Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth

Background: Pulpotomy is a common dental procedure used to treat extensively decayed primary teeth, aiming to preserve the vitality and function of the remaining pulp tissue. Various pulpotomy techniques and materials have been developed, but their long-term outcomes in terms of success rates and co...

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Main Authors: Suprasidh Suprakasam, Reshma S. Kakkachi Parambil, Krishnan Hari, Priya Viswanathan, Irene Abraham, Ebin T. Mathai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_711_24
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author Suprasidh Suprakasam
Reshma S. Kakkachi Parambil
Krishnan Hari
Priya Viswanathan
Irene Abraham
Ebin T. Mathai
author_facet Suprasidh Suprakasam
Reshma S. Kakkachi Parambil
Krishnan Hari
Priya Viswanathan
Irene Abraham
Ebin T. Mathai
author_sort Suprasidh Suprakasam
collection DOAJ
description Background: Pulpotomy is a common dental procedure used to treat extensively decayed primary teeth, aiming to preserve the vitality and function of the remaining pulp tissue. Various pulpotomy techniques and materials have been developed, but their long-term outcomes in terms of success rates and complications remain a subject of ongoing research. Materials and Methods: A total of 180 primary molars from children aged 4–8 years were treated using three different pulpotomy techniques: Formocresol (n = 60), Mineral Trioxide Aggregate (MTA) (n = 60), and Laser Pulpotomy (n = 60). Follow-ups were conducted at 6, 12, and 24 months posttreatment to evaluate clinical and radiographic success. Clinical success was defined by the absence of pain, swelling, and mobility, while radiographic success was indicated by the lack of internal resorption, furcation radiolucency, and periapical pathology. Results: At the 24-month follow-up, the clinical success rates were 80% for Formocresol, 95% for MTA, and 90% for Laser Pulpotomy. Radiographic success rates were 75% for Formocresol, 92% for MTA, and 88% for Laser Pulpotomy. MTA demonstrated the highest overall success rates, with statistically significant differences compared to Formocresol (P < 0.01) but not Laser Pulpotomy (P > 0.05). Conclusion: Mineral Trioxide Aggregate (MTA) showed superior long-term outcomes compared to Formocresol and comparable results to Laser Pulpotomy for the treatment of primary teeth.
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record_format Article
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spelling doaj-art-7151103258b04f5e9f3dd1dd62c003ad2025-01-12T14:12:14ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3233S323510.4103/jpbs.jpbs_711_24Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary TeethSuprasidh SuprakasamReshma S. Kakkachi ParambilKrishnan HariPriya ViswanathanIrene AbrahamEbin T. MathaiBackground: Pulpotomy is a common dental procedure used to treat extensively decayed primary teeth, aiming to preserve the vitality and function of the remaining pulp tissue. Various pulpotomy techniques and materials have been developed, but their long-term outcomes in terms of success rates and complications remain a subject of ongoing research. Materials and Methods: A total of 180 primary molars from children aged 4–8 years were treated using three different pulpotomy techniques: Formocresol (n = 60), Mineral Trioxide Aggregate (MTA) (n = 60), and Laser Pulpotomy (n = 60). Follow-ups were conducted at 6, 12, and 24 months posttreatment to evaluate clinical and radiographic success. Clinical success was defined by the absence of pain, swelling, and mobility, while radiographic success was indicated by the lack of internal resorption, furcation radiolucency, and periapical pathology. Results: At the 24-month follow-up, the clinical success rates were 80% for Formocresol, 95% for MTA, and 90% for Laser Pulpotomy. Radiographic success rates were 75% for Formocresol, 92% for MTA, and 88% for Laser Pulpotomy. MTA demonstrated the highest overall success rates, with statistically significant differences compared to Formocresol (P < 0.01) but not Laser Pulpotomy (P > 0.05). Conclusion: Mineral Trioxide Aggregate (MTA) showed superior long-term outcomes compared to Formocresol and comparable results to Laser Pulpotomy for the treatment of primary teeth.https://journals.lww.com/10.4103/jpbs.jpbs_711_24dental materialsformocresollaser pulpotomylong-term outcomesmineral trioxide aggregatepediatric dentistryprimary teethpulpotomy
spellingShingle Suprasidh Suprakasam
Reshma S. Kakkachi Parambil
Krishnan Hari
Priya Viswanathan
Irene Abraham
Ebin T. Mathai
Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth
Journal of Pharmacy and Bioallied Sciences
dental materials
formocresol
laser pulpotomy
long-term outcomes
mineral trioxide aggregate
pediatric dentistry
primary teeth
pulpotomy
title Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth
title_full Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth
title_fullStr Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth
title_full_unstemmed Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth
title_short Comparative Long-Term Outcomes of Formocresol, Mineral Trioxide Aggregate, and Laser Pulpotomy Techniques in Primary Teeth
title_sort comparative long term outcomes of formocresol mineral trioxide aggregate and laser pulpotomy techniques in primary teeth
topic dental materials
formocresol
laser pulpotomy
long-term outcomes
mineral trioxide aggregate
pediatric dentistry
primary teeth
pulpotomy
url https://journals.lww.com/10.4103/jpbs.jpbs_711_24
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