2021, Number 1
Clinical Efficacy of MTA in Pediatric Patient Pulpotomies: A Systematic Review
Language: Spanish
References: 34
Page: 109-123
PDF size: 467.03 Kb.
ABSTRACT
Objective: To analyze the clinical efficacy of the Mineral Trioxide Aggregate (MTA) in pulpotomies through comparative studies with formocresol, ferric sulfate and calcium hydroxide; in pediatric patients aged three to nine years. Materials and Methods: The article is based on a systematic review of the literature, therefore, databases were used as sources of information: PubMed, Scielo, and Virtual Health Library. Likewise, as inclusion criteria, publications from 2008 to 2019 were established, whose origin was derived from journals and refereed academic journals; which allowed us to obtain sixteen trials that evaluated clinical efficacy through the signs and symptoms of the most common pulp diseases: abscess, gingival inflammation, pathological mobility, pain on percussion and spontaneous pain. Results: MTA obtained an efficacy of 97.9% as opposed to 86.9% for ferric sulfate. Concerning to Formocresol, MTA achieved 99% versus 98.3% efficacy. Also, in the comparison of MTA with Calcium Hydroxide, the former achieved 98.2% and the latter 74.5%. Conclusions: MTA obtained a higher clinical efficacy due to its biocompatibility, basic pH and its high faculty when sealing the pulp chamber. Therefore, it can be used as a safe material for pediatric patient pulpotomies.REFERENCES
Aguado J, Cruz I,Maroto M, Barbería E. (2009). Posibilidades terapéuticas del Agregado Trióxido Mineral (MTA) en odontopediatría. JADA [Internet]. 2009 [Consultado 2019 Jun 2]; 4. 185-193. Disponible en: https://www.researchgate.net/publication/257920006_Posibilidades_terapeuticas_del_Agregado_Trioxido_Mineral_MTA_en_odontopediatria
Caicedo R, Abbott P, Alongi D, Alarcon M. Clinical, radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth. Austr Dent J [Internet]. 2006 [Consultado 2019 Jun 14]; 51(4): 297-305. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/17256303
Kitchenham B, Brereton P, Budgen D, Turner M, Bailey J, Linkman S. Systematic literature reviews in software engineering-A systematic literature review. Information and Software Technology [Internet]. 2009 [Consultado 2019 May 12]; 51. 7-15. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0950584908001390
Junqueira M, Cunha N, Caixeta, Marques N, Oliveira T, Moretti A, Cosme L, Sakai V. Clinical, Radiographic and Histological Evaluation of Primary Teeth Pulpotomy Using MTA And Ferric Sulfate. Braz. Dent. J [Internet]. 2018 [Consultado 2019 Jun 2]; 29(2): 159-165. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402018000200159&lng=en.
Goyal P, Pandit I, Gugnani N, Gupta M, Goel R, Gambhir R. Clinical and radiographic comparison of various medicaments used for pulpotomy in primary molars: A randomized clinical trial. Eur J Dent [Internet]. 2016 [Consultado 2019 Jun 2]; 10:315-20. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27403046
Biondi A, Cortese S, Ortolani A. Pulpotomías en molares primarios evaluación clínica, radiográfica de formocresol o trióxido mineral agregado. Revista de la Facultad de Odontología- Repositorio (UBA) [Internet]. 2008 [Consultado 2019 Jun 2]; 23:54-55. Disponible en: http://od.odontologia.uba.ar/revista/2008vol23num54-55/art2.pdf
Hugar S, Deshpande S. Comparative investigation of clinical/radiographical signs of mineral trioxide aggregate and formocresol on pulpotomized primary molars. Contemporary clinical dentistry [Internet]. 2010 [Consultado 2019 Jun 2]; 1(3), 146–151. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3220100/
Hugar S, Reddy R, Deshpande S, Shigli A, Gokhale N, Hugar S. In vivo Comparative Evaluation of Mineral Trioxide Aggregate and Formocresol Pulpotomy in Primary Molars: A 60-month Follow-up Study. Contemporary clinical dentistry [Internet]. 2017 [Consultado 2019 Jun 2]; 8(1), 122–127. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426144/
Jayam C, Mitra M, Mishra J, Bhattacharya B, Jana B. Evaluation and comparison of white mineral trioxide aggregate and formocresol medicaments in primary tooth pulpotomy: clinical and radiographic study. J Indian Soc Pedod Prev Dent [Internet]. 2014 [Consultado 2019 Jun 2]; 32(1):13-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24531596
Yildirim C, Basak F, Akgun O, Polat G, Altun, C. Clinical and radiographic evaluation of the effectiveness of formocresol, mineral trioxide aggregate, portland cement, and enamel matrix derivative in primary teeth pulpotomies: a two year follow-up. J Clin Pediatr Dent [Internet]. 2016 [Consultado 2019 Jun 2]; 40(1):14-20. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26696101
Moretti A, Sakai V, Oliveira T, Fornetti A, Santos C, Machado M, Abdo R. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Int Endod J [Internet.] 2008 [Consultado 2019 Jun 2]; 41(7):547-55. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/18479381
De Vasconcelos B , Bernardes R , Cruz S, Duarte M , Padilha M , Bernardineli N , Garcia R , Bramante C, de Moraes I . Evaluation of pH and calcium ion release of new root-end filling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. [Internet]. 2009 [Consultado 2019 Jun 2]; 108(1):135-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19451009
Patchett CL, Srinivasan V, Waterhouse PJ. Is there life after Buckley´s formocresol? Part II – Development of a protocol for the management of extensive caries in the primary molar. Int J Paed Dent [Internet]. 2006 [Consultado 2019 Jun 2]; 16: 199-206 Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16643542