RESUMEN
AIM: To compare the clinical and radiographic success rates of two vital pulpotomy agents: formocresol (FC) and Ankaferd Blood Stopper(®) (ABS), in primary molars during a 12-month follow-up period. STUDY DESIGN: A randomised, single-blind study design was used in a sample of 30 healthy 6-9 year old children with 60 carious primary molars without clinical or radiographic evidence of pulp degeneration. METHODS: The pulpotomy agents were assigned as follows: Group 1 was 1:5 diluted Buckley's formocresol (FC) and Group 2 was ABS. Clinical and radiographic follow-up at 3, 6, and 12 months used the following criteria: pain, swelling, sinus tract, mobility, internal root resorption, and furcation and/or periapical bone destruction. STATISTICS: The data were analysed using Chi-square tests. RESULTS: The clinical and radiographic evaluation at 3 months revealed total success rates of 100% in the FC and ABS groups. Success rates in FC and ABS groups at 6 months were 96.7% and 93.3% respectively. At the 12-month follow-ups, the total success rates in the FC, and ABS groups were 89.3% and 85.7%, respectively. When the groups were compared according to the time intervals, no significant differences were observed between the 3, 6, and 12 month values. The success rates of the materials decreased over time. CONCLUSIONS: FC and ABS were found successful as pulp dressings in primary molars. ABS appears to be an alternative pulpotomy agent but periodical follow-ups must be considered to evaluate long term success rates.
Asunto(s)
Formocresoles/uso terapéutico , Hemostáticos/uso terapéutico , Diente Molar/efectos de los fármacos , Extractos Vegetales/uso terapéutico , Materiales de Recubrimiento Pulpar y Pulpectomía/uso terapéutico , Pulpotomía/métodos , Diente Primario/efectos de los fármacos , Niño , Amalgama Dental , Caries Dental/terapia , Exposición de la Pulpa Dental/tratamiento farmacológico , Restauración Dental Permanente/métodos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Diente Molar/diagnóstico por imagen , Enfermedades Periapicales/diagnóstico por imagen , Fitoterapia , Complicaciones Posoperatorias/diagnóstico por imagen , Radiografía , Resorción Radicular/diagnóstico por imagen , Método Simple Ciego , Diente Primario/diagnóstico por imagen , Resultado del Tratamiento , Cemento de Óxido de Zinc-Eugenol/uso terapéuticoRESUMEN
Bizarre-appearing gingival recessions that do not correspond to any known gingival disease or oral manifestation of any known systemic disease are called factitial (self-induced) gingival disease. Psychological factors are very important in their etiology. Generally, the lesions occur during the time the child is experiencing stress associated with the frustration of his or her dependency needs. Four cases of self-induced gingival recessions involving children aged 4 to 6 years are presented and investigated from the pedodontic, periodontologic, and psychiatric viewpoints.
Asunto(s)
Trastornos Fingidos/complicaciones , Recesión Gingival/etiología , Niño , Trastornos de la Conducta Infantil/complicaciones , Preescolar , Femenino , Recesión Gingival/psicología , Humanos , Masculino , Conducta Autodestructiva/complicacionesRESUMEN
The dental health of 41 children aged 4-16 years who were in maintenance therapy from acute lymphoblastic leukemia (ALL) was examined in relation to the period of time in maintenance. There was no significant difference in dental experience and salivary flow rate between the control group and patients with leukemia. Performed treatment index (PTI) and required treatment index (RTI) scores reflected that children, who were in maintenance therapy had insufficient dental care and needed more dental treatments. A statistically significant difference in salivary pH was found between the children, who were in maintenance therapy for 12-24 months and less than 12 months and also the control group; but the pH scores of all groups were observed in normal limits.
Asunto(s)
Atención Dental para Enfermos Crónicos , Leucemia-Linfoma Linfoblástico de Células Precursoras , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Asparaginasa/administración & dosificación , Estudios de Casos y Controles , Niño , Preescolar , Ciclofosfamida/administración & dosificación , Citarabina/administración & dosificación , Índice CPO , Daunorrubicina/administración & dosificación , Atención Dental para Enfermos Crónicos/estadística & datos numéricos , Caries Dental/etiología , Femenino , Humanos , Masculino , Mercaptopurina/administración & dosificación , Metotrexato/administración & dosificación , Higiene Bucal/estadística & datos numéricos , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicaciones , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamiento farmacológico , Prednisona/administración & dosificación , Inducción de Remisión , Vincristina/administración & dosificaciónRESUMEN
The aim of this study was to investigate the surface texture and enamel-restoration interface of Class II glass ionomer restorations in primary molars. A traditional (Chemfil II), a cermet (Chelon-Silver) cement and two light cured glass ionomer cements (Vitremer and Dyract) were used to restore the Class II cavities of 20 primary molars. The surface changes and enamel-restoration interface of restorative materials were evaluated by SEM, after a 12 month period. Microcracks and pores in surface were observed in all of the four different glass ionomer materials. Although, there was no marginal gap formation for Chemfil II, Chelon-Silver and Dyract samples, in 2 samples of Vitremer group gap formation was found with an ion-exchange layer. Also, in Dyract samples wear of restorations was considerable.
Asunto(s)
Compómeros , Restauración Dental Permanente/métodos , Cementos de Ionómero Vítreo/química , Cementos Cermet/química , Niño , Resinas Compuestas/química , Esmalte Dental/ultraestructura , Adaptación Marginal Dental , Humanos , Metacrilatos/química , Microscopía Electrónica de Rastreo , Diente Molar , Silicatos/química , Compuestos de Plata/química , Propiedades de Superficie , Diente PrimarioRESUMEN
The aim of this study was to investigate the microleakage around Class II glass ionomer restorations in primary molars. Two different glass ionomer cements and one amalgam control were assessed in vitro by acidified gel technique. Assessment of caries-like lesions was performed using polarized light microscopy. The traditional glass ionomer (Chemfil II) with dentin conditioner provided the highest protection against caries attack and the amalgam restorations provided the least.