1 Prevention of Oral and Dental Disease Research Center, Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Pediatric Dentistry, School of Dentistry, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
3 Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Periodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
To evaluate the outcome of vital pulp
therapy in primary teeth with irreversible pulpitis by using calcium-enriched
mixture (CEM) cement according to clinical and radiographic assessment.
Participants and Methods:
Fifty primary molar teeth with irreversible pulpitis in 50 children aged 6-8 years underwent pulpotomy using CEM cement as the dressing material. Following pulpotomy, pain intensity was
evaluated by use of a visual analog scale at 1 and 7 days from the treatment and
in clinical appointments at 3, 6 and 12 months after baseline. Radiographic
evaluation was performed at 6 and 12 months. Data were analyzed using the
A total of 42 children (mean age 7.26 ± 0.82 year) completed the study. After one day treatment 56 % of children
reported complete relief of pain and after 7 days 62% reported the same.
However, two children complained of increased pain 1 day after treatment. None of
the children reported pain in the subsequent appointments. One child complained
of tenderness in percussion after 6 months. Pulp canal obliteration was the most
common change in the radiographic assessment. There was no significant
difference between clinical (92.8%) and radiographic (90.4%) success (p=0.990).
Pulpotomy using CEM cement could present a
successful treatment in primary molar teeth with irreversible pulpitis.
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* Address correspondence to this author at the Prevention of Oral and Dental Disease Research Center, Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran; Tel: #98- 711-6263193-4; Fax: #98- 711-6270325;