Comparative evaluation of Ferric Sulfate, Electrosurgical and Diode Laser on human primary molars pulpotomy: an "in-vivo" study.
OBJECTIVE
Despite modern advances in the prevention of dental caries and increased understanding of the importance of maintaining the natural primary dentition, many teeth are still lost prematurely. This can lead to malocclusion with aesthetic, phonetic and functional problems that may be transient or permanent. Therefore, maintaining the integrity and health of the oral tissues is the primary objective of pulp treatment. Pulpotomy has remained an acceptable and mainstay treatment in preserving the vitality of primary tooth and prolonging its life till the permanent successor erupts. Various materials and techniques are available for pulpotomy on primary molars; all with some advantages and disadvantages. The present study was carried out on 45 primary molars to evaluate and compare the clinical and radiographic success of diode laser, electrosurgical and ferric sulfate pulpotomy over a period of 9 months. Materials (Subjects) and Methods: The forty five primary molars were randomly and equally divided into three treatment groups which were as follows: Group A: 15 primary molars treated with 15.5% Ferric sulfate Group B: 15 primary molars treated with electrosurgical unit and Group C: 15 primary molars treated with diode laser. All teeth in three categories were followed up clinically and radiographically at 1, 3, 6 and 9 months post treatment and the findings were recorded on the prepared proforma


RESULTS
Clinically, 86.6% success rate was found in ferric sulfate group whereas 100% success rate was found in electrosurgical and diode laser groups. Radiographically, 80% success rate was found in all the three groups at the end of 9 months with internal resorption being the most common cause of failure after pulpotomy.


CONCLUSIONS
Thus, electrosurgery and diode lasers appear to be acceptable alternative to pharmacotherapeutic pulpotomy agents.
Sudha Rustagi College of Dental Sciences and Research, Department of Pediatric Dentistry, Faridabad, India.
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Yadav
Sudha Rustagi College of Dental Sciences and Research, Department of Pediatric Dentistry, Faridabad, India.
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Indushekar
Sudha Rustagi College of Dental Sciences and Research, Department of Pediatric Dentistry, Faridabad, India.
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Saraf
Sudha Rustagi College of Dental Sciences and Research, Department of Pediatric Dentistry, Faridabad, India.
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Sheoran
Sudha Rustagi College of Dental Sciences and Research, Department of Pediatric Dentistry, Faridabad, India.
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Sardana
Diode Laser; Electrosurgery; Ferric Sulfate; Pulpotomy