Calcium-Enriched Mixture Pulpotomy of Primary Molar Teeth with Irreversible Pulpitis. A Clinical Study

Overview

Journal Open Dent J

Publisher Bentham Open

Specialty Dentistry

Date 2016 Jun 22

PMID 27326265

Citations 9

Authors

Mahtab Memarpour

Soleiman Fijan

Saeed Asgary

Marzieh Keikhaee

Affiliations

Soon will be listed here.

Abstract

Objectives: To evaluate the outcome of vital pulp therapy in primary teeth with irreversible pulpitis by using calcium-enriched mixture (CEM) cement according to clinical and radiographic assessment.

Participants And Methods: Fifty primary molar teeth with irreversible pulpitis in 50 children aged 6-8 years underwent pulpotomy using CEM cement as the dressing material. Following pulpotomy, pain intensity was evaluated by use of a visual analog scale at 1 and 7 days from the treatment and in clinical appointments at 3, 6 and 12 months after baseline. Radiographic evaluation was performed at 6 and 12 months. Data were analyzed using the McNemar test.

Results: A total of 42 children (mean age 7.26 ± 0.82 year) completed the study. After one day treatment 56 % of children reported complete relief of pain and after 7 days 62% reported the same. However, two children complained of increased pain 1 day after treatment. None of the children reported pain in the subsequent appointments. One child complained of tenderness in percussion after 6 months. Pulp canal obliteration was the most common change in the radiographic assessment. There was no significant difference between clinical (92.8%) and radiographic (90.4%) success (p=0.990).

Conclusion: Pulpotomy using CEM cement could present a successful treatment in primary molar teeth with irreversible pulpitis.

Citing Articles

Vital Pulp Therapy: Evidence-Based Techniques and Outcomes.

Asgary S, Nosrat A Iran Endod J. 2025; 20(1):e2.

PMID: 39935864 PMC: 11808331. DOI: 10.22037/iej.v20i1.47141.

Comprehensive review of composition, properties, clinical applications, and future perspectives of calcium-enriched mixture (CEM) cement: a systematic analysis.

Asgary S, Aram M, Fazlyab M Biomed Eng Online. 2024; 23(1):96.

PMID: 39294680 PMC: 11409725. DOI: 10.1186/s12938-024-01290-4.

Treatment outcomes of pulpotomy versus pulpectomy in vital primary molars diagnosed with symptomatic irreversible pulpitis: protocol for a non-inferiority randomised controlled trial.

Philip N, Cherian J, Mathew M, Thomas A, Jodhka S, John N BMC Oral Health. 2024; 24(1):626.

PMID: 38807160 PMC: 11134690. DOI: 10.1186/s12903-024-04411-6.

Treatment Outcomes of Pulpotomy in Primary Teeth with Irreversible Pulpitis: A Systematic Review and Meta-Analysis.

Lin G, Chin Y, Choong R, Wafa S, Dziaruddin N, Baharin F Children (Basel). 2024; 11(5).

PMID: 38790569 PMC: 11119415. DOI: 10.3390/children11050574.

A retrospective study on iRoot BP Plus full pulpotomy for primary molars with partial irreversible pulpitis.

Hu X, Zhao C, Wang L, Zhang Z, Yang F, Zhang H Hua Xi Kou Qiang Yi Xue Za Zhi. 2024; 42(2):242-248.

PMID: 38597084 PMC: 11034405. DOI: 10.7518/hxkq.2024.2023308.

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