• Eur Arch Paediatr Dent · Aug 2014

    Randomized Controlled Trial Comparative Study

    Two-year outcomes of electrosurgery and calcium-enriched mixture pulpotomy in primary teeth: a randomised clinical trial.

    • F Khorakian, F Mazhari, S Asgary, M Sahebnasagh, A Alizadeh Kaseb, T Movahhed, and A R Sarraf Shirazi.
    • Department of Paediatric Dentistry, Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
    • Eur Arch Paediatr Dent. 2014 Aug 1; 15 (4): 223-8.

    AimThe purpose of this prospective split-mouth, randomised clinical trial was to assess the clinical and radiographic success rate of pulpotomy in primary molars using calcium-enriched mixture (CEM) cement or placement of zinc oxide eugenol after electrosurgery (ES/ZOE).MethodsPulpotomy was performed for 102 primary second molars in 51 children aged between 4 and 6 years. Considering a split-mouth design, for each patient the right and left second primary molars randomly underwent pulpotomy using CEM cement or ES/ZOE. All teeth were restored using preformed metal crowns. Following pulpotomy procedure, teeth were blindly evaluated for clinical and radiographic success after 6, 12 and 24 months. McNemar test and SPSS 16 software were used for the statistical analysis.ResultsAfter 24 months, clinical success rates were 100% in both groups, however, radiographic success rates of ES/ZOE and CEM were calculated as 95.2 and 90%, respectively, with no significant difference (p = 0.625). The most common radiographic sign of failure was internal resorption.ConclusionThe results of this investigation show that the treatment success rate with CEM cement was similar to the electrosurgical pulpotomy.

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