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Peter Judd - One of the best experts on this subject based on the ideXlab platform.
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comparison of ferric sulfate combined mineral trioxide aggregate Pulpotomy and zinc oxide eugenol pulpectomy of primary maxillary incisors an 18 month randomized controlled trial
Pediatric Dentistry, 2017Co-Authors: Trang D Nguyen, Peter Judd, Edward J Barrett, Nicole Sidhu, Michael J CasasAbstract:Purpose The purpose of this study was to compare outcomes and survival of ferric sulfate with mineral trioxide aggregate (FS+MTA) Pulpotomy and root canal therapy (RCT) in carious vital primary maxillary incisors. Methods In this parallel group noninferiority trial, asymptomatic carious vital primary incisors with pulp exposure in healthy 18- to 46-month-olds were allocated randomly to receive FS+MTA Pulpotomy or RCT between September 2010 and September 2012. Each incisor was classified into one of the following radiographic outcomes: N (incisor without pathologic change); Po (pathologic change present, follow-up recommended); Px (pathologic change present, extract.) Clinical findings and incisor survival were secondary outcomes. Results Seventy subjects were enrolled with a total of 172 incisors. Twelve- and 18-month radiographic outcomes demonstrated no statistical difference between FS+MTA Pulpotomy and RCT incisors for Px outcomes (P=0.38; odds ratio equals 0.60; 95 percent confidence interval equals 0.19 to 1.89; chi-square test). There was no statistical differences in clinical outcomes for FS+MTA Pulpotomy and RCT at 12 and 18 months (P=0.51; Fisher's exact test) or survival for FS+MTA Pulpotomy and RCT incisors (P=0.11; log-rank test). Conclusions Ferric Sulfate with Mineral Trioxide Aggregate (FS+MTA) is an alternative to RCT for vital primary incisors.
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Mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy.
Pediatric dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P
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mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy
Pediatric Dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P<.001, chi-square test) or FS/MTA (P=.002, chi-square test) molars. Significantly lower survival was demonstrated for eugenol-free FS molars compared to MTA molars (P=.02, log-rank test) over 6 to 38 months. CONCLUSIONS Outcomes for mineral trioxide aggregate Pulpotomy were superior to ferric sulfate and eugenol-free ferric sulfate Pulpotomy after a median follow-up of 2 years.
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Outcomes of vital primary incisor ferric sulfate Pulpotomy and root canal therapy.
Journal (Canadian Dental Association), 2004Co-Authors: Michael J Casas, David J. Kenny, Peter Judd, Douglas H. Johnston, Michael A. LayugAbstract:Purpose: To compare ferric sulfate (FS) Pulpotomy and primary tooth root canal therapy (RCT) in cariously exposed vital pulps of primary incisors. Methods: A total of 133 incisors in 50 children were randomly selected to be treated by FS Pulpotomy (64) or RCT (69). Results: Two years after treatment, 77 incisors (41 FS Pulpotomy, 36 RCT) were available for clinical and radiographic examination. There was no clinical evidence of pathosis in 78% of FS Pulpotomy-treated and 100% of RCT-treated incisors. Two independent pediatric dentists evaluated periapical radiographs of the treated incisors. Incisors were classified into 1 of 4 treatment outcomes: N, normal treated incisor; H, nonpathologic radiographic change present; PO, pathologic change present, but not requiring immediate extraction; PX, pathologic change present, extract immediately. Survival analysis was applied. A moderate level of agreement between raters was found for incisors with outcome PX (K = 0.54). Intra-rater reliability was substantial for incisors with outcome PX (K = 0.61). No difference was demonstrated in the proportion of FS Pulpotomy- and RCT-treated incisors rated PX at the 2-year recall (� 2 = 0.6). RCT incisors demonstrated a significantly higher survival rate than FS Pulpotomy incisors at 2 years (p = 0.04). Conclusions: Treatment outcomes for RCT incisors were not significantly different from FS Pulpotomy-treated incisors at 2 years; however, at 2 years the survival rate of RCT incisors was statistically greater than that of FS Pulpotomy-treated incisors.
