Vital Pulpotomy of primary teeth with pulpitis using aloe vera: a clinical/radiographic study

Abstract

Background & Aim: Pulpotomy is one of the most widely accepted clinical procedures for treating cariously exposed pulp in primary teeth. The rationale of this technique is based on the healing ability of the radicular pulp tissue following surgical amputation of coronal pulp.

This research Aim To compare the efficacy of aloe vera gel and formocresol in pulpitis primary teeth  which treated by pulpotomy, clinically and radiographically.

Materials and Methods: The study sample included 21 healthy children (5-9 years), visiting pediatric dentistry department. Each child had primary canines or molars indicated for extraction as a part of orthodontic treatment. The study sample consisted of 21 irreducible pulpitis primary teeth which bleeding continued more than 5 minutes after amputation of coronal pulp divided into two groups. Group I: included 11 primrary teeth in which aloe vera gel was used as a pulpotomy medicament, and a mixture of aloe vera gel with zinc oxide and eugenol (avzoe) as a sub-base material. Group II: included 10 primary teeth in which formocresol was used for pulpotomy, and a mixture of zinc oxide and eugenol cement (zoe) as a sub-base material. Amalgam was used as a final restoration. Clinical and radiographic evaluation was performed after one, six and twelve months.

Results: The clinical and radiographic success percentage in the ( Alo-alozoe) group was 72.7% after one year of observation compared to 80% in the (Fc-zoe)group.

Conclusion: This study did not show significant clinical and radiographic differences between ( Alo-alozoe) and the (Fc-zoe)in pulpotomy on pulpitis primary teeth.