PRE-OPERATIVE PAIN: A NOVEL INDICATOR TO GOVERN THE CHOICE OF PULPOTOMY AGENT IN PRIMARY TEETH. A RETROSPECTIVE STUDY

Authors: Palwasha BABAR

Abstract:

Pulpotomy is a vital pulp procedure performed in primary teeth. The aim of the study is to evaluate whether the presence of pre-operative pain affects the success of pulpotomy in primary teeth and whether either Formocresol (FC) or Mineral Trioxide Aggregate (MTA) performs better in patients with positive history of pain. 120 cases were selected for the study, 60 with and 60 without history of pre-operative pain associated with the pulpotomized tooth, further sub-divided into FC and MTA groups, 30 cases each. The clinical and radiographic success of pulpotomized teeth with positive history of pain was 70% and 53.3%, respectively. Among these, 60% of the teeth treated with FC and 80% of those treated with MTA were clinically successful, while radiographic success was 33.33% and 73.3%, respectively. The results suggest that the presence of pre-operative pain negatively affects the success of pulpotomy.

Keywords:
  • formocresol
  • mineral trioxide aggregate
  • primary teeth
  • pulpotomy