Michael J Casas - One of the best experts on this subject based on the ideXlab platform.
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comparison of ferric sulfate combined mineral trioxide aggregate Pulpotomy and zinc oxide eugenol pulpectomy of primary maxillary incisors an 18 month randomized controlled trial
Pediatric Dentistry, 2017Co-Authors: Trang D Nguyen, Peter Judd, Edward J Barrett, Nicole Sidhu, Michael J CasasAbstract:Purpose The purpose of this study was to compare outcomes and survival of ferric sulfate with mineral trioxide aggregate (FS+MTA) Pulpotomy and root canal therapy (RCT) in carious vital primary maxillary incisors. Methods In this parallel group noninferiority trial, asymptomatic carious vital primary incisors with pulp exposure in healthy 18- to 46-month-olds were allocated randomly to receive FS+MTA Pulpotomy or RCT between September 2010 and September 2012. Each incisor was classified into one of the following radiographic outcomes: N (incisor without pathologic change); Po (pathologic change present, follow-up recommended); Px (pathologic change present, extract.) Clinical findings and incisor survival were secondary outcomes. Results Seventy subjects were enrolled with a total of 172 incisors. Twelve- and 18-month radiographic outcomes demonstrated no statistical difference between FS+MTA Pulpotomy and RCT incisors for Px outcomes (P=0.38; odds ratio equals 0.60; 95 percent confidence interval equals 0.19 to 1.89; chi-square test). There was no statistical differences in clinical outcomes for FS+MTA Pulpotomy and RCT at 12 and 18 months (P=0.51; Fisher's exact test) or survival for FS+MTA Pulpotomy and RCT incisors (P=0.11; log-rank test). Conclusions Ferric Sulfate with Mineral Trioxide Aggregate (FS+MTA) is an alternative to RCT for vital primary incisors.
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Mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy.
Pediatric dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P
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mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy
Pediatric Dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P<.001, chi-square test) or FS/MTA (P=.002, chi-square test) molars. Significantly lower survival was demonstrated for eugenol-free FS molars compared to MTA molars (P=.02, log-rank test) over 6 to 38 months. CONCLUSIONS Outcomes for mineral trioxide aggregate Pulpotomy were superior to ferric sulfate and eugenol-free ferric sulfate Pulpotomy after a median follow-up of 2 years.
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Outcomes of vital primary incisor ferric sulfate Pulpotomy and root canal therapy.
Journal (Canadian Dental Association), 2004Co-Authors: Michael J Casas, David J. Kenny, Peter Judd, Douglas H. Johnston, Michael A. LayugAbstract:Purpose: To compare ferric sulfate (FS) Pulpotomy and primary tooth root canal therapy (RCT) in cariously exposed vital pulps of primary incisors. Methods: A total of 133 incisors in 50 children were randomly selected to be treated by FS Pulpotomy (64) or RCT (69). Results: Two years after treatment, 77 incisors (41 FS Pulpotomy, 36 RCT) were available for clinical and radiographic examination. There was no clinical evidence of pathosis in 78% of FS Pulpotomy-treated and 100% of RCT-treated incisors. Two independent pediatric dentists evaluated periapical radiographs of the treated incisors. Incisors were classified into 1 of 4 treatment outcomes: N, normal treated incisor; H, nonpathologic radiographic change present; PO, pathologic change present, but not requiring immediate extraction; PX, pathologic change present, extract immediately. Survival analysis was applied. A moderate level of agreement between raters was found for incisors with outcome PX (K = 0.54). Intra-rater reliability was substantial for incisors with outcome PX (K = 0.61). No difference was demonstrated in the proportion of FS Pulpotomy- and RCT-treated incisors rated PX at the 2-year recall (� 2 = 0.6). RCT incisors demonstrated a significantly higher survival rate than FS Pulpotomy incisors at 2 years (p = 0.04). Conclusions: Treatment outcomes for RCT incisors were not significantly different from FS Pulpotomy-treated incisors at 2 years; however, at 2 years the survival rate of RCT incisors was statistically greater than that of FS Pulpotomy-treated incisors.
