title: Retrospective record review: reinforced zinc oxide-eugenol pulpotomy: a retrospective study.
abstract: OBJECTIVE
  The purpose of this retrospective study was to evaluate pulpotomies completed without the use of a fixative, preservative, or astringent agent prior to placement of a reinforced zinc oxide-eugenol (ZOE) sub-base in the pulp chamber and subsequent restoration.
  
  
  METHODS
  Clinical and radiographic data were collected from a private pediatric dental office in Toronto, Ontario, Canada. The pulpotomy technique used involved: amputation of coronal pulp; radicular hemostasis via pressure with dry cotton pellet; placement of ZOE into the pulp chamber; and restoration with stainless steel crown or amalgam.
  
  
  RESULTS
  One-hundred-ninety primary molars in 116 children (follow-up=6-94 months; mean=35.8 months) met the inclusion criteria. The radiographic, clinical, and overall success rates were approximately 95%, 97%, and 94%, respectively. The most frequently observed pathologic pulpal response was furcation radiolucency (N=7, ∼4%). The patient's age at time of pulpotomy, restoration type, tooth type, arch, and location of treatment (in-office vs general anesthesia) were not statistically significant factors influencing the success of the reinforced ZOE pulpotomy technique.
  
  
  CONCLUSIONS
  The success rates indicate that the reinforced zinc oxide-eugenol pulpotomy technique may be an acceptable treatment modality for primary molars requiring vital pulp therapy.
authors: E K
authors: EK
authors: Hui-Derksen
authors: Chiung-Fen
authors: CF
authors: Chen
authors: Robert
authors: R
authors: Majewski
authors: Ruwaida G H
authors: RG
authors: Tootla
authors: James R
authors: JR
authors: Boynton
mesh_terms: D002648:Child; D002675:Child, Preschool; D003442:Crowns; D003722:Dental Alloys / Q000737:chemistry; D003723:Dental Amalgam / Q000737:chemistry; D003786:Dental Pulp Cavity / Q000000981:diagnostic imaging / Q000473:pathology; D003793:Dental Restoration, Permanent / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D008963:Molar / Q000000981:diagnostic imaging / Q000473:pathology; D010483:Periapical Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D011183:Postoperative Complications; D057872:Pulp Capping and Pulpectomy Agents / Q000627:therapeutic use*; D011672:Pulpotomy / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies; D013193:Stainless Steel / Q000737:chemistry; D014094:Tooth, Deciduous / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome; D015035:Zinc Oxide-Eugenol Cement / Q000627:therapeutic use*
chemical_list: D003722:Dental Alloys; D057872:Pulp Capping and Pulpectomy Agents; D015035:Zinc Oxide-Eugenol Cement; D013193:Stainless Steel; D003723:Dental Amalgam