1. Abstract
Background: A pulpotomy therapy, aims to maintain radicular vitality of the pulp, stopping pain and inflammation, and preserving the tooth in the mouth until the eruption of its successor tooth.
Aim: To evaluate clinically and radiographically the efficacy of formocresol, 5%Sodium hypochlorite and BiodentineTM in pulpotomies of primary teeth and following up for 3-,6, and 12-months periods.
Materials and methods
75 primary teeth were selected and were randomly classified into three groups, 25 teeth each. In group I, all teeth received pulpotomy treatment by using formocrescol. In group II, 5% Sodium hypochlorite was used, and for group III, BiodentineTM (tricalcium silicate) was used as pulpotomy medication. After 3, 6, and 12 months, the three groups were assessed clinically and radiographically.
Results Clinical &radiographic success rates were 100% at 3-months follow-up period for all groups. At 6-months, success rates clinically were 100% for all groups, while radiographically, it reduced in group I and II to be 96% and 91% respectively After one year, the clinical and radiographic success rates for group I were 96% and 87.5%, and for group II were 91% and 87%, while for group III were 100%, and 96%. Biodentine group recorded the highest clinical and radiograph success rates after one-year follow-up. There was no statistically significant difference among the three groups.
Conclusion
Biodentine and 5% NaOCl indicated comparable outcomes to formocresol. hence, they could be promising alternatives medications in 1ry teeth pulpotomies. There was no significant difference between groups.