Comparative Evaluation of the Success Rate of Pulpotomy in Primary Molars Using Ferric Sulphate (FS) and Mineral Trioxide Aggregate (MTA): A Clinical and Radiographic Study
Yogesh Somwanshi
Department of Pedodontics, MIDSR, Latur, India.
Pankaj Chavhan *
Department of Pedodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
Arun Sajjanar
Department of Pedodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
Snehal Ughade
Department of Conservative and Endodontics, Saraswati Dhanwantari Dental College, Parbhani, India.
Nutan Gutte
Department of Conservative and Endodontics, MIDSR , Latur, India.
Pratima Kolekar
Department of Pedodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
Shruti Bhamare
Department of Pedodontics, MIDSR, Latur, India.
Swapnil Yadav
Department of Pedodontics, MIDSR, Latur, India.
*Author to whom correspondence should be addressed.
Abstract
Purpose: The aim of this present study was to observe clinical, radiographic response of pulp to Ferric Sulphate and Mineral Trioxide Aggregate when used as pulpotomy agent in primary molars.
Materials and Methods: Sixty restorable primary molars were selected for the study. The children were chosen who require minimum two pulpotomies in either arch preferably each on the opposite side (i.e. right and left). Primary molars on the right side of the patient were assigned to Ferric Sulphate (FS) (Group A) and left side was assigned for the Mineral Trioxide Aggregate (MTA) (Group B). Statistical analysis was done for pain, swelling, sinus, and fistula and for internal resorption, furcation radiolucency and periapical pathology using the chi-square test.
Results: outcome of the present study was observed at 3 month interval and after 6 months. The clinical success rate for MTA (AQUA) and ferric sulphate during 3 and 6 month follow up was 100%. The radiographic follow up of MTA was 100% during 3 and 6 month, whereas it was 96.6% for 3 and 6 month follow up with respect to ferric sulphate. There were no significant differences in the clinical (p>0.1) and radiographic (p>0.98) success rates among both the groups.
Conclusion: ferric sulphate was found to be equally effective when compared with MTA. Radiographic success rate was lower for Ferric sulphate (Group A) than that of MTA (Group B) with occurrence of one internal resorption seen with first primary molar.
Keywords: Mineral trioxide aggregate, ferric sulphate, pulpotomy, stainless steel crown