotomy; Radiography, Bitewing; Silicates; Tooth Resorption; Tooth, Deciduous; Treatment Outcome; Zinc Oxide-Eugenol Cement