Abstract
Objectives/aims:This study aimed to examine the success of vital pulpotomy using natural extracts on primary teeth.Materials and methods:The study was carried out on 60 primary molars in 20 children indicated for pulpotomy. Primary molars were treated with formocresol (20 teeth), propolis ethanolic extract (20 teeth) or thymus vulgaris ethanolic extract (20 teeth). Treated teeth were clinically and radiographically evaluated after 1, 6 and 12 months.Results:The clinical success of formocresol and propolis groups was 88.2%, whereas the thymus group showed 94.4% with no statistical significance difference. The radiographical success for formocresol and propolis was 73.3%, and thymus was 88.2% without any statistical significance difference detected.Conclusion:Promising clinical and radiographical success rates of propolis and thymus vulgaris obtained when compared with formocresol.
Highlights
Dental caries is one of the most prevalent epidemic chronic infectious disease, which is amenable to prevention and treatment at both the individual and population levels.[1]
Despite the new medicaments introduced for pulpotomy over the past years, formocresol pulpotomy still has popularity among paediatric dentists.[4]
There are many concerns about the safety of formocresol due to the harmful effects of formaldehyde that led to the change towards safer medicaments for pulp therapy such as mineral trioxide aggregate (MTA) and ferric sulfate.[5,6,7,8]
Summary
The process of dental caries is nonstop and may continue especially in children till degradation of the dental hard tissues and infection of the dental pulp.[2] Infected pulp tissue in primary teeth is usually treated with pulpotomy, which is defined as ‘the amputation of infected coronal pulp, and treatment of the radicular uninflamed tissues with pulpotomy medicaments’.3. Despite the new medicaments introduced for pulpotomy over the past years, formocresol pulpotomy still has popularity among paediatric dentists.[4] Fixative properties, clinical success and availability of formocresol are common factors of its popularity. There are many concerns about the safety of formocresol due to the harmful effects of formaldehyde that led to the change towards safer medicaments for pulp therapy such as mineral trioxide aggregate (MTA) and ferric sulfate.[5,6,7,8] Natural products are efficient, less toxic alternatives and constitute a promising source for medicines and new molecules
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