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Primary dentition & Overall Health

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Primary dentition is importance to the maintenance of overall health, and pulp therapy is recommended to maintain primary teeth. Several methods have been employed to perform pulpotomy which may become necessary to prevent the loss of primary teeth. These include ferric sulfate, formocresol, calcium hydroxide and formaldehyde. This paper reviews the literature on the use of these various therapies in pulpotomy of primary teeth.

Because of difficulties in evaluating the condition of the diseased pulp, complete removal of the damaged tissue is a common procedure in adult therapy (48). This treatment is impractical in primary teeth because of the complicated anatomy of the root canals, the proximity of the permanent tooth germ and difficulties in finding a root canal filling material which is compatible with physiological root resorption. For these reasons, pulpotomy and partial pulp treatment have become popular. Internal root resorption was found to be less dramatic and less frequent when formocresol was used than when calcium hydroxide or zinc oxide-eugenol were used as the wound dressing (48:153). This is due to the severe damage to the residual tissue and its capacity to resorb. The disadvantage of using formocresol is that a chronic inflammation is immediately carried down to deeper parts of the root canal. Calcium hydroxide produced the most prompt healing (48:154). The author concludes that symptomless exposure by caries should be treated by vital pulpotomy w

. . .
authors consider their sample size (27 children) to be too small to yield significant results. When dog pulp tissue was incubated with formocresol, it was rendered antigenically active (8). A specific cell-mediated immune response-lymphocyte proliferation was generated in response to the formocresol-altered dog pulp tissue which was not found in controls. This study demonstrated that the root canal can serve as an effective mode of immunization, and that the biocompatibility of formocresol should be considered before its widespread use. A study comparing the use of formocresol and sterile physiological saline solution as a root canal disinfectant on the periapical tissues of anterior teeth in Rhesus monkeys showed no significant difference evident after two days (86). However, after seven days, there was a significant difference which disappeared by 42 days. This study showed that the recovery of the periapical tissue during the five weeks after one week of disinfection with formocresol proceeded much more slowly and ineffectively than that in the control group. Grundy, Adkins and Savage reported that periapical cysts have been found in association with some teeth in which formocresol was used (34). Significant features of
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Some common words found in the essay are:
Zachrisson DeRomero, Dycal Life, Adkins Savage, Fuks Bimstein, Fischer Puddling, Pediatric Dentistry, Amerongen Vingerling, Zealand White, , Mejare Larsson, calcium hydroxide, ferric sulfate, primary teeth, pulp tissue, formocresol pulpotomy, primary molars, dent children, zinc oxide-eugenol, pulpotomies primary, formocresol pulpotomies, pulpotomies primary teeth, formocresol pulpotomies primary, pulpotomy calcium hydroxide, capping calcium hydroxide, formocresol calcium hydroxide,
Approximate Word count = 8147
Approximate Pages = 33 (250 words per page)

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