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Dental Treatment 2018
Dentistry and Craniofacial Research
ISSN: 2576-392X
Page 62
September 10-11, 2018
Zurich, Switzerland
25
th
International Conference on
Dental Treatment
Background:
Alternatives to vital pulpotomy treatment in primary
teeth are being sought because of the high formaldehyde content
of traditional formocresol (FC) pulpotomy medicament and the
high cost of other proposed alternatives.
Aim:
The aim of the study was to evaluate clinical, radiographic
and histopathologic effects of sodium hypochlorite (NaOCl)
and propolis pulpotomies in primary molars compared to FC
pulpotomy.
Materials & Methods:
One hundred and twenty teeth in 60
systemically healthy children aged 4-7 years were included in the
study. Patients were randomly allocated into two groups, Group
I in which 60 teeth in 30 patients received either 5% NaOCl or
1:5dilution FC using split mouth design and Group II in which 60
teeth in 30 patients received either 100% propolis pulpotomy or
1:5 dilution FC using split mouth design, all teeth were restored
using stainless steel crown. Clinical and radiographic evaluations
were performed at 6 and 12 months. Ten primary molars planned
for extraction due to orthodontic reasons in 10 systemically
healthy children aged 8-10 years, were included for the histologic
part of the study. Patients were randomly allocated into two
groups, Group A where patients received NaOCl puloptomy and
Group B where patients received propolis pulpotomy. All teeth
were restored with glass ionomer, extracted after 2 months, and
prepared for histopathologic evaluation under light microscopy.
Results:
At 6 months, NaOCl showed 100% clinical and
radiographic success rate, while propolis showed 60% and 40%
clinical and radiographic success rate respectively. After 12
months, the clinical and radiographic success rates were 100%
and 85.7% respectively for NaOCl, and 65.5%and 31% for propolis.
Histologically, primary molars treated with sodium hypochlorite
showed dentine bridge formation and organized odontoblastic
layer and propolis samples showed pulp necrosis.
Conclusion:
NaOCl could be used as an alternative to FC
pulpotomy propolis showed unsatisfactory results when used in
pulpotomy of primary teeth.
sarahshafik@hotmail.comDo we still need to use formocresol?
Shafik S M
1
, Abd-Elaziz A M
2
, Faried M M
2
and
Wassel M O
2
1
Beni Suef University, Egypt
2
Ain-Shams University, Egypt
J Dent Craniofac Res 2018, Volume 3
DOI: 10.21767/2576-392X-C3-009