Ferric Sulfate Versus Calcium-Enriched Mixture Cement in Pulpotomy of Primary Molars: A Randomized Clinical Trial

Sajadi, Fatemeh Sadat; Jalali, Farzaneh; Khademi, Mehrnaz

doi:10.1590/pboci.2021.007

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ORIGINAL ARTICLE • Pesqui. Bras. Odontopediatria Clín. Integr. 21 • 2021 • https://doi.org/10.1590/pboci.2021.007 copy

Ferric Sulfate Versus Calcium-Enriched Mixture Cement in Pulpotomy of Primary Molars: A Randomized Clinical Trial

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To evaluate the postoperative pain and clinical and radiographic success of pulpotomized primary molars using two materials, Ferric Sulfate (FS) and Calcium-Enriched Mixture (CEM) cement, over a period of 3 and 6 months.

Material and Methods:

This randomized clinical trial was conducted on a total of 38 teeth selected from 19 patients aged 3-9 years. FS 15.5% and CEM cement were used as pulpotomy agents. Permanent restorations were Stainless Steel Crowns (SSCs) in both groups. Patients were recalled for follow-up at 3 and 6 months intervals for clinical and radiographic assessment. Postoperative pain was recorded by using Visual Analogue Scale up to ten days following the treatment. The data were statistically analyzed using chi-square test and repeated measures ANOVA.

Results:

At 6 months, a 100% clinical success rate was observed in the FS and CEM cement groups. The radiographic success rate in the FS group was 94.7%, whereas 100% in the CEM cement group at 6 months. No statistically significant difference was found between the two groups (p>0.05). There was no significant difference in postoperative pain between the teeth that received either FS or CEM cement as pulpotomy agents following the procedure (p>0.05).

Conclusion:

There were favorable outcomes of FS and CEM cement in pulpotomy of primary molar teeth.

Keywords:
Child; Tooth, Deciduous; Pulpotomy; Pain

Variables	Categories	N	%
Gender	Male	9	47.4
	Female	10	52.6
Tooth Type	Second Primary Molar	16	42.1
	First Primary Molar	22	57.9
Material	CEM Cement	19	50.0
	Ferric Sulfate	19	50.0

Variables	CEM Cement		Ferric Sulfate		p-value
Variables	Success	Failure	Success	Failure	p-value
	N (%)	N (%)	N (%)	N (%)
Radiographic Signs
Internal Resorption (3 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
Internal Resorption (6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
External Root Resorption (3 Months)	19 (100.0)	0 (0.0)	18 (94.7)	1 (5.3)	0.31
External Root Resorption (6 Months)	19 (100.0)	0 (0.0)	18 (94.7)	1 (5.3)	0.31
Periapical Radiolucency (3 Months)	19 (100.0)	0 (0.0)	18 (94.7)	1 (5.3)	0.31
Periapical Radiolucency (6 Months)	19 (100.0)	0 (0.0)	18 (94.7)	1 (5.3)	0.31
Furcation Radiolucency (3 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
Furcation Radiolucency (6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
PDL Widening (3 Months)	19 (100.0)	0 (0.0)	18 (94.7)	1 (5.3)	0.31
PDL Widening (6 Months)	19 (100.0)	0 (0.0)	18 (94.7)	1 (5.3)	0.31
Clinical Signs
Clinical Pain (3 and 6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
Swelling (3 and 6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
Fistula (3 and 6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
Mobility (3 and 6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-
Percussion (3 and 6 Months)	19 (100.0)	0 (0.0)	19 (100.0)	0 (0.0)	-

Days	CEM Cement		Ferric Sulfate		p-value
	Mean	SD	Mean	SD	0.47
Day 1	2.8	2.4	2.5	2.4
Day 2	1.3	1.6	1.2	1.7
Day 3	0.7	1.1	0.3	0.6
Day 4	0.4	0.6	0.3	0.6
Day 5	0.4	0.7	0.3	0.5
Day 6	0.3	0.6	0.2	0.4
Day 7	0.3	0.6	0.2	0.4
Day 8	0.2	0.5	0.1	0.3
Day 9	0.2	0.5	0.3	0.7
Day 10	0.2	0.5	0.1	0.3

	CEM Cement				Ferric Sulfate
Days	Pain				Pain				p-value
	No	Mild	Moderate	Severe	No	Mild	Moderate	Severe
Day 1	6	6	5	2	6	8	4	1	0.86
Day 2	10	6	3	-	10	6	3	-	1.00
Day 3	13	6	-	-	14	5	-	-	0.72
Day 4	13	6	-	-	14	5	-	-	0.72
Day 5	14	5	-	-	14	5	-	-	0.72
Day 6	15	4	-	-	16	3	-	-	1.00
Day 7	15	4	-	-	16	3	-	-	0.67
Day 8	16	3	-	-	17	2	-	-	0.63
Day 9	16	3	-	-	16	3	-	-	1.00
Day 10	16	3	-	-	17	2	-	-	0.63

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[1] Correspondence: Farzaneh Jalali, Department of Pediatric Dentistry, Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran. E-mail:fznjalali@gmail.com