대한장애인치과학회지 (The Journal of Korea Assosiation for Disability and Oral Health)

  • 제12권2호
  • /
  • Pages.45-49
  • /
  • 2016
  • /
  • 1738-8813(pISSN)
  • /
  • 2287-7142(eISSN)
대한장애인치과학회 (Korean Association for Disability and Oral Health)
권호 표지
DOI QR코드

DOI QR Code

유구치에서 electrosurgery와 MTA를 이용한 치수절단술 : 성공률에 대한 후향적 연구

PULPOTOMY IN PRIMARY MOLAR TEETH USING ELECTROSURGERY AND MTA : A RETROSPECTIVE STUDY OF SURVIVAL RATES

  • 전요원 (아주대학교 치과병원 소아치과학교실) ;
  • 김승혜 (아주대학교 치과병원 소아치과학교실) ;
  • 백광우 (도티기념병원 치과)
  • Jeon, Yowon (Department of Pediatric Dentistry, Dental Hospital, Ajou University) ;
  • Kim, Seunhye (Department of Pediatric Dentistry, Dental Hospital, Ajou University) ;
  • Baek, Kwangwoo (Department of Dentistry, George E.Doty Memorial Hospital)
  • 투고 : 2016.07.19
  • 심사 : 2016.10.20
  • 발행 : 2016.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study investigates the success rate of pulpotomy using electrosurgery operated on a primary molar in caries. The pulpotomy using electrosurgery was done on 253 primary molars of 111 young patients from 2 to 9 years old during the period of the first day of January 2011 to the last day of December 2015. After the amputation of pulp and hemostasis of primary molar were done using electrosurgery, MTA as pulp capping material was applied to the primary molar and the tooth was restored with the stainless steel crown. The follow up period after the treatment ranged from 4-46 months. The clinical and radiographic success rate ranged from 92.1 - 94.3%. Which is comparable to formocresol and ferric sulfate pulpotomy. Due to its non-pharmacological characteristic, electrosurgery can minimize harmful effect on the pulp tissue. Its fast bleeding control makes it easy and safe to use in pediatric and disabled patients in comparatively simple manner. Electrosurgery can be an alternative for pulp therapy considering the side effects of pharmacological ways.

키워드

참고문헌

  1. American Academy on Pediatric Dentistry Clinical Affairs Committee-Pulp Therapy subcommittee, American Academy on Pediatric Dentistry Council on Clinical Affairs: Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Pediatr Dent, 37:244-252, 2015-2016.
  2. Corbman AL : Pulpotomy, a conservative treatment for exposed vital young permanent teeth. J Dent Child, 14:15-18, 1947.
  3. Sweet CA : Procedure for treatment of exposed and pulpless deciduous teeth. J Am Dent Assoc, 17:1150-1153, 1930.
  4. King SR, McWhorter AG, Seale NS: Concentration of formocresol used by pediatric dentists in primary tooth pulpotomy. Pediatr Dent, 24:157-159, 2002.
  5. Peng L, Ye L, Li R, et al. : Evaluation of formocresol versus ferric sulphate primary molar pulpotomy: a systematic review and meta-analysis. Int Endod J, 40:751-757, 2007. https://doi.org/10.1111/j.1365-2591.2007.01288.x
  6. Lemon RR, Steele PJ, Jeansonne BG : Ferric sulfate hemostasis: effect on osseous wound healing. Left in situ for maximum exposure. J Endod, 19:170-173, 1993. https://doi.org/10.1016/S0099-2399(06)80681-3
  7. Jeansonne BG, Boggs WS, Lemon RR : Ferric sulfate hemostasis: effect on osseous wound healing. II. With curettage and irrigation. J Endod, 19:174-176, 1993. https://doi.org/10.1016/S0099-2399(06)80682-5
  8. Lee SH, Lee MN, Lee SH : Primany tooth pulpotomy using ferric sulfate. J Korean Pediatr Dent, 25:843-848, 1988.
  9. Stringhini Junior E, Vitcel ME, Oliveira LB : Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol. Eur Arch Paediatr Dent, 16:303-312, 2015. https://doi.org/10.1007/s40368-015-0174-z
  10. Yalamanchili PS, Davanapelly P, Surapaneni H : Electrosurgical applications in dentistry. Sch J App Med Sci, 1:530-534, 2013.
  11. Mack RB, Dean JA : Electrosurgical pulpotomy: a retrospective human study. ASDC J Dent Child, 60:107-114, 1993.
  12. Buckley JP : The chemistry of pulp decomposition, with a rational treatment for this condition and its sequelae. Amer Dent J, 3:764-771, 1904.
  13. Berger JE : A review of the erroneously labeled "mummification" techniques of pulp therapy. Oral Surg Oral Med Oral Pathol, 34:131-144, 1972. https://doi.org/10.1016/0030-4220(72)90282-4
  14. Berger JE : Pulp tissue reaction to formocresol and zinc oxide-eugenol. ASDC J Dent Child, 32: 13-28, 1965.
  15. Lewis BB, Chestner SB : Formaldehyde in dentistry: a review of mutagenic and carcinogenic potential. J Am Dent Assoc, 103:429-434, 1981. https://doi.org/10.14219/jada.archive.1981.0341
  16. Lewis B : Formaldehyde in dentistry: a review for the millennium. J Clin Pediatr Dent, 22:167- 177, 1998.
  17. Straffon LH, Han SS : Effects of varying concentrations of formocresol on RNA synthesis of connective tissues in sponge implants. Oral Surg Oral Med Oral Pathol, 29:915-25, 1970. https://doi.org/10.1016/0030-4220(70)90448-2
  18. Loos PJ, Straffon LH, Han SS : Biological effects of formocresol. ASDC J Dent Child, 40:193-197, 1973.
  19. Ranly DM : Pulpotomy therapy in primary teeth: new modalities for old rationales. Pediatr Dent, 16:403-409, 1994.
  20. Landau MJ, Johnsen DC : Pulpal responses to ferric sulfate in monkeys. J Dent Res, 67:215, 1988.
  21. Schroder U : Effect of an extra-pulpal blood clot on healing following experimental pulpotomy and capping with calcium hydroxide. Odontol Revy, 24:257-268, 1973.
  22. Ravishankar PL, Mannem S : Electro surgery: a review on its application and biocompatibility on periodontium. Indian J Dent Advancements, 3: 492-498, 2011.
  23. Fishman SA, Udin RD, Good DL, Rodef F : Success of electrofulguration pulpotomies covered by zinc oxide and eugenol or calcium hydroxide: a clinical study. Pediatr Dent, 18:385-390, 1996.
  24. Ruemping DR, Morton TH, Anderson MW : Electrosurgical pulpotomy in primates: a comparison with formocresol pulpotomy. Pediatr Dent, 5:14-18,1983.
  25. Dean JA, Mack RB, Fulkerson BT, Sanders BJ : Comparison of electrosurgical and formocresol pulpotomy procedures in children. Int J Paediatr Dent, 12:177-182, 2002. https://doi.org/10.1046/j.1365-263X.2002.00355.x
  26. Farrokh Gisoure E : Comparison of three pulpotomy agents in primary molars: a randomised clinical trial. Iran Endod J, 6:11-14, 2011.
  27. Yildiz E, Tosun G : Evaluation of formocresol, calcium hydroxide, ferric sulfate, and MTA primary molar pulpotomies. Eur J Dent, 8:234-240, 2015.
  28. Torabinejad M, Hong CU, McDonald F, Pitt Ford TR : Physical and chemical properties of a new root-end filling material. J Endod, 21:349-353, 1995. https://doi.org/10.1016/S0099-2399(06)80967-2