Pulp therapy in primary teeth--profile of teaching in Brazilian dental schools.

This study investigates the profile of teaching primary tooth pulp therapy practiced by Brazilian dental schools. A multiple-choice questionnaire was sent by e-mail to 191 dental schools in Brazil, addressed to the pediatric dentistry Chairperson. The two-part survey consisting of multiple-choice questions regarding specific materials and techniques on pulp therapies, moreover, hypothetical clinical scenarios were presented so that the respondents could guide the treatment approach. The questionnaires were returned by 46.5% of the dental schools. Ninety-five percent of surveyed schools teach IPT for the treatment of deep carious lesions in dentin and indicate the calcium hydroxide as capping material (59.3%). The direct pulp capping is taught by 68.7% of schools and calcium hydroxide (97%) was the capping material most indicated. Pulpotomy is taught in 98.7% of schools and formocresol (1:5 dilution) was the medicament of choice (50%). All schools taught pulpectomy and Iodoform paste was the filling material preferred (55%). The results showed a lack of consensus in certain modalities and techniques for primary tooth pulp therapy taught by Brazilian dental schools.

[1]  M. Duggal,et al.  The Teaching of Management of the Pulp in Primary Molars in Europe: A preliminary investigation in Ireland and the UK , 2009, European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry.

[2]  J. Nör,et al.  Effect of adhesive restorations over incomplete dentin caries removal: 5-year follow-up study in primary teeth. , 2009, Journal of dentistry for children.

[3]  Italo Medeiros Faraco Junior,et al.  Ação Antimicrobiana de Materiais Empregados na Obturação dos Canais de Dentes Decíduos por Meio da Difusão em Ágar: Estudo in vitro , 2009 .

[4]  A. Fuks.  Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. , 2008, Journal of endodontics.

[5]  J. Coll.  Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? , 2008, Journal of endodontics.

[6]  L. Casagrande,et al.  In vivo outcomes of indirect pulp treatment using a self-etching primer versus calcium hydroxide over the demineralized dentin in primary molars. , 2008, The Journal of clinical pediatric dentistry.

[7]  J. Coll,et al.  A survey of primary tooth pulp therapy as taught in US dental schools and practiced by diplomates of the American Board Of Pediatric Dentistry. , 2008, Pediatric dentistry.

[8]  N. S. Seale,et al.  Light-cured calcium hydroxide vs formocresol in human primary molar pulpotomies: a randomized controlled trial. , 2008, Pediatric dentistry.

[9]  F. García-Godoy,et al.  Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. , 2006, American journal of dentistry.

[10]  C. Estrela,et al.  Antimicrobial analysis of different root canal filling pastes used in pediatric dentistry by two experimental methods. , 2006, Brazilian dental journal.

[11]  A. Crispin,et al.  Effectiveness of 4 Pulpotomy Techniques—Randomized Controlled Trial , 2005, Journal of dental research.

[12]  K. Vargas,et al.  Radiographic success of ferric sulfate and formocresol pulpotomies in relation to early exfoliation. , 2005, Pediatric dentistry.

[13]  G. Holan,et al.  Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol. , 2005, Pediatric dentistry.

[14]  D. Avery,et al.  Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth. , 2004, Pediatric dentistry.

[15]  N. Farooq,et al.  Caries control and other variables associated with success of primary molar vital pulp therapy. , 2004, Pediatric dentistry.

[16]  K. Welch,et al.  Indirect pulp treatment of primary posterior teeth: a retrospective study. , 2003, Pediatric dentistry.

[17]  M. Massara,et al.  Atraumatic Restorative Treatment: Clinical, Ultrastructural and Chemical Analysis , 2002, Caries Research.

[18]  J. Nör,et al.  Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. , 2002, Pediatric dentistry.

[19]  N. Farooq,et al.  Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. , 2000, Pediatric dentistry.

[20]  Primosch Re,et al.  Primary tooth pulp therapy as taught in predoctoral pediatric dental programs in the United States. , 1997 .

[21]  G. Holan,et al.  A comparison of pulpectomies using ZOE and KRI paste in primary molars: a retrospective study. , 1993, Pediatric dentistry.

[22]  J. Baumgartner,et al.  Efficacy of several concentrations of sodium hypochlorite for root canal irrigation. , 1992, Journal of endodontics.