Tracy L Doyle - One of the best experts on this subject based on the ideXlab platform.
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Mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy.
Pediatric dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P
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mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy
Pediatric Dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P<.001, chi-square test) or FS/MTA (P=.002, chi-square test) molars. Significantly lower survival was demonstrated for eugenol-free FS molars compared to MTA molars (P=.02, log-rank test) over 6 to 38 months. CONCLUSIONS Outcomes for mineral trioxide aggregate Pulpotomy were superior to ferric sulfate and eugenol-free ferric sulfate Pulpotomy after a median follow-up of 2 years.
David J. Kenny - One of the best experts on this subject based on the ideXlab platform.
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Mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy.
Pediatric dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P
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mineral trioxide aggregate produces superior outcomes in vital primary molar Pulpotomy
Pediatric Dentistry, 2010Co-Authors: Tracy L Doyle, Michael J Casas, David J. Kenny, Peter JuddAbstract:PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar Pulpotomy when there is no direct contact between eugenol and the vital pulp. Four Pulpotomy techniques were compared: (1) ferric sulfate (FS) Pulpotomy; (2) eugenol-free FS Pulpotomy; (3) mineral trioxide aggregate (MTA) Pulpotomy; and (4) FS/MTA Pulpotomy. METHODS The Pulpotomy technique assigned to each molar was determined by random selection. Two blinded, disinterested raters classified each molar into 1 of 3 radiographic outcomes: (1) N=normal molar without pathologic change; (2) Po=pathologic change present, follow-up recommended; (3) Px=pathologic change present, extract. RESULTS A total of 92 patients with 227 Pulpotomy-treated molars returned for at least 1 recall examination. Median follow-up for molars was 24 months (range=12-38 months). MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars (P=.002, chi-square test). Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA (P<.001, chi-square test) or FS/MTA (P=.002, chi-square test) molars. Significantly lower survival was demonstrated for eugenol-free FS molars compared to MTA molars (P=.02, log-rank test) over 6 to 38 months. CONCLUSIONS Outcomes for mineral trioxide aggregate Pulpotomy were superior to ferric sulfate and eugenol-free ferric sulfate Pulpotomy after a median follow-up of 2 years.
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Outcomes of vital primary incisor ferric sulfate Pulpotomy and root canal therapy.
Journal (Canadian Dental Association), 2004Co-Authors: Michael J Casas, David J. Kenny, Peter Judd, Douglas H. Johnston, Michael A. LayugAbstract:Purpose: To compare ferric sulfate (FS) Pulpotomy and primary tooth root canal therapy (RCT) in cariously exposed vital pulps of primary incisors. Methods: A total of 133 incisors in 50 children were randomly selected to be treated by FS Pulpotomy (64) or RCT (69). Results: Two years after treatment, 77 incisors (41 FS Pulpotomy, 36 RCT) were available for clinical and radiographic examination. There was no clinical evidence of pathosis in 78% of FS Pulpotomy-treated and 100% of RCT-treated incisors. Two independent pediatric dentists evaluated periapical radiographs of the treated incisors. Incisors were classified into 1 of 4 treatment outcomes: N, normal treated incisor; H, nonpathologic radiographic change present; PO, pathologic change present, but not requiring immediate extraction; PX, pathologic change present, extract immediately. Survival analysis was applied. A moderate level of agreement between raters was found for incisors with outcome PX (K = 0.54). Intra-rater reliability was substantial for incisors with outcome PX (K = 0.61). No difference was demonstrated in the proportion of FS Pulpotomy- and RCT-treated incisors rated PX at the 2-year recall (� 2 = 0.6). RCT incisors demonstrated a significantly higher survival rate than FS Pulpotomy incisors at 2 years (p = 0.04). Conclusions: Treatment outcomes for RCT incisors were not significantly different from FS Pulpotomy-treated incisors at 2 years; however, at 2 years the survival rate of RCT incisors was statistically greater than that of FS Pulpotomy-treated incisors.
Jengfen Liu - One of the best experts on this subject based on the ideXlab platform.
