Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial
Abstract Background Pulpotomy as a minimally invasive pulp therapy technique is the treatment of choice for carious pulp exposures, however many pediatric dentists perform pulpectomies in vital primary incisors. The aim of this split mouth randomized controlled study was to compare formocresol pulpo...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-04116-w |
| _version_ | 1797247035546533888 |
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| author | Lamia Khairy Gadallah Adel Elbardissy Mohamed Abo Elyazeed Ahmad Abd Alsamad Mahmoud Hamdy |
| author_facet | Lamia Khairy Gadallah Adel Elbardissy Mohamed Abo Elyazeed Ahmad Abd Alsamad Mahmoud Hamdy |
| author_sort | Lamia Khairy Gadallah |
| collection | DOAJ |
| description | Abstract Background Pulpotomy as a minimally invasive pulp therapy technique is the treatment of choice for carious pulp exposures, however many pediatric dentists perform pulpectomies in vital primary incisors. The aim of this split mouth randomized controlled study was to compare formocresol pulpotomy and zinc-oxide and eugenol pulpectomy in the treatment of vital pulp exposure in primary incisors. Methods Contralateral pairs of incisors were randomly assigned to receive pulpotomy or pulpectomy in children aging from 18 to 66 months old and were followed up for 12 months. Results 39 pairs of incisors were included. Clinical and radiographical success rates showed no statistical significant difference (p = 1, p = 0.8 respectively). Relative risk measures for clinical success rates (RR = 1.03, 95%CI 0.87 to 1.23) and for radiographic success rates (RR = 1.03, 95%CI 0.83 to 1.29) with CIs including number one showing no difference between the two groups. The Survival rate using Kaplan-Meier survival analysis score showed 82% for pulpotomy and 74% for pulpectomy at 12 months (P = 0.2). Conclusions Both pulpotomy and pulpectomy techniques can be used successfully in the treatment of carious vital pulp exposure in primary incisors. Trial registration The trial was retrospectively registered in Clinicaltrials .gov with this identifier NCT05589025 on 21/10/2022. |
| first_indexed | 2024-04-24T19:52:18Z |
| format | Article |
| id | doaj.art-f4ae2666642c491d8aa15f8d81b91490 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-24T19:52:18Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-f4ae2666642c491d8aa15f8d81b914902024-03-24T12:35:47ZengBMCBMC Oral Health1472-68312024-03-012411910.1186/s12903-024-04116-wPulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trialLamia Khairy Gadallah0Adel Elbardissy1Mohamed Abo Elyazeed2Ahmad Abd Alsamad3Mahmoud Hamdy4Researcher of Pediatric Dentistry, Orthodontics and Pediatric Dentistry Department, National Research CentrePediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo UniversityOrthodontics and Pediatric Dentistry Department, National Research CentreOral and Maxillofacial Radiology, Faculty of Dentistry, Cairo UniversityPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo UniversityAbstract Background Pulpotomy as a minimally invasive pulp therapy technique is the treatment of choice for carious pulp exposures, however many pediatric dentists perform pulpectomies in vital primary incisors. The aim of this split mouth randomized controlled study was to compare formocresol pulpotomy and zinc-oxide and eugenol pulpectomy in the treatment of vital pulp exposure in primary incisors. Methods Contralateral pairs of incisors were randomly assigned to receive pulpotomy or pulpectomy in children aging from 18 to 66 months old and were followed up for 12 months. Results 39 pairs of incisors were included. Clinical and radiographical success rates showed no statistical significant difference (p = 1, p = 0.8 respectively). Relative risk measures for clinical success rates (RR = 1.03, 95%CI 0.87 to 1.23) and for radiographic success rates (RR = 1.03, 95%CI 0.83 to 1.29) with CIs including number one showing no difference between the two groups. The Survival rate using Kaplan-Meier survival analysis score showed 82% for pulpotomy and 74% for pulpectomy at 12 months (P = 0.2). Conclusions Both pulpotomy and pulpectomy techniques can be used successfully in the treatment of carious vital pulp exposure in primary incisors. Trial registration The trial was retrospectively registered in Clinicaltrials .gov with this identifier NCT05589025 on 21/10/2022.https://doi.org/10.1186/s12903-024-04116-wPrimary incisorsPulpotomyPulpectomyRoot canal therapy |
| spellingShingle | Lamia Khairy Gadallah Adel Elbardissy Mohamed Abo Elyazeed Ahmad Abd Alsamad Mahmoud Hamdy Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial BMC Oral Health Primary incisors Pulpotomy Pulpectomy Root canal therapy |
| title | Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial |
| title_full | Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial |
| title_fullStr | Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial |
| title_full_unstemmed | Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial |
| title_short | Pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors: a randomized controlled trial |
| title_sort | pulpotomy versus pulpectomy in carious vital pulp exposure in primary incisors a randomized controlled trial |
| topic | Primary incisors Pulpotomy Pulpectomy Root canal therapy |
| url | https://doi.org/10.1186/s12903-024-04116-w |
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