Pulpotomy Medicaments: Continued Search for New Alternatives

A pulpotomy is performed in a primary tooth with extensive caries without evidence of radicular pathology when caries removal results in a carious or mechanical pulp exposure. If caries removal process leads to pulp exposure, a pulpotomy is undertaken since direct pulp capping in cariously exposed primary teeth has been shown to have poor success . Formocresol has been a popular pulpotomy medicament in the primary dentition. Concerns have been raised over the use of formocresol in humans, mainly as a result of its toxicity and potential carcinogenicity.

Pulpotomy Medicaments

Despite these concerns, pulpotomy with Formo Cresol (FC) is still a universally preferred technique. A survey conducted in the US reported that majority of dentists used FC as pulpotomy medicament and they were not concerned about adverse effects while a survey conducted in the UK showed that 66.5%of pediatric dentists used FC for pulpotomy, 54.2% were concerned regarding their preferred medicament and wereconsidering change of their chosen technique.

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