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Outcome comparison between diode laser Pulpotomy and formocresol Pulpotomy on human primary molars
Journal of dental sciences, 2020Co-Authors: Shan-li Pei, Wen-yu Shih, Jengfen LiuAbstract:Abstract Background/purpose Diode laser is widely used in dentistry, especially on treating soft tissues. Currently neither the effect of diode laser Pulpotomy nor its comparison with formocresol (FC) Pulpotomy has been fully investigated. Therefore the purpose of this study was to investigate the clinical and radiographic outcomes of diode laser Pulpotomy and formocresol Pulpotomy on human primary molars. Materials and methods Healthy two-to eight-year-olds were treated with pulpotomies on primary molars as part of their regular dental treatment. The Pulpotomy teeth were randomly assigned into one of two groups. The experimental group was treated with diode laser; the control group was treated with 1:5 dilution FC. Results Forty-five teeth with diode laser and 45 teeth with FC in 70 healthy children were studied. In 12 months follow-up, the clinical success rates were 92.9%, and 90.9% for laser and FC respectively, and the radiographic success rates were 78.6%, and 72.7% for laser and FC respectively. Conclusion: There is no significant difference of clinical and radiographic success rate between diode laser and FC Pulpotomy in human primary molars followed for 12 months.
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Effects of Nd:YAG laser Pulpotomy on human primary molars.
Journal of endodontics, 2006Co-Authors: Jengfen LiuAbstract:The purpose of this study was to compare the effects of Nd:YAG laser Pulpotomy to formocresol Pulpotomy on human primary teeth. Patients with a primary tooth that required Pulpotomy because of pulpal exposure to caries, were selected for this study. After removal of coronal pulpal tissue, Nd:YAG laser at 2 W, 20 Hz, 100 mJ or a 1:5 dilution of formocresol was introduced into the canal orifice for complete hemostasis. IRM paste was then placed over the pulp stump, and the tooth was restored either with composite resin or stainless steel crown. Sixty-eight teeth were treated with Nd:YAG laser and followed up for 6 to 64 months. Clinical success was achieved in 66 out of the 68 teeth (97 %), and 94.1 % were radiographically successful. In the control group, 69 primary molars were treated with formocresol and followed up for 9 to 66 months; 85.5 and 78.3% achieved clinical and radiographic success, respectively. The success rate of Nd:YAG laser Pulpotomy was significantly higher than that of formocresol Pulpotomy. The permanent successors of the laser-treated teeth erupted without any complications.
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Nd:YAG laser Pulpotomy of human primary teeth
International Congress Series, 2003Co-Authors: Jengfen LiuAbstract:Abstract Formocresol has been a popular Pulpotomy medicament in the primary teeth for the past 60 years. However, its toxic effect has been of concern. Laser therapy is a non-pharmacologic hemostatic technique for Pulpotomy procedure. But research on laser therapy for primary tooth Pulpotomy is sparse. The purpose of this study was to evaluate the effects of Nd:YAG laser Pulpotomy on human primary teeth. Patients with primary tooth that required Pulpotomy, because of pulpal exposure to caries, were selected for this study. After removal of coronal pulpal tissue using a sterile sharp spoon excavator, Nd:YAG laser at 2 W, 20 Hz, 100 mJ or 1:5 dilution of formocresol was introduced into the canal orifice for complete hemostasis. Then, intermediate restorative material (IRM) paste was placed over the pulp stump, and the tooth was restored either with composite resin or stainless steel crown. Clinical follow-ups were made every 3 months after treatment. X-ray was taken every 6 months. Sixty-four teeth were treated with Nd:YAG laser and followed for 6–48 months. Sixty-two out of the sixty-four teeth (96.9%) were clinically successful, and 90.6% were radiographically successful. In control group, 51 primary molars were treated with formocresol, 88.2% were clinically successful, 82.3% were radiographically successful, during an average of 20.4 months follow-up period. The successful rate of Nd:YAG laser Pulpotomy was higher than formocresol Pulpotomy. The permanent successors of the laser treated group erupted without any complications. Therefore, Nd:YAG laser Pulpotomy can be considered for use as Pulpotomy technique in clinical practice.
