Clinical, Radiographical and Histological Assessment of Pulpotec pulptomy in vital Primary Teeth

Abstract

Objectives: To evaluate the effect of Pulpotec clinically, radiographically and histologically on the pulpotomized primary teeth. Subjects and methods : Study was carried out on sixty primary teeth scheduled for extraction for orthodontic purpose, divided into two equal groups of 30 primary teeth in each one. Group (A): Thirty primary teeth will receive Formacresol pulpotomy. Group (B): 30 primary teeth will receive Pulpotec pulpotomy. All pulpotomized primary molars in the present study were restored with SSCs. All pulpotomized teeth were followed up clinically and radiographically at day 1, 1.5 month, and 3 months. At the 3 months follow-up period, the treated teeth were extracted for histological examination of the pulp. Results: Pulpotec pulpotomy group showed increased children percentage by 10% with pain, tenderness to percussion, swelling, partial loss of lamina dura and widening of periodontal ligament space from 1.5 month to 3 months. Regarding Formacresol pulpotomy group, there was increased children percentage by 30% with pain, tenderness to percussion, swelling, partial loss of lamina dura, widening of periodontal ligament space from 1 day to 3 months and increased children percentage by 3-13% with abscess, fistula, mobility and periapical radiolucency from 1.5 month to 3 months. Regarding histological results, there was a statistically non-significant difference in children percentage. Conclusion: Pulpotec can be used as reliable alternative to Formacresol for the pulpotomy procedures in primary teeth.