Abstract
Objective:To evaluate the therapeutic effects of pulpotomy and pulpectomy on deciduous molars with deep caries.Methods:A total of 124 children (192 molars) with deep caries treated from February 2014 to February 2015 were selected. They each had at least one molar with deep caries. MTA pulpotomy (101 molars) and Vitapex pulpectomy (91 molars) as well as prefabricated metal crown repair were conducted. The patients were followed up for 18 months after surgery, and the therapeutic effects were evaluated through clinical and X-ray examinations.Results:The proportion of molars without lesions was 80.20% in pulpotomy group, which significantly exceeded that of pulpectomy group (72.53%). The pulpotomy group with good clinical manifestations underwent spontaneous pain in four molars during follow-up, and five molars gradually underwent pain and gingival redness and swelling. The pulpectomy group suffered from occlusion discomfort in nine molars and gingival fistula in seven molars during follow-up. The postoperative morbidity of pulpectomy group was significantly higher than that of pulpotomy group (χ2=4.50, P=0.04). The 18-month tooth survival rates of pulpotomy and pulpectomy groups were 90% and 79% respectively, which were significantly different (χ2=4.645, P=0.031).Conclusion:The postoperative outcomes of pulpotomy are superior to those of pulpectomy.
Highlights
Deciduous teeth are an important chewing organ during childhood[1], playing a crucial role in the normal eruption of permanent teeth, 1
MTA pulpotomy was performed for 101 molars and Vitapex pulpectomy was conducted for 91 molars
The pulpectomy group suffered from occlusion discomfort in nine molars and gingival fistula in seven molars during followup
Summary
Deciduous teeth are an important chewing organ during childhood[1], playing a crucial role in the normal eruption of permanent teeth, 1. Correspondence: July 11, 2017 October 20, 2017 normal jaw development and general health of children.[2] The pulp exposure of deciduous teeth caused by dental caries or trauma and secondary inflammation affect local occlusal development, and even systemic physical or mental health.[3] it is critical to protect deciduous teeth and to improve the treatment of deciduous pulp. Impaction pain and deep caries with largely damaged dental crown are commonly found upon first visit.[4] Pulpotomy is mainly used for any deciduous teeth and young permanent teeth with vital pulp exposure, with a clinical success rate of 83%-100%. Pulpectomy is mainly applied to the teeth without necrosis in the root canal, such as various types of pulpitis and accidental pulp exposure, and the highest clinical success rate can reach up to 98%.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
