Abstract
An important part of the overall restorative process when performing pulp therapy in children is to fill the chamber above where the pulp therapy occurs. This opening is created when accessing the pulp to performing the pulp therapy procedure. This chapter discusses the importance of this filling component as well as the best ways to achieve effective clinical outcomes. Herein, materials such as glass ionomer and mineral trioxide aggregate are discussed as materials of choice for this purpose. Also, the concepts of creating a seal and preparing for an effecting overlying restoration are explained in detail.
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References
Guelmann M, Bookmyer KL, Villalta P, GarcÃa-Godoy F. Microleakage of restorative techniques for pulpotomized primary molars. J Dent Child (Chic). 2004;71(3):209–11.
Carranza F, GarcÃa-Godoy F. Esthetic restoration of primary incisors. Am J Dent. 1999;12(2):55–8.
Liu JF. Effects of Nd:YAG laser pulpotomy on human primary molars. J Endod. 2006;32(5):404–7.
Cleaton-Jones P, Duggal M, Parak R, Williams S, Setzer S. Equivalency study of histological responses to complete or partial pulpotomies in inflamed baboon immature first permanent molars. SADJ. 2007;62(2):062–5.
Guelmann M, Shapira J, Silva DR, Fuks AB. Esthetic restorative options for pulpotomized primary molars: a review of literature. J Clin Pediatr Dent. 2011;36(2):123–6.
El-Kalla IH, GarcÃa-Godoy F. Fracture strength of adhesively restored pulpotomized primary molars. ASDC J Dent Child. 1999;66(4):238–42.
Holan G, Fuks AB, Ketlz N. Success rate of formocresol pulpotomy in primary molars restored with stainless steel crown vs Amalga. Pediatr Dent. 2002;24(3):212–6.
Tonn EM, Ryge G, Chambers DW. A two-year clinical study of a carvable composite resin used as class II restorations in primary molars. ASDC J Dent Child. 1980;47(6):405–13.
Davina AB. A conservative approach to the pulpotomy in primary teeth. J Clin Pediatr Dent. 1998;22(2):103–5.
Kassa D, Day P, High A, Duggal M. Histological comparison of pulpal inflammation in primary teeth with occlusal or proximal caries. Int J Paediatr Dent. 2009;19(1):26–33.
Frencken JE, Innes NP, Schwendicke F. Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;28(2):46–8.
American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2017;39(6):325–33.
Smith NL, Seale NS, Nunn ME. Ferric sulfate pulpotomy in primary molars: a retrospective study. Pediatr Dent. 2000;22(3):192–9.
Dammaschke T, Camp JH, Bogen G. MTA in vital pulp therapy. In: Torabinejad M, editor. Mineral trioxide aggregate: properties and clinical applications. Danvers, MA: Wiley; 2014.
Lee SJ, Monsef M, Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. J Endod. 1993;19(1):541–4.
Holan G, Eidelman E, Fuks AB. Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol. Pediatr Dent. 2005;27(2):129–36.
Naik S, Hegde AH. Mineral trioxide aggregate as a pulpotomy agent in primary molars: an in vivo study. J Indian Soc Pedod Prev Dent. 2005;23(1):13–6.
Niranjani K, Prasad MG, Vasa AA, Divya G, Thakur MS, Saujanya K. Clinical evaluation of success of primary teeth pulpotomy using mineral trioxide aggregate®, laser and biodentine™-an in vivo study. J Clin Diagn Res. 2015;9(4):ZC35–7.
Gillen BM, Looney SW, Gu L-S, Loushine BA, Weller RN, Loushine RJ, Pashley DH, Tay FR. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod. 2011;37(7):895.
Musale PK, Kothare SS, Soni AS. Mineral trioxide aggregate pulpotomy: patient selection and perspectives. Clin Cosmet Investig Dent. 2018;10:37–43.
Nguyen TD, Judd PL, Barrett EJ, Sidhu N, Casas MJ. Comparison of ferric sulfate combined mineral trioxide aggregate pulpotomy and zinc oxide eugenol pulpectomy of primary maxillary incisors: an 18-month randomized, controlled trial. Pediatr Dent. 2017;39(1):34–8.
Kang CM, Kim SH, Shin Y, et al. A randomized controlled trial of ProRoot MTA, OrthoMTA and RetroMTA for pulpotomy in primary molars. Oral Dis. 2015;21(6):785–91.
Paschos E, Hajek-Al-Khatar N, et al. Effectiveness of 4 pulpotomy techniques-randomized controlled trial. J Dent Res. 2005;84(12):1144–8.
Akcay M, Sari S, Duruturk L, Gunhan O. Effects of sodium hypoclorite as disinfectant material previous to pulpotomies in primary teeth. Clin Oral Investig. 2015;19(4):803–11.
Shröder U. Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, proliferation, and differentiation. J Dent Res. 1985;64:541–8.
Braga MM, Mendes FM, Ekstrand KR. Detection activity assessment and diagnosis of dental carious lesions. Dent Clin N Am. 2010;54(3):479–93.
Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. UK National Clinical Guidelines in pediatric dentistry. Int J Paed Dent. 2006;16(Suppl 1):15–23.
Musale PK, Soni AS. Clinical pulpotomy trial of Copaifera langsdorffii oil resin versus formocresol and white mineral trioxide aggregate in primary teeth. Pediatr Dent. 2016;38(2):5–12.
Vij R, Coll JA, Shelton P, Farooq NS. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent. 2004;26(3):214–20.
Magnusson B. Therapeutic pulpotomy in primary molars—clinical and histological follow-up. II. Zinc oxide-eugenol as wound dressing. Odontol Revy. 1971;22(1):45–54.
Croll TP, Killian CM. Zinc oxide-eugenol pulpotomy and stainless-steel crown restoration of a primary molar. Quintessence Int. 1992;23(6):383–8.
Hansen HP, Ravn JJ, Ulrich D. Vital pulpotomy in primary molars. A clinical and histologic investigation of the effect of zinc oxide-eugenol cement and Ledermix. Scand J Dent Res. 1971;79(1):13–25.
Strange DM, Seale NS, Nunn ME, Strange M. Outcome of formocresol/ZOE sub-base pulpotomies utilizing alternative radiographic success criteria. Pediatr Dent. 2001;23(4):331–6.
Randall RC. Preformed metal crowns for primary and permanent molar teeth: review of the literature. Pediatr Dent. 2002;24(5):489–500.
Berg JH, Donly KJ. Conservative technique for restoring primary molars after pulpotomy treatment. ASDC J Dent Child. 1988;55(6):463–4.
Raslan N, Wetzel WE. Exposed human pulp caused by trauma and/or caries in primary dentition: a histological evaluation. Dent Traumatol. 2006;22(3):145–53.
Ozdemir Y, Kutukculer N, Topaloglu-Ak A, Kose T, Eronat C. Comparative evaluation of pro-inflammatory cytokine levels in pulpotomized primary molars. J Oral Sci. 2015;57(2):145–50.
Waterhouse PA, Whitworth JM, Camp JH, Fuks AB. Pediatric endodontics: endodontic treatment for primary and young permanent dentition in Cohen’s pathways of pulp. 10th ed. St Louis, MO: Elsevier; 2011.
Tunc ES, Bayrak S. Usage of white mineral trioxide aggregate in a non-vital primary molar with no permanent successor. Aust Dent J. 2010;55(1):92–5.
Guelmann M, Fair J, Bimstein E. Permanent versus temporary restorations after emergency pulpotomies in primary molars. Pediatr Dent. 2005;27(6):478–81.
Farsi N, Alamoudi N, Balto K, Mushayt A. Success of mineral trioxide aggregate in pulpotomized primary molars. J Clin Pediatr Dent. 2005;29(4):307–11.
Fuks A, Guelmann M, Kupietzky A. Current developments in pulp therapy for primary teeth. Endod Topics. 2012;23(1):50–72.
Haghgoo R, Abbasi F. Clinical and radiographic success of pulpotomy with MTA in primary molars: 30 months follow up. Iran Endod J. 2010;5(4):157–60.
Çelik BN, Sari S. Carious exposure versus mechanical exposure for MTA pulpotomy in primary teeth. Biomed Res Int. 2016;2016:2753429.
Cardoso-Silva C, Barberia E, Maroto M, Garcıa-Godoy F. Clinical study of mineral trioxide aggregate in primary molars. Comparison between grey and white MTA-a long term follow-up (84 months). J Dent. 2011;39(2):187–93.
Fernandez CC, Martinez SS, Jimino FG, Rodriguez AIL, Mercade M. Short-term treatment outcome of pulpotomies in primary molars using mineral trioxide aggregate and biodentine: a randomized clinical trial. Clin Oral Investig. 2015;20(7):1639–45.
Aeinehchi M, Dadvand S, Fayazi S, Bayat-Movahed S. Randomized controlled trial of mineral trioxide aggregate and formocresol for pulpotomy in primary molar teeth. Int Endod J. 2007;40(4):261–7.
Cohenca N, Paranjpe A, Berg J. Vital pulp therapy. Dent Clin N Am. 2013;57(1):59–73.
Garcia-Godoy F. Direct pulp capping and partial pulpotomy with diluted formocresol in primary molars. Acta Odontol Pediatr. 1984;5(2):57–61.
Doykos JD 3rd. A modern conservative restoration of adjacent interproximal carious lesions in primary molars. Pediatr Dent. 1995;17(3):230.
Caceda JH. The use of resin-based composite restorations in pulpotomized primary molars. J Dent Child (Chic). 2007;74(2):147–50.
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Berg, J.H. (2023). Sealing and Building Up the Pulp Chamber and Crown with Glass Ionomer and Other Materials After Pulp Therapy. In: Fuks, A.B., Moskovitz, M., Tickotsky, N. (eds) Contemporary Endodontics for Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-031-23980-9_15
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DOI: https://doi.org/10.1007/978-3-031-23980-9_15
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