The research ethics board at the hospital for sick children approved this investigation. Ferric sulfate monsels solution 20% ferric subsulfate strong styptic,1st used in military hospital in bordeaux,france 1857 larson 1988 it was proposed as a pulpotomy medicament for vital primary teeth. Mta has never been a controversial pulpotomy medicament. Comparison of clinical and radiographic success rates of pulpotomy in primary molars using formocresol, ferric sulfate and mineral trioxide aggregate mta. Aug 22, 2007 for example, ferric sulphate used in these studies was a 15. To evaluate the clinical and radiographical success of primary molar pulpotomies which used 15.
Clinical studies on ferric sulphate as a pulpotomy medicament. On contact with blood, ferric sulphate forms a ferric ionprotein complex, and. Ferric sulfate fs has been commonly used as a pulpotomy agent to control pulpal bleeding in vital pulp therapy for years. Evaluation of formocresol, calcium hydroxide, ferric. Smith is a major, dental corps, united states army, san antonio, texas. Pulpotomy using ferric sulphate, glutaraldehyde and mta issn24555592 international journal of community health and medical research vol. Characteristics considered primary molars ferric sulphate pulpotomy other. Several studies have utilized sodium hypochlorite with comparable results to formocresol and ferric sulfite. Ferric sulphate, formocresol, pulpotomy, success and failure rate. Pulpal response to ferric sulfate and diode laser when. Evaluation of formocresol, calcium hydroxide, ferric sulfate. The aim of this study was to evaluate the scientific evidence of pulpotomy in primary teeth comparing mineral troxide aggregate mta, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol. American academy of pediatric dentistry reference manual 2016. This hemostatic is intended to only be used topically, by a licensed practitioner.
They demonstrated that ferric sulfate was clinically and. Pulpotomy is a procedure which involves amputation of. Contraindications tooth with gross coronal breakdown that makes. Jul 08, 2019 evaluation of formocresol, calcium hydroxide, ferric sulfate, and mta primary molar pulpotomies. Clinical and radiographical evaluation of propolis and. Surgical removal of a portion of the dental pulp levels may vary. Fortyeight mandibular first molars from 24 wistar rats were divided into mta or fs groups and subdivided according to the period after pulpotomy procedure 24, 48 and 72 hours. Thirtyone primary molars were randomly allocated into mta or fs groups. A systematic search using key words was conducted using seven databases up to december 10, 20. Ibricevicand aljame2000 reported 100% clinical success and 97. It is used in dyeing as a mordant and as a coagulant for industrial wastes. Ferric sulphate and formocresol in pulpotomy of primary molars.
A nonaldehyde chemical, ferric sulfate, has received some attention recently as a pulpotomy agent. Formocresol, still a controversial material for pulpotomy. Outcomes of vital primary incisor ferric sulfate pulpotomy and root canal therapy guardians, and informed consent was obtained and recorded before their participation in this investigation. Aim the objective of this study was to compare the effects of ferric sulphate fs to that of the full strength of formocresol buckleys formula fc as pulpotomy agents in primary human molar teeth 4248 months after. The procedure is performed under local anaesthesia, usually during one appointment. Ferric sulfate and laser has been used for conventional pulpotomy therapy. Pulpotomy for primary teeth with tricalcium silicate. While pulpotomy therapy evolved slowly over the first 40 years, the pace of change since the 1960s has continued to accelerate. The formocresol pulpotomy technique is considered the most uni versally taught and preferred pulp therapy for primary teeth at the present time1, and since it was. On contact with blood, ferric sulphate forms a ferric ionprotein complex, and the membrane of this complex seals the cut vessels mechanically, producing haemostasis. Sep 20, 2015 ferric sulfate monsels solution 20% ferric subsulfate strong styptic,1st used in military hospital in bordeaux,france 1857 larson 1988 it was proposed as a pulpotomy medicament for vital primary teeth. The purpose of this study was to evaluate clinical and radiographic findings of treatments using a new hemostatic agent ankaferd blood stopper abs, as compared to ferric sulfate fs, when used as a pulpotomy medicament in primary teeth. However, there are now more costfriendly options on the market.
