Volume 10, Issue 2 (8-2015)                   ijpd 2015, 10(2): 96-106 | Back to browse issues page


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Abstract:   (5816 Views)

Introduction: Maintaining the integrity of the dental arch in the primary and mixed dentition is important for establishing occlusion and function in the permanent dentition. The primary reasons for premature loss of teeth in children are either dental caries or trauma. Proximity of caries or trauma to pulp tissue may lead to pulpitis or even pulp necrosis.. This review article presents the pulp therapy techniques commonly used in pediatric dentistry, their indications and the common therapeutic agents.
Method &Material: A search through PubMed, Google, Scopus and Medline during 1984-2013, a total of 42 original research papers with key words such as pulp therapy, primary teeth, and immature permanent teeth and pediatric was performed. Furthermore, references books were used.
Results &Conclusion: It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes. Whenever possible, dental treatment should attempt to maintain pulp vitality, particularly in immature permanent teeth. Pulp vitality leads to development of a favorable crown-root ratio, apical closure and formation of secondary dentin.

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Type of Article: Research Article | Subject: General
Received: 2016/07/29 | Accepted: 2016/07/29 | Published: 2016/07/29

References
1. Ritwik P.A review of pulp therapy for primary and immature permanent teeth.CDA Journal 2013; 41(8):585-95.
2. Fuks AB. Pulp therapy for the primary dentition. In: Pinkham JR, Casamassimo PS, Fields HW Jr., McTigue DJ, Nowak A, eds. Pediatric Dentistry: Infancy Through Adolescence. 5th ed. St. Louis, Mo: Elsevier Saunders Co; 2013:331-51.
3. James JE, Kenneth SJ, Ghaeth YH. Management of trauma to the teeth and supporting tissues. In: Dean JA, Avery DR, McDonald RE, eds. McDonald and Avery's Dentistry for the Child and Adolescent. 10th ed. St Louis, Mo: Mosby Elsevier Inc; 2016:563-602.
4. Petrou MA, Alhamoui FA, Welk A, Altarabulsi MB, Alkilzy M, Splieth CH. A randomized clinical trial on the use of medical Portland cement, MTA and calcium hydroxide in indirect pulp treatment. Clin Oral Investig. 2014;18(5):1383-9. [DOI:10.1007/s00784-013-1107-z]
5. Casagrande L, Bento LW, Dalpian DM, Garcia-Godoy F, de Araujo FB. Indirect pulp treatment in primary teeth: 4-year results. Am J Dent. 2010;23(1):34-8.
6. Arizos S, Kotsanos N. Evaluation of a resin modified glass ionomer serving both as indirect pulp therapy and as restorative material for primary molars. Eur Arch Paediatr Dent 2011;12(3):170-5. [DOI:10.1007/BF03262801]
7. Gruythuysen RJ, van Strijp AJ, Wu MK. Long-term survival of indirect pulp treatment performed in primary and permanent teeth with clinically diagnosed deep carious lesions. J Endod 2010;36(9):1490-3. [DOI:10.1016/j.joen.2010.06.006]
8. Ranly DM, Garcia-Godoy F. Current and potential pulp therapies for primary and young permanent teeth, J Dent 2000; 28:153-61. [DOI:10.1016/S0300-5712(99)00065-2]
9. Coll JA, Josell S, Nassof S, Shelton P, Richards MA. An evaluation of pulpal therapy in primary incisors. Pediatr Dent 1988; 10:178-84.
10. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Pediatr Dent2000; 22:278-86.
11. Al-Zayer MA, Straff on LH, Feigal RJ, Welch KB. Indirect pulptreatment of primary posterior teeth: a retrospective study.Pediatr Dent 2003; 25:29-36.
12. Vij R, Coll JA, Shelton P, Farooq NS. Caries control and othervariables associated with success of primary molar vital pulptherapy. Pediatr Dent 2004;26:214-20.
13. Thompson V, Craig RG, Curro FA, Green WS, Ship JA. Treatment of deep carious lesions by complete excavation or partial removal: a critical review. J Am Dent Assoc 2008; 139(6):705-12.15.
14. Agamy HA, Bakry NS, Mounir MM, Avery DR. Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth. Pediatr Dent 2004; 26(4):302-9.
15. Kopel HM. The pulp capping procedure in primary teeth "revisited". ASDC J Dent Child 1997; 64(5):327-33.
16. Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physiochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005 ;3:97-100. [DOI:10.1097/01.DON.0000133155.04468.41]
17. Whitherspoon DE. Vital pulp therapy with new materials:New directions and treatment perspectives- permanent teeth.J Endod 2000;.34:S25-8.
18. Parirokh M, Ttorabinejad M. Mineral trioxide aggregate: acomprehensive literature review- part III: Clinical applications,Drawbacks and mechanism of action. J Endod 2010;36:400-13. [DOI:10.1016/j.joen.2009.09.009]
19. Salako N, Joseph B, Ritwik P, Salonen, John P, Junaid TA.Comparison of bioactive glass, mineral trioxide aggregate,ferric sulphate and formocresol as pulpotomy agents in ratmolar. Dent Traumatol 2003;19:314-20. [DOI:10.1046/j.1600-9657.2003.00204.x]
20. Fuks A, Bielak S, Chosak A. Clinical and radiographicassessment of direct pulp capping and pulpotomy in youngpermanent teeth. Pediatr Dent 1982;4:240-4.
21. Bogen G. Direct pulp capping with mineral trioxide aggregate:an observational study. J Am Dent Assoc 2008;139:305-15. [DOI:10.14219/jada.archive.2008.0160]
22. Dean JA, Mack RB, Fulkerson BT, Sanders BJ. Comparison of electrosurgical and formocresol pulpotomy procedures in children. Int J Paediatr Dent 2002; 12(3):177-82. [DOI:10.1046/j.1365-263X.2002.00355.x]
23. Liu JF, Chen LR, Chao SY. Laser pulpotomy of primary teeth. Pediatr Dent 1999;21(2):128-9.
24. Lewis B. The obsolescence of formocresol. Br Dent J 2009; 207(11):525-8. [DOI:10.1038/sj.bdj.2009.1103]
25. Fuks AB, Bimstein E, Guelmann M, Klein H. Assessment of a 2 percent buffered glutaraldehyde solution in pulpotomized primary teeth of schoolchildren. ASDC J Dent Child 1990; 57(5):371-5.
26. Ibricevic H, Al-Jame Q. Ferric sulphate and formocresol in pulpotomy of primary molars: long term follow-up study. Eur J Paediatr Dent 2003; 4(1):28-32.
27. Markovic D, Zivojinovic V, Vucetic M. Evaluation of three pulpotomy medicaments in primary teeth. Eur J Paediatr Dent 2005;6(3):133-8.
28. Simancas-Pallares MA, Diaz-Caballero AJ, Luna-Ricardo LM. Mineral trioxide aggregate in primary teeth pulpotomy. A systematic literature review. Med Oral Patol Oral Cir Bucal. 2010; 15(6):e942-6. [DOI:10.4317/medoral.15.e942]
29. Fadavi S, Anderson AW. A comparison of the pulpal response to freeze-dried bone, calcium hydroxide, and zinc oxide-eugenol in primary teeth in two cynomolgus monkeys. Pediatr Dent 1996;18(1):52-6.
30. Nakashima M. Induction of dentin formation on canine amputated pulp by recombinant human bone morphogenetic proteins (BMP)-2 and -4. J Dent Res 1994; 73(9):1515-22. [DOI:10.1177/00220345940730090601]
31. Rutherford RB, Wahle J, Tucker M, Rueger D, Charette M. Induction of reparative dentine formation in monkeys by recombinant human osteogenic protein-1. Arch Oral Biol 1993;38(7):571-6. [DOI:10.1016/0003-9969(93)90121-2]
32. Vargas KG, Packham B, Lowman D. Preliminary evaluation of sodium hypochlorite for pulpotomies in primary molars. Pediatr Dent 2006; 28(6):511-7.
33. Asgary S, Ahmadyar M. Vital pulp therapy using calcium enriched mixture: An evidence-based review. J Conserv Dent 2013; 16(2):92-8. [DOI:10.4103/0972-0707.108173]
34. Fuks AB, Michaeli Y, Sofer-Saks B, Shoshan S. Enriched collagen solution as a pulp dressing in pulpotomized teeth in monkeys. Pediatr Dent 1984; 6(4):243-7.
35. Vargas KG, Packham B. Radiographic success of ferric sulfate and formocresol pulpotomies in relation to early exfoliation. Pediatr Dent2005; 27:233-7.
36. Morawa A, Straff on LH, Han SS, Corpron RE. Clinical evaluation of pulpotomies using diluted formocresol. J Dent Child 1975; 42:360-3.
37. Fei AL, Udin RD, Johnson R. A clinical study of ferric sulfate as a pulpotomy agent in primary teeth. Pediatr Dent 1991;13:327-32.
38. Erdem AP, Guven Y, Balli B, et al. Success rates of mineral trioxide aggregate, ferric sulfate, and formocresol pulpotomies : a 24-month study. Pediatr Dent2011; 33:165-70.
39. Holan G, Eidelman E, Fuks AB. Long-term evaluation ofpulpotomy in primary molars using mineral trioxide aggregateor formocresol. Pediatr Dent 2005;27:129-36.
40. Vostatek SF, Kanellis MJ, Weber-Gasparoni K, GregorsokRL. Sodium hypochlorite pulpotomies in primary teeth: Aretrospective assessment. Pediatr Dent 2011; 33:327-32.
