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Effectiveness of 4 pulpotomy techniques--randomized controlled trial.

K C Huth·E Paschos·N Hajek-Al-Khatar·R Hollweck·A Crispin·R Hickel·M Folwaczny
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Abstract

Pulpotomy is the accepted therapy for the management of cariously exposed pulps in symptom-free primary molars; however, evidence is lacking about the most appropriate technique. The aim of this study was to compare the relative effectiveness of the Er:YAG laser, calcium hydroxide, and ferric sulfate techniques with that of dilute formocresol in retaining such molars symptom-free. Two hundred primary molars in 107 healthy children were included and randomly allocated to one of the techniques. The treated teeth were blindly re-evaluated after 6, 12, 18, and 24 months. Descriptive data analysis and logistic regression analysis, accounting for each patient's effect by a generalized estimating equation (GEE), were used. After 24 months, the following total and clinical success rates were determined (%): formocresol 85 (96), laser 78 (93), calcium hydroxide 53 (87), and ferric sulfate 86 (100). Only calcium hydroxide performed significantly worse than formocresol (p = 0.001, odds ratio = 5.6, 95% confidence interval 2.0-15.5). In conclusion, calcium hydroxide is less appropriate for pulpotomies than is formocresol.

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Calcium HydroxideChildChild, PreschoolCrownsDental Pulp CappingDental Pulp ExposureDental Restoration, PermanentFemaleFerric CompoundsFollow-Up StudiesFormocresolsGlass Ionomer CementsHemostaticsHumansLaser TherapyMalePulpotomySingle-Blind MethodTooth, DeciduousTreatment OutcomeZinc Oxide-Eugenol CementComparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov't

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K C Huth, E Paschos, N Hajek-Al-Khatar, R Hollweck, A Crispin, R Hickel, M Folwaczny. 2005. Effectiveness of 4 pulpotomy techniques--randomized controlled trial.. https://doi.org/10.1177/154405910508401210

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