Internal resorption was the most common radiographic finding up to 24 months after pulpotomy. In this study, samples were small and recall period was short. Foam strips most practical and easy to handle for cutaneous surgery. The aim of this sudy is to determining weather naocl is a suitable replacement for fc in the pulpotomy of human primary molar teeth. Pulpotomy is the term for removal of the coronal pulp with the intent of maintaining the vitality of the remaining radicular pulp tissue. The hemostatic properties of ferric sulfate and the favorable pulpal response make it a promising medicament for pulpotomy. Amputation of the coronal portion of the pulp, and treatment of the remaining radicular portion in order to preserve the vitality of the remaining pulp tissue. At the oneyear recall, the success rate of the ferric sulfate group was actually greater than that of the traditional formocresol pulpotomy group.
Results have been more favorable with ferric sulfate when compared to formacresol for the purpose of pulpotomy 1618. Ferric sulfate pulpotomy procedure the fs pulpotomy procedure was similar to the technique described by coll and others. In figure 1, the tooth is prepared for stainless steel crown full coverage and wide access is made for the pulpotomy procedure. Ferric sulfate is not a fixative but it is bacteriostatic in. Ferric sulfate pulpotomy procedure the ferric sulfate pulpotomy procedure was identical to the technique described by fuks et al. In the case of formocresol pulpotomies, the pulp tissue is fixed 6, 7, making it less susceptible to the effect of the base. Of course, the main advantage of the ferric sulfate pulpotomy over a pulpectomy for. For example, ferric sulphate used in these studies was a 15. No concerns about toxic or harmful effects of ferric sulfate have been published in the dental or medical literature despite its regular clinical use3,10,1214. Glutaraldehyde, ferric sulfate, bmp, osteogenic protein, bioactive glass. Bioactive material provides easy handling and shorter set time. Clinical articles in english, portuguese and spanish were selected, which were in. Whether you are using formo or ferric sulfate or simple pressure pulpotomy, no one will have a 99% success rate.
The principal objective of any pulpal therapy is to maintain the integrity and health of a tooth and its supporting tissues. Clinical, radiographic and histological department of. Jun 01, 2017 ferric sulfate produces a ferric ionprotein complex when it comes in contact with blood and this seals the cut vessels mechanically, producing haemostasis and preventing the formation of a blood clot 14,15. Partial pulpotomy the partial pulpotomy for traumatic exposures is a procedure in which the inflamed pulp tissue beneath an exposure is removed to a depth of mm to reach the deeper healthy tissue indicated for a vital, traumatically exposed, young permanent tooth, especially one with an incompletely formed apex. Ferric sulfate produces a ferric ionprotein complex when it comes in contact with blood and this seals the cut vessels mechanically, producing haemostasis and preventing the formation of a blood clot 14,15. Pulpotomies in primary teeth have a success rate in the 80s. Calcium hydroxide, ferric sulfate, formocresol, mta, pulpotomy. Pdf efficacy of ferric sulphate as a pulpotomy medicament in. Success rates of ankaferd blood stopper and ferric sulfate. Considerable interest and research have been devoted to investigating the effectiveness of ferric sulfate to treat the surface of the remaining pulp tissue after pulpotomy of primary teeth. Pulpal response to ferric sulfate and diode laser when used.
In both groups, pulp stumps were covered with zincoxide eugenol paste. Method and materials the study was conducted at the department of pediatric. Ferric sulfate was proposed as a pulpotomy agent on the basis of its action8, 9. Ferric sulfate as pulpotomy agent in primary teeth. A total of 3 primary incisors in 50 subjects 29 male. Ferric sulphate 155% has been reported in animal and human studies as a haemostatic agent in pulpotomy procedures. There is an advantage of not having to wait five minutes as the ferric sulfate doesnt require the additional time to fixate the tissues. Evidence of pulpotomy in primary teeth comparing mta. When the canal orifices with their pulp are staring at you, just blob some ferric sulfate and burnish it around. Initial inflammatory response after the pulpotomy of rat. The indication was primarily the presence of a carious exposure and desire to retain the primary tooth until exfoliation.
Fs induces hemostasis and the formation of a sealing membrane at the interrupted vessel of pulp tissue by agglutinating the blood proteins with ferric and sulfate ions. Glutaraldehyde and calcium hydroxide have been tested in pulpotomies in primary teeth. Do we still need formocresol in pediatric dentistry. Calcium hydroxide, ferric sulfate, formocresol, mta, pulpotomy introduction in pediatric dentistry, pulpotomy is a common therapy performed in a primary molar with extensive caries but without evidence of radicular pathology when caries removal results in a carious or mechanical pulp exposure. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. Also, nonpharmacologic haemostatictechniques such as laser and electro surgery are considered for vital pulpotomy. Ferric sulphate fe 2 so 4 3,is a chemical compound which is said to be the sulphate of trivalent iron. Clinical, radiographic and histological evaluation of. Clinical studies on ferric sulphate as a pulpotomy medicament in. Clinical studies on ferric sulphate as a pulpotomy medicament in primary teeth l.
