This overview comparing the success rates of various pulpotomy medicaments or techniques, and assessing the methodological quality of reviews included 8 systematic reviews. While most pulpotomy medicaments/techniques, except calcium hydroxide had success rates of 80% or more there is a lack of evidence on the choice of pulpotomy agent.
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This new Cochrane review update finds no evidence to clearly identify one superior pulpotomy medicament and technique for primary molars.
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When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity. Consequently a range of other materials have been investigated, ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]
The aim of this study was to compare the use of ferric sulphate (FS), formocresol (FC), mineral trioxide aggregate (MTA) and sodium hypochlorite (NaOCl) as pulp dressing following pulpotomy in primary molars. Symptom-free vital primary molars with carious pulp exposure with the possibility of proper restoration of the teeth with a minimum of three walls [read the full story…]
