Histological evaluation of electrosurgery and formocresol pulpotomy techniques

Faculty of Dentistry, Alexandria University, Egypt.
The Journal of clinical pediatric dentistry (Impact Factor: 0.35). 02/2001; 26(1):81-5. DOI: 10.17796/jcpd.26.1.w2243176tj661n8p
Source: PubMed


The purpose of this study was to compare pulpal and periapical tissue reactions to electrosurgery versus formocresol pulpotomy techniques in the primary teeth of dogs. The study was conducted on 33 primary teeth of three mongrel dogs between the ages of one to three months. Each dog had three teeth treated by Formocresol Pulpotomy with Mechanical Coronal Pulp Removal (FC), three teeth treated by Electrosurgery Pulpotomy with Mechanical Coronal Pulp Removal (ES/MCPR), three teeth treated by Electrosurgery Pulpotomy with Electrosurgical Coronal Pulp Removal (ES/ECPR), and two teeth serving as untreated Controls. Dogs one, two and three were sacrificed performing the pulpotomies at two, four and six weeks, respectively. The pulp, periapical tissue and after surrounding bone were submitted to histological examination and the histological reaction was recorded. The results were fourteen out of 18 unfavorable and zero out of three favorable histological reactions occurred in the FC treated teeth. Six out of 18 unfavorable and one out of three favorable histological reactions occurred in the ES/MCPR treated teeth. Nine out of 18 unfavorable and two out of three favorable histological reactions occurred in the ES/ECPR treated teeth. One out of 18 unfavorable and zero out of three favorable histological reactions occurred in the untreated Control teeth. The conclusion of this study is that of the three experimental groups, the teeth treated by Electrosurgery Pulpotomy with either Mechanical or Electrosurgical Coronal Pulp Removal exhibited less histopathological reaction than the teeth treated by Formocresol Pulpotomy.

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Available from: Omar El Meligy, Apr 11, 2014
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    • "The main objective of partial pulpotomy is to preserve the pulp vitality so that teeth with immature roots show continued normal root development and apexogenesis. Several materials and techniques have been employed for pulpotomy such as calcium hydroxide,[8910] mineral trioxide aggregate[1112] electrosurgical pulpotomy.[131415] However, none of these ensure 100% success. "
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    ABSTRACT: Traumatic injuries occur commonly in children and adolescents and the prevalence of such injuries has increased over the last decade. Such injuries may result in pulpal exposure, which can endanger tooth vitality. Therefore, the treatment for such injuries should be carefully planned so as to preserve the pulp vitality. Teeth with immature roots pose a great challenge for the clinician and procedures like pulpotomy may prove effective as a treatment strategy. Such procedure may ensure continued root development and apexogenesis. Lasers have varied applications in the dental practice such as oral surgical procedures, cavity preparation, disinfection etc. This article is a case report on the use of diode laser for pulpotomy in a young permanent tooth with traumatically exposed pulp in an 8-year-old male.
    Full-text · Article · Apr 2014
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    • "In addition, it is a fast technique with no systemic effects (Ruemping et al. 1983; El-Meligy et al. 2001; Rivera et al. 2003). Considering the high clinical and radiographic success rates of electrosurgical pulpotomy compared to formocresol (Jabbarifar et al. 2004; Sonmez et al. 2008), its facility and fast action (El-Meligy et al. 2001; Rivera et al. 2003 ), cleanliness of working environment , absence of contamination (Ruemping et al. 1983; Bahrololoomi et al. 2008), lack of local and general harmful effects (Jabbarifar et al. 2004; Srinivasan et al. 2006; Fuks 2008), and absence of any difficulties1 A flowchart of participants in the trial. Asterisk failure cases excluded from the trial. "
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    ABSTRACT: 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). 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. 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. The results of this investigation show that the treatment success rate with CEM cement was similar to the electrosurgical pulpotomy.
    Full-text · Article · Jan 2014 · European Archives of Paediatric Dentistry. Official Journal of the European Academy of Paediatric Dentistry.
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    ABSTRACT: The aim of this study was to use clinical, radiographic, and histologic examinations to compare the relative success of gray mineral trioxide aggregate (MTA), white MTA, and formocresol as pulp dressings in pulpotomized primary teeth. Twenty-four children, each with at least 3 primary molars requiring pulpotomy, were selected for this study's clinical and radiographic portion. An additional 15 carious primary teeth planned for serial extraction were selected for this study's histologic portion. All selected teeth were evenly divided into 3 test groups and treated with pulpotomies. Gray MTA was used as the pulp dressing for one third of the teeth, white MTA was the dressing for one third, and the remaining one third were treated with formocresol. The treated teeth selected for the clinical and radiographic evaluations were monitored periodically for 12 months. The treated teeth selected for histologic study were monitored periodically and extracted 6 months postoperatively. Four children with 12 pulpotomized teeth failed to return for any follow-up evaluations in the clinical and radiographic study. Of the remaining 60 teeth in 20 patients, 1 tooth (gray MTA) exfoliated normally and 6 teeth (4 white MTA and 2 formocresol) failed due to abscesses. The remaining 53 teeth appeared to be clinically and radiographically successful 12 months postoperatively. Pulp canal obliteration was a radiographic finding in 11 teeth treated with gray MTA and 1 tooth treated with white MTA. In the histologic study, both types of MTA successfully induced thick dentin bridge formation at the amputation sites, while formocresol induced thin, poorly calcified dentin. Teeth treated with gray MTA demonstrated pulp architecture nearest to normal pulp by preserving the odontoblastic layer and delicate fibrocellular matrix, yet few inflammatory cells or isolated calcified bodies were seen. Teeth treated with white MTA showed a denser fibrotic pattern, with more isolated calcifications in the pulp tissue along with secondary dentin formation. Gray MTA appears to be superior to white MTA and formocresol as a pulp dressing for pulpotomized primary teeth.
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