The access was refined with round burs in a slowspeed handpiece. Feraculum solution 1% prabhu etal 1997 advantage over fc 15 sec for manipulation compared to 5 min fc 94. On clinical and radiographic examination, if any of these criteria was observed, the treatment was recorded as unsuccessful. The minimally invasive endodontic techniques of vital pulp therapy vpt are based on improved understanding of the capacity of pulp nerve tissues to heal and regenerate plus the availability of advanced endodontic materials. Outcomes of vital primary incisor ferric sulfate pulpotomy.
Radicular pulp haemostasis is most commonly achieved using cotton pellets soaked with a formocresol solution in 1. Success rates of ankaferd blood stopper and ferric sulfate as. Apr 12, 2011 partial pulpotomy the partial pulpotomy for traumatic exposures is a procedure in which the inflamed pulp tissue beneath an exposure is removed to a depth of mm to reach the deeper healthy tissue indicated for a vital, traumatically exposed, young permanent tooth, especially one with an incompletely formed apex. Mortal pulpotomy is the most commonly used technique in bulgaria for treatment of pulp chronic infections in primary teeth 1, 3, 5. Longterm outcomes of primary molar ferric sulfate pulpotomy. Ferric sulphate and formocresol in pulpotomy of primary. Aim the objective of this study was to compare the effects of ferric sulphate fs to that of the full strength. Evaluation of formocresol, calcium hydroxide, ferric sulfate, and mta primary molar pulpotomies. Read evaluation of formocresol versus ferric sulphate primary molar pulpotomy. Simply put, mta hasnt been used in pediatric dentistry due to its high cost. The ideal pulp dressing materialmethod should be able to provide hermetic seal. Primary teeth, dental pulp, pulpotomy, ferric sulphate, formocresol. Same procedure as formocresolbut should be placed on stump of amputated pulp for 15 seconds. The clinical and radiographic outcomes of the teeth were assessed by two unblinded standardized pediatric dentist.
Hamijeta ibricevic and qumasha aljame 2000 ferric sulfate as pulpotomy agent in primary teeth. Nov 28, 2017 pulpotomy as a treatment protocol is not commonly associated with primary anterior teeth. Data from the special literature reveal another method for pulp treatment in primary teeth vital pulpotomy 4, 15, 18, 26, 34, 66, 40. It is usually yellow, rhombic crystalline salt and soluble in water at room temperature. Clinical study success rates of ankaferd blood stopper and. Successful pulpotomy procedure depends not only on the. Clinical and radiographic evaluation of pulpotomies using these have been done i. This can be place on partially hardened mta allowing for undisturbed hardening of mta beneath the definitive restoration. A clinical study of ferric sulfate as a pulpotomy agent in.
Clinical, radiographic and histological department of clinics. Pulpotomy for primary teeth with tricalcium silicate material. Formocresol, ferric sulfate, calcium hydroxide, glutaraldehyde. Clinical and radiographic evaluations were recorded at 3, 6, 12 and 18month followup. Evaluation of formocresol versus ferric sulphate primary. The pulpotomy procedure is based on the rationale that the radicular pulp tissue is healthy or is capable of healing after surgical amputation of the affected or infected coronal pulp. Ferric sulfate agglutinates blood proteins and controls hemorrhage in the process without clot formation.
Some prefer the use of conventional gic for the definitive restoration. Ferric sulfate reacts chemically with blood proteins, causing agglutination. Four teeth sound and untreated were used as controls. Pulpotomy is a technique that has been used to treat primary teeth of which only the. Clinical studies on ferric sulphate as a pulpotomy. Ferric sulfate and formocresol in pulpotomy of primary. When using ferric sulphatefor vital pulpotomy, follow same procedure as formocresolbut place moistened cotton pellet on radicular root stump for 15 seconds only. Ranly classified pulpotomy based on treatment objectives into devitalization, mummification, cauterization, preservation minimal devitalization, noninductive and regeneration inductive, reparative. The aim of the vital pulpotomy is, by removal of the inflamed coronal. The primary molars 70 were selected from 35 children aged 4 to 6 years. A comparison of two liner materials for use in the ferric. Clinical and radiographical studies are in need to determine the prospective effect of used materials in pulpotomy procedure on. They demonstrated that ferric sulfate was clinically and radiographically successful as a pulpotomy medicament in primary teeth.
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