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Ferric Sulfate and Formocresol pulpotomies in paediatric dental practice. A prospective–retrospective study

Type:  Articles

Pubblication date:  03/2019

Authors:  D. Olczak-Kowalczyk, M. Samul, J. Góra D. Gozdowski*, A. Turska-Szybka

Language:  English

Institution:  Department of Pediatric Dentistry, Medical University of Warsaw, Poland *Department of Experimental Statistics and Bioinformatics, Warsaw University of Life Science, Warsaw, Poland

Publication:  European Journal of Paediatric Dentistry

Publisher:  Ariesdue Srl

Keywords:  Ferric sulfate, Formocresol, Primary teeth, Pulpotomy

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Title:  Ferric Sulfate and Formocresol pulpotomies in paediatric dental practice. A prospective–retrospective study

Abstract:  Aim To evaluate the use of formocresol (FC) and ferric sulfate (FS) as pulpotomy agents in vital pulp therapy (VPT) in primary molars by dental practitioners. Materials and methods One hundred seventy-nine patients (aged 74.09 ± 20.75 months) who underwent pulpotomy were enrolled. The dmft, the number of visits, the filling materials, the clinical and radiological observations and complications were evaluated. Statistics: The data were analysed using chi-square, Spearman’s rank correlation and odds ratio. Results The analysis included the documentation of 179 patients with 276 pulpotomies: 50 (FS) and 226 (FC). The dmft was 8.54 ± 3.44. The therapeutic success was greater for FS pulpotomy and that of the two-appointment FC pulpotomy (90.6%) was higher than the one-appointment method (77.1%). Glass-ionomer cements (GIC) (53.6%), amalgam (30.0%), composites (15.6%), and steel crowns (1.8%) were used for tooth restoration. The risk of complications was lower for GI (OR = 2.21; 95% CI 1.09-4.88) compared to composite (OR = 2.62; 95% CI: 1.19 - 5.80). Conclusions For primary teeth pulpotomy dental practitioners use both FS and FC. FC has been proven to be more effective in a two-appointmet treatment. When restoration with stainless steel crown (SSC) is not feasible, it is advantageous to use GIC rather than composite.

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