Success of Direct Pulp Capping and Partial Pulpotomy of Primary Teeth using MTAJournal: International Journal of Science and Research (IJSR) (Vol.4, No. 2)
Publication Date: 2015-02-05
Authors : R. Kabaktchieva; N. Gateva;
Page : 287-291
Keywords : dental pulp exposure; reversible pulpitis; pulp dressing agent; calcified tissue barrier; MTA;
The purpose of this study was to compare the clinical and radiographic success rate of direct pulp capping (DPC) and partial pulpotomy (PP) treatment using MTA as pulp capping agent in treatment of primary teeth with pulp exposure after direct complete excavation. Methods In the research were included 88 primary teeth with deep carious lesions without signs and symptoms of irreversible pulpitis and where pulp exposure occur. All teeth were treated under local anaesthesia and direct complete excavation DPC was conducted when the pulp is exposed up to 1 mm. PP is a procedure in which the inflamed tissue is removed to a depth of 1 mm or deeper. The pulp wound was dressed with grey MTA, GIC. Forty-nine teeth were treated with direct pulp capping and MTA, 53 teeth were treated with partial pulpotomy and MTA. The patients were scheduled for follow-up in 6 and 12 months. Results The difference in the level of success was not statistically significant (pgreater than0.05) for the groups of teeth treated with partial pulpotomy (93.48 %-91.30 %) versus those treated with direct pulp capping (92.86 %-88.09 %). Conclusions Primary teeth with reversible pulpitis can be treated successfully by DPC and PP using MTA.
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