PMID: 16532888Mar 15, 2006Paper

Permanent versus temporary restorations after emergency pulpotomies in primary molars

Pediatric Dentistry
Marcio GuelmannEnrique Bimstein

Abstract

The purpose of this retrospective study was to determine if immediate placement of a stainless steel crown (SSC) after emergency pulpotomies in primary molars would result in a better outcome when compared to different temporary restorations. Records of 94 emergency pulpotomies in primary molars performed at a university pediatric graduate dental clinic between July 2001 and June 2004 were analyzed. Inclusion criteria included: (1) teeth with a positive history of spontaneous or elicited pain; (2) deep caries with close approximation to the pulp; (3) absence of clinical and radiographic signs of pulpal degeneration; (4) abnormal mobility; or (5) swelling. Pulpotomized teeth were temporarily restored with a zinc oxide eugenol-based temporary restoration (IRM) covered with Ketac Molar or with a permanent restoration (SSC). The time interval between emergency and definitive treatment or recall, age, gender, tooth type, and arch were the variables analyzed in the study. Success was determined by record (progress notes and radiographs) verification of SSC placement in case of a temporary restoration and by confirmation of crown presence during recall exam. Data from emergency pulpotomies restored only with IRM was added to the study...Continue Reading

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