The effectiveness of formocresol amputation in deciduous molars – a retrospective study

A. Kozubska, J. Szczepanska
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Abstract

Introduction. The treatment of carious denudation of pulp and irreversible partial pulp inflammation is pulpotomy. In this method formocresol was used as the “gold standard”. Aim. Assessment of the effectiveness of the use of formocresol in pulpotomy in deciduous teeth. Material and methods. Formocresol amputation performed in 2010-2012 in children born in 2006-2007 were analysed. The consent of the Bioethical Committee at the Medical University of Łódź as well as written consent from all the subject/parents of all the subjects/legal guardians of all the subjects were obtained. Results. In this research, the amputation in 102 deciduous teeth, including 49 first and second upper molars, and 53 lower molars, performed on 64 children were analysed. In 102 amputation cases 78 were caused by carious denudation of pulp and 24 by irreversible partial pulp inflammation without visible denudation of pulp. 37 patients underwent pulpotomy in 1 tooth, 19 patients needed it in 2 teeth, 6 patients in 3 teeth, 1 patient in 4 teeth, and 1 patient in 5 molars. The pulpotomy was repeated because of the glass-ionomer lost in 19 cases. In total 63 teeth were extracted, including 25 at the right time and 38 too early. During the last oral examination held 2016/2017, 31 out of 102 teeth were still on place. The lack of 8 teeth without the presence of permanent successors was reported. The analysis of 102 cases showed the average of 2.5 years period of the teeth maintenance following the formocresol pulpotomy. Conclusions. Retrospective analysis of the use of formocresol in pulpotomy in deciduous teeth proved clinical success of this material, which provided the maintenance of the teeth with the pulpitis for 2 to 3 years after the amputation.
甲甲酚切除乳牙的疗效回顾性研究
介绍。牙髓剥落及不可逆部分牙髓炎症的治疗是牙髓切开术。本方法以福摩甲酚为金标准品。的目标。福摩甲酚在乳牙切髓术中的应用效果评价。材料和方法。对2006-2007年出生的儿童2010-2012年进行的福摩甲酚截肢进行分析。获得了Łódź医科大学生物伦理委员会的同意以及所有受试者/所有受试者的父母/所有受试者的法定监护人的书面同意。结果。本研究对64例儿童102颗乳牙,其中第一、第二磨牙49颗,下磨牙53颗进行了截除。102例截肢患者中,78例因牙髓龋性剥落所致,24例因不可逆部分牙髓炎症所致,但未见牙髓剥落。1颗牙37例,2颗牙19例,3颗牙6例,4颗牙1例,5颗磨牙1例。19例患者因玻璃离聚体丢失而重复行髓腔切开术。共拔除63颗牙,其中适时拔除25颗,过早拔除38颗。在2016/2017年进行的最后一次口腔检查中,102颗牙齿中有31颗仍然存在。缺牙8颗,无永久继位者报道。对102例病例的分析表明,前甲酚切牙术后的牙齿维持期平均为2.5年。结论。回顾性分析了福摩甲酚在乳牙截髓术中的应用,证明了该材料在临床上是成功的,可为患牙髓炎的乳牙在截髓后提供2 ~ 3年的维持。
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