Volume 25, Issue 117, November 2021

A comparative clinical radiological study between using formocresol, MTA and platelet rich fibrin (PRF) in pulpotomy of second primary molars (Irreversible Pulpitis)

Mahmoud Alawwad¹, Mohamed Altinawi², Mohammad Salem Rekab³, Imad Katbeh^4♦, Asiyat Isaeva⁵, Adebah Alqaisy⁶

¹PhD Student, Mahmoud alawwad, Department of Paediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus, Syria
²Professor, Mohamed Altinawi, Department of Paediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus, Syria
³Professor, Mohammad Salem Rekab, Department of Endodontics, Faculty of Dental Medicine, Damascus University, Damascus, Syria
⁴Assistant Professor, Imad Katbeh Medical Institute, Department of pediatric dentistry and orthodontics, Peoples’ Friendship University of Russia (RUDN Miklukho-Maklaya Street 10/2, Moscow, Russia
⁵Assistant Professor, Asiyat Isaeva Medical Institute, Department of pediatric dentistry and orthodontics, Peoples’ Friendship University of Russia (RUDN Miklukho-Maklaya Street 10/2, Moscow, Russia
⁶Alqaisy Adebah Master in pediatric dentistry, Damascus, Syria

^♦Corresponding author
Assistant Professor, Imad Katbeh Medical Institute, Department of pediatric dentistry and orthodontics, Peoples’ Friendship University of Russia (RUDN Miklukho-Maklaya Street 10/2, Moscow, Russia

ABSTRACT

This study assesses the clinical and radiological success of pulpotomy of the second primary molars with irreversible pulpitis using Formocresol, MTA and Platelet Rich Fibrin (PRF) and monitors the teeth to see the success of the treatments during (6 months-12 months). The research consisted of 36 upper and lower second primary molars for children between the ages of 5 and 9 years. Each of them had one or more second primary molar with irreversible pulpitis requiring pulpotomy, and the molars of the research sample were divided into three groups equally according to the treatment method followed (treatment with Formocresol, treatment using MTA, and treatment using PRF). Treatments were evaluated through periodic child reviews and clinical and radiological examinations of the treated tooth by three specialists from the Department of Pediatric Dentistry to assess the success of the treatment. Where, we reviewed the patient to evaluate treatment after 6 months - 12 months. The treatment success rates of MTA in pulpotomy of primary molars with irreversible pulpitis were slightly higher than PRF, while formocresol had the worst prognosis among the materials used in pulpotomy. MTA is superior to PRF and formocresol in pulpotomy of primary teeth with irreversible pulpitis, and PRF was a successful and effective material in pulpotomy ofprimary molars and it can be an alternative to formocresol and MTA.

Keywords: MTA- Pulpotomy- second primary molar – Formocresol – PRF

Medical Science, 2021, 25(117), 2834-2841

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