41. Elliott RD, Roberts MW, Burkes J, Philips C. Evaluation ofthe carbon dioxide laser on vital human primary pulp tissue.Pediatr Dent 1999;21:327-31.
42. Odabas ME, Bodur H, Baris E. Clinical, radiographic and histopathologic evaluation of Nd:YAG laser pulpotomy on human primary teeth. J Endod 2007; 33:415-21. [DOI:10.1016/j.joen.2006.12.013]
43. Lo EC, Holmgren CJ, Hu D, Van Palenstein Helderman W. Six-year follow up of atraumatic restorative treatment restorations placed in Chinese school children. Community Dent Oral Epidemiol 2007; 35(5):387-92. [DOI:10.1111/j.1600-0528.2006.00342.x]
44. Siqueira JF Jr, Rôças IN, Paiva SS, Guimarães-Pinto T, Magalhaes KM, Lima KC. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104(1):122-30. [DOI:10.1016/j.tripleo.2007.01.027]
45. Ercan E, Ozekinci T, Atakul F, Gül K. Antibacterial activity of 2% chlorhexidine gluconate and 5.25% sodium hypochlorite in infected root canal: in vivo study. J Endod 2004; 30(2):84-7. [DOI:10.1097/00004770-200402000-00005]
46. Casas MJ, Kenny DJ, Johnston DH, Judd PL. Long-term outcomes of primary molar ferric sulfate pulpotomy and root canal therapy. Pediatr Dent 2004; 26(1):44-8.
47. Holan G, Fuks AB. A comparison of pulpectomies using ZOE and KRI paste in primary molars: A retrospective study. Pediatr Dent 1993; 15(6):403-7.
48. Ozalp N, Saroğlu, I, Sönmez H. Evaluation of various root canal filling materials in primary molar pulpectomies: An in vivo study. Am J Dent 2005; 18(6):347-50.
49. Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent 1996; 18:57-63.
50. Barr ES, Flaitz CM, Hicks MJ. A retrospective radiographic evaluation of primary molar pulpectomies. Pediatr Dent 1991;13:4-9.
51. Mortazavi M, Mesbahi M. Comparison of zinc oxide and eugenol, and Vitapex for root canal treatment of necrotic primary teeth. Int J Paediatr Dent2004; 14:417-24. [DOI:10.1111/j.1365-263X.2004.00544.x]
52. Nurko C, Ranly DM, Garcia-Godoy F, Lakshmyya KN. Resorption of a calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth: a case report. Pediatr Dent 2000; 22:517-20.
53. Blanco L, Cohen S. Treatment of crown fractures with ex-posed pulps. J Calif Dent Assoc 2002; 30(6):419-25.
54. Waterhouse PJ, Whitworth JM. Pediatric endodontics: Endodontic treatment for the primary and young permanent dentition. In: Cohen S, Hargreaves KM, Berman LH, Rotstein I, eds. Pathways of the Pulp. 11th ed. St. Louis, Mo: Mosby Elsevier; 2016:e1-e44.
55. Chacko V, Kurikose S. Human pulpal response to mineral trioxide aggregate (MTA): A histological study. J Clin Pediatr Dent 2006; 30(3):203-10. [DOI:10.17796/jcpd.30.3.38h13g5p84651652]
56. Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: An observational study. J Am Dent Assoc 2008; 139(3):305-15. [DOI:10.14219/jada.archive.2008.0160]
57. Ferris DM, Baumgartner JC. Perforation repair comparing two types of mineral trioxide aggregate. J Endod 2004; 30(6):422-4. [DOI:10.1097/00004770-200406000-00011]
58. Weiner RS, Weiner LK, Kugel G. Teaching the use of bases and liners: A survey of North American dental schools. J Am Dent Assoc 1996; 127(11):1640-5. [DOI:10.14219/jada.archive.1996.0100]
59. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25(3):197-205. [DOI:10.1016/S0099-2399(99)80142-3]
60. Patino MG, Neiders ME, Andreana S, Noble B, Cohen RE. Collagen as an implantable material in medicine and dentistry. J Oral Implantol 2002; 28(5):220-5. https://doi.org/10.1563/1548-1336(2002)028<0220:CAAIMI>2.3.CO;2 [DOI:10.1563/1548-1336(2002)0282.3.CO;2]
61. Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. J Endod 1998; 24(4):256-9. [DOI:10.1016/S0099-2399(98)80108-8]
62. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatr Dent 2007; 29:47-50.
63. Trope M. Treatment of immature tooth with a non-vital pulpand apical periodontitis. Dent Clin N Am 2010;54:314-24. [DOI:10.1016/j.cden.2009.12.006]
64. Jung I, Lee S, Hargreaves KM. Biologically based treatmentof immature permanent teeth with pulpal necrosis: a caseseries, J Endod 2008;34:876-87. [DOI:10.1016/j.joen.2008.03.023]

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