*Corresponding Author: U Zilberman, Professor, Pediatric Dental Clinic at Barzilai Medical University Center, Ashkelon, Affiliated to Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Received: June 10, 2024; Published: June 27, 2024

Abstract

Pulpotomy in primary teeth is based on the rational that the pulp in the pulp chamber is inflamed and the pulp in the root canals is healthy. The goal of the pulpotomy treatment is to preserve a healthy pulp in the root canals until physiological exfoliation of the primary teeth. The common capping materials are: Formocresol (mummifies the pulp and cause chronic infection in the middle part of the canal pulp, carcinogenic and mutagenic), Ferric sulfate (controls bleeding and affects extensive internal resorption), MTA or Biodentine (calcifies the pulp in the orifices of root canals and in the canals, and expensive) or Laser for soft tissue treatments. The role of the capping materials is to prevent secondary infection of the pulp in the canals and to disinfect the remaining pulp tissue. Iodoform's based materials have been used for pulpectomies, root canal treatments of primary teeth. These materials are bacteriocidic. The aim of this article is to describe the capping materials that are commonly used today in pulpotomy and to show results of pulpotomies based on iodoform paste, Endoflas and Metapex. In a clinical study performed at Barzilai Medical University Center, that examined failures of pulpotomy based on Iodoform pastes,we found 100% clinical success both with Endoflas and Metapex, and 90% radiographic success with Endoflas, with follow-up up to 6 years, and only 80% radiographic success with Metapex, with extensive internal resorption of the root canals with follow up of 0.5-3 years.

Keywords: Pulpotomy; Iodoform Paste; Pediatric Dentistry

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Citation

Citation: U Zilberman., et al. “Pulpotomy in Primary Teeth: Past, Present and Maybe Future!". Acta Scientific Dental Sciences 8.7 (2024): 141-146.

Copyright

Copyright: U Zilberman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.