Two-year outcomes of electrosurgery and calcium-enriched mixture pulpotomy in primary teeth: a randomised clinical trial

Aim The purpose of this prospective split-mouth, randomised clinical trial was to assess the clinical and radiographic success rate of pulpotomy in primary molars using calcium-enriched mixture (CEM) cement or placement of zinc oxide eugenol after electrosurgery (ES/ZOE). Methods Pulpotomy was perfo...

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Veröffentlicht in:European archives of paediatric dentistry 2014-08, Vol.15 (4), p.223-228
Hauptverfasser: Khorakian, F., Mazhari, F., Asgary, S., Sahebnasagh, M., Alizadeh Kaseb, A., Movahhed, T., Sarraf Shirazi, A. R.
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container_end_page 228
container_issue 4
container_start_page 223
container_title European archives of paediatric dentistry
container_volume 15
creator Khorakian, F.
Mazhari, F.
Asgary, S.
Sahebnasagh, M.
Alizadeh Kaseb, A.
Movahhed, T.
Sarraf Shirazi, A. R.
description Aim The purpose of this prospective split-mouth, randomised clinical trial was to assess the clinical and radiographic success rate of pulpotomy in primary molars using calcium-enriched mixture (CEM) cement or placement of zinc oxide eugenol after electrosurgery (ES/ZOE). Methods Pulpotomy was performed for 102 primary second molars in 51 children aged between 4 and 6 years. Considering a split-mouth design, for each patient the right and left second primary molars randomly underwent pulpotomy using CEM cement or ES/ZOE. All teeth were restored using preformed metal crowns. Following pulpotomy procedure, teeth were blindly evaluated for clinical and radiographic success after 6, 12 and 24 months. McNemar test and SPSS 16 software were used for the statistical analysis. Results After 24 months, clinical success rates were 100 % in both groups, however, radiographic success rates of ES/ZOE and CEM were calculated as 95.2 and 90 %, respectively, with no significant difference ( p  = 0.625). The most common radiographic sign of failure was internal resorption. Conclusion The results of this investigation show that the treatment success rate with CEM cement was similar to the electrosurgical pulpotomy.
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Results After 24 months, clinical success rates were 100 % in both groups, however, radiographic success rates of ES/ZOE and CEM were calculated as 95.2 and 90 %, respectively, with no significant difference ( p  = 0.625). The most common radiographic sign of failure was internal resorption. Conclusion The results of this investigation show that the treatment success rate with CEM cement was similar to the electrosurgical pulpotomy.</description><identifier>ISSN: 1818-6300</identifier><identifier>EISSN: 1996-9805</identifier><identifier>DOI: 10.1007/s40368-013-0102-z</identifier><identifier>PMID: 24435546</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Calcium ; Calcium Compounds - therapeutic use ; Cement ; Child ; Child, Preschool ; Clinical trials ; Dental Caries - therapy ; Dental cement ; Dental Cements - therapeutic use ; Dental Pulp Exposure - therapy ; Dentistry ; Drug Combinations ; Electrocoagulation - methods ; Electrosurgery - methods ; Follow-Up Studies ; Humans ; Medicine ; Mixtures ; Molar - diagnostic imaging ; Molar - surgery ; Original Scientific Article ; Oxides ; Patients ; Pediatrics ; Phosphorus Compounds ; Prospective Studies ; Pulpotomy - methods ; Root Resorption - diagnostic imaging ; Silicates ; Statistical analysis ; Success ; Teeth ; Tooth, Deciduous - diagnostic imaging ; Tooth, Deciduous - surgery ; Treatment Outcome ; Zinc oxide ; Zinc Oxide-Eugenol Cement - therapeutic use ; Zinc oxides</subject><ispartof>European archives of paediatric dentistry, 2014-08, Vol.15 (4), p.223-228</ispartof><rights>European Academy of Paediatric Dentistry 2013</rights><rights>European Academy of Paediatric Dentistry 2013.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-692af7bebf9ec68bbd866cf9cdc00438d6c071919392911bac5b4f7ac710d7bd3</citedby><cites>FETCH-LOGICAL-c372t-692af7bebf9ec68bbd866cf9cdc00438d6c071919392911bac5b4f7ac710d7bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40368-013-0102-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932510484?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,21375,21376,27911,27912,33517,33518,33731,33732,41475,42544,43646,43792,51306,64370,64372,64374,72224</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24435546$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khorakian, F.</creatorcontrib><creatorcontrib>Mazhari, F.</creatorcontrib><creatorcontrib>Asgary, S.