All ETDs from UAB

Advisory Committee Chair

John Ruby

Advisory Committee Members

Noel K Childers

Paul D Eleazer

Janice Jackson

Firoz Rahemtulla

Document Type

Thesis

Date of Award

2007

Degree Name by School

Master of Science (MS) School of Dentistry

Abstract

Purpose. The aim of this case series study was to conduct a long-term follow-up and review of subjects with previous Vitapex® pulpectomies, to evaluate outcomes clinically and radiographically, and to ascertain whether there was any interference with exfoliation of deciduous teeth or abnormal development of succedaneous teeth. Methods. This case series study was conducted by following target groups of pediatric patients who had received Vitapex® pulpectomies in their primary teeth. Data were collected by reviewing charts, identifying patients who met our criteria, and recalling them for follow-up appointments. After sufficient data were accumulated, survival analysis was applied and presented by Kaplan-Meier plots. Results. A total 97 teeth (67 anterior and 30 posterior) within 62 subjects (mean iii age receiving treatment was 3.75 ± 1.42 years old) were included in this retrospective study. Clinical (20.8 ± 13.2 months) and radiographic (19.4 ± 11.6 months) follow-up evaluations were performed with survival graded as 90.7% and 76.3% respectively. The clinical mean survival time was 51.08 months and the probability of survival after 48 months was 0.86. The radiographic mean survival time was 46.3 months with a 0.68 probability of survival after 48 months. The inter-examiner agreement as favorable based on a kappa value of 0.82. Conclusion. The results of this study showed Vitapex® pulpectomy is a practical and effective pulp therapy for primary teeth and can be recommended as a replacement treatment modality for conventional pulpotomy in primary anterior teeth.

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