Daimi Dişlerde Değişik Kanama Kontrol Yöntemleri Kullanılarak Yapılan Parsiyel Pulpotominin Başarısının Klinik ve Radyografik Olarak İncelenmesi

Abstract

In this research, clinical and radiographic success levels of partial pulpotomies performed using mineral trioxide aggregate or calcium hydroxide following hemorrhage control with 2.5% sodium hypochlorite or 0.9% sterile saline solutions were evaluated in young permanent molar teeth which were exposed during cavity preparation. Following removal of the pulp in 2-3 mm depth at the exposed site, 80 young first and second permanent molar teeth in 63 children were divided into four groups according to hemorrhage control agent and the pulp capping material to be applied: Group 1: Sodium hypochlorite + Mineral trioxide aggregate, Group 2: Sterile saline + Mineral trioxide aggregate, Group 3: Sodium hypochlorite + Calcium hydroxide, Group 4: Sterile saline + Calcium hydroxide. Glass ionomer cement was applied on the pulp capping material in all teeth which were later restored with composite resin material. Clinical and radiographic follow-ups were performed at 1st, 6th, 12th, 18th and 24th months. Radiographic success levels at the end of the follow-up period were found to be 94.4%, 100%, 95% and 100%, whereas clinical success levels were found to be 66.7%, 84.2%, 85% and 63.2% for groups 1-4 respectively (p>0.05). However, when teeth with sole sensitivity to percussion and no other accompanying symptom of clinical or radiographic failure were not considered as failure, clinical success levels equal to radiographic success levels were observed. Marginal integrity scores of the restorations are compatible with clinical and radiographic findings of the study. Within the limitations of this study, it can be concluded that partial pulpotomies performed by utilizing mineral trioxide aggregate or calcium hydroxide as the pulp capping material following hemostasis with sodium hypochlorite or sterile saline solutions provide comparable outcomes.