</creatorcontrib><creatorcontrib>Sahebnasagh, M.</creatorcontrib><creatorcontrib>Alizadeh Kaseb, A.</creatorcontrib><creatorcontrib>Movahhed, T.</creatorcontrib><creatorcontrib>Sarraf Shirazi, A. R.</creatorcontrib><title>Two-year outcomes of electrosurgery and calcium-enriched mixture pulpotomy in primary teeth: a randomised clinical trial</title><title>European archives of paediatric dentistry</title><addtitle>Eur Arch Paediatr Dent</addtitle><addtitle>Eur Arch Paediatr Dent</addtitle><description>Aim The purpose of this prospective split-mouth, randomised clinical trial was to assess the clinical and radiographic success rate of pulpotomy in primary molars using calcium-enriched mixture (CEM) cement or placement of zinc oxide eugenol after electrosurgery (ES/ZOE). Methods Pulpotomy was performed for 102 primary second molars in 51 children aged between 4 and 6 years. Considering a split-mouth design, for each patient the right and left second primary molars randomly underwent pulpotomy using CEM cement or ES/ZOE. All teeth were restored using preformed metal crowns. Following pulpotomy procedure, teeth were blindly evaluated for clinical and radiographic success after 6, 12 and 24 months. McNemar test and SPSS 16 software were used for the statistical analysis. Results After 24 months, clinical success rates were 100 % in both groups, however, radiographic success rates of ES/ZOE and CEM were calculated as 95.2 and 90 %, respectively, with no significant difference ( p  = 0.625). The most common radiographic sign of failure was internal resorption. 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R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two-year outcomes of electrosurgery and calcium-enriched mixture pulpotomy in primary teeth: a randomised clinical trial</atitle><jtitle>European archives of paediatric dentistry</jtitle><stitle>Eur Arch Paediatr Dent</stitle><addtitle>Eur Arch Paediatr Dent</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>15</volume><issue>4</issue><spage>223</spage><epage>228</epage><pages>223-228</pages><issn>1818-6300</issn><eissn>1996-9805</eissn><abstract>Aim The purpose of this prospective split-mouth, randomised clinical trial was to assess the clinical and radiographic success rate of pulpotomy in primary molars using calcium-enriched mixture (CEM) cement or placement of zinc oxide eugenol after electrosurgery (ES/ZOE). Methods Pulpotomy was performed for 102 primary second molars in 51 children aged between 4 and 6 years. Considering a split-mouth design, for each patient the right and left second primary molars randomly underwent pulpotomy using CEM cement or ES/ZOE. All teeth were restored using preformed metal crowns. Following pulpotomy procedure, teeth were blindly evaluated for clinical and radiographic success after 6, 12 and 24 months. McNemar test and SPSS 16 software were used for the statistical analysis. Results After 24 months, clinical success rates were 100 % in both groups, however, radiographic success rates of ES/ZOE and CEM were calculated as 95.2 and 90 %, respectively, with no significant difference ( p  = 0.625). The most common radiographic sign of failure was internal resorption. Conclusion The results of this investigation show that the treatment success rate with CEM cement was similar to the electrosurgical pulpotomy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24435546</pmid><doi>10.1007/s40368-013-0102-z</doi><tpages>6</tpages></addata></record>
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identifier ISSN: 1818-6300
ispartof European archives of paediatric dentistry, 2014-08, Vol.15 (4), p.223-228
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1996-9805
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subjects Calcium
Calcium Compounds - therapeutic use
Cement
Child
Child, Preschool
Clinical trials
Dental Caries - therapy
Dental cement
Dental Cements - therapeutic use
Dental Pulp Exposure - therapy
Dentistry
Drug Combinations
Electrocoagulation - methods
Electrosurgery - methods
Follow-Up Studies
Humans
Medicine
Mixtures
Molar - diagnostic imaging
Molar - surgery
Original Scientific Article
Oxides
Patients
Pediatrics
Phosphorus Compounds
Prospective Studies
Pulpotomy - methods
Root Resorption - diagnostic imaging
Silicates
Statistical analysis
Success
Teeth
Tooth, Deciduous - diagnostic imaging
Tooth, Deciduous - surgery
Treatment Outcome
Zinc oxide
Zinc Oxide-Eugenol Cement - therapeutic use
Zinc oxides
title Two-year outcomes of electrosurgery and calcium-enriched mixture pulpotomy in primary teeth: a randomised clinical trial
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