Abstract
Clinical and Radiographic Evaluation of Using White Portland Cement and MTA in Pulpotomy Primary Anterior Teeth: A Randomized, Split-Mouth, Controlled Clinical Trial with 12 Months Follow-Up
Highlights
Childhood caries still poses a challenge to dental practitioners as it leads to significant loss of the dental arch length leading to problems with space maintenance, pronunciation difficulties, lack of masticatory forces and the development of nonfunctional habits
The value of the chi-square test to study the significance of the differences in the formation of the dentine bridge radiographically between the two groups according to the material used (WPC /WMTA) in the time period after three months was (0.111), and the p-value was (0.739), which is greater than the significance level ( 0.05), and in the time period after six months and after twelve months were (0.218) and the p-value was (0.640), which is greater than the significance level (0.05), there are no statistically significant differences in the frequency of dentinal bridge formation radiographically between the two groups according to the material used and the time period studiedtable (2)
Pulpotomy is an effective choice for vital pulp therapy in carious pulp exposure in primary anterior teeth [14], that limits intervention through vitality preservation, decreasing the need for pulpectomy and unnecessary extractions and improving children’s quality of life [15]
Summary
Childhood caries still poses a challenge to dental practitioners as it leads to significant loss of the dental arch length leading to problems with space maintenance, pronunciation difficulties, lack of masticatory forces and the development of nonfunctional habits. Modern pediatric dentistry seeks to preserve the functional, aesthetic and developmental capacity of primary teeth [1, 2]. Because of the small size of these teeth, endodontic exposures occur early. In this case, the traditional treatment is root canal treatment to preserve the development of the dental arch, the aesthetic and functional aspects, and the natural eruption of the permanent teeth [3]. Root canal treatment faces many difficulties, including the morphology of the root canals, the physiological resorption of the root of the primary teeth, and the failure to find an ideal filling material that resorbs at the same degree as the root.
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