Clinical and radiographic outcomes of the use of capping materials in vital pulp therapy of human primary teeth

Authors

  • Natalino Lourenço Neto Department of Pediatric Dentistry, Orthodontics and Public Health – Bauru School of Dentistry – University of São Paulo – Bauru – SP – Brazil.
  • Ana Beatriz Silveira Moretti Department of Clinics and Surgery – Federal University of Alfenas - Alfenas – MG – Brazil.
  • Vivien Thiemy Sakai Department of Clinics and Surgery – Federal University of Alfenas - Alfenas – MG – Brazil.
  • Maria Aparecida Andrade Moreira Machado Department of Pediatric Dentistry, Orthodontics and Public Health – Bauru School of Dentistry – University of São Paulo – Bauru – SP – Brazil.
  • Ruy César Camargo Abdo Department of Pediatric Dentistry, Orthodontics and Public Health – Bauru School of Dentistry – University of São Paulo – Bauru – SP – Brazil.
  • Thais Marchini Oliveira Department of Pediatric Dentistry, Orthodontics and Public Health – Bauru School of Dentistry – University of São Paulo – Bauru – SP – Brazil.

DOI:

https://doi.org/10.14295/bds.2015.v18i1.1107

Abstract

Objective: The aim of this study was to compare the clinical and radiographic outcomes of Calcium Hydroxide (CH), Calcium Hydroxide preceded by corticosteroid/antibiotic solution (O+CH) and diluted formocresol (FC) in the vital pulp therapy of human primary teeth. Material and methods: Forty-five mandibular primary molars of children aged between 5-9 years were randomly assigned in the three study groups, FC, CH and O+CH and received conventional pulpotomy treatment. Clinical and radiographic follow-up was made at 3, 6 and 12-months. Results: No sign of clinical failure was observed in the three study groups during all the periods of evaluation. Radiographic analysis showed a total of six cases of internal root resorption in CH and O+CH groups after the 12 months follow-up, with statistically significant difference as compared with FC group. FC group did not show hard tissue barrier formation, that was observed in CH and O+CH groups in all the follow-up periods. Conclusion: All employed materials showed acceptable clinical and radiographic success rates. The results showed that the use of an anti-inflammatory solution prior the dressing material has therapeutic properties that help with pulpal healing. Continued clinical investigations using these medicaments as vital pulpotomy treatment in primary molars are recommended. 

Downloads

Published

2015-03-26

Issue

Vol. 18 No. 1 (2015): Jan. - Mar. / 2015 - Published February 2015

Section

Clinical or Laboratorial Research