Dentistry Section DOI : 10.7860/JCDR/2016/18834.8231
Year : 2016 | Month : Aug | Volume : 10 | Issue : 08 Page : ZL01 - ZL01

Letter to the Editor on “Clinical Evaluation of Success of Primary Teeth Pulpotomy Using Mineral Trioxide Aggregate, Laser and Biodentine - An Invivo Study”

Niraj S. Gokhale1, Parin P. Shah2, Vidyavathi H. Patil3, Shivayogi M. Hugar4

1 Reader, Department of Pedodontics and Preventive Dentistry, KLE University’s KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.
2 Postgraduate Student, Department of Pedodontics and Preventive Dentistry, KLE University’s KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.
3 Lecturer, Department of Pedodontics and Preventive Dentistry, KLE University’s KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.
4 Professor, Department of Pedodontics and Preventive Dentistry, KLE University’s KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.


NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Niraj S. Gokhale, Department of Pedodontics and Preventive Dentistry, KLE University’s KLE VK Institute of Dental Sciences, Nehru Nagar, Belagavi, Karnataka, India.
E-mail: neeraj_gokhale05@rediffmail.com
Abstract

Dear Editor,

This is regarding the research article titled -“Clinical Evaluation of Success of Primary Teeth Pulpotomy Using Mineral Trioxide Aggregate, Laser and Biodentine- An In Vivo Study.” by Niranjani K, Prasad MG, Vasa AA, Gaddam D, Thakur MS, Kanithi S. 2015 April;9(4):ZC35-37, in Journal of Clinical and Diagnostic Research [1].

We would like to express certain concerns about this article-

1. The title of the article is not self-explanatory. It does not specify which type of study it is [2].

2. Whether approval from ethical committee was obtained or not is not mentioned and it is a must since the study involves live subjects [3].

3. The criterion as advocated by American Academy of Pediatric Dentistry [4] for inclusion of teeth into a pulpotomy group requires that no root resorption is seen pre-operatively, also authors of this study have made use of criteria laid down by Fuks AB and Papagiannoulis L for selection of teeth into pulpotomy group where at least 2/3rd of the root length is present with no signs of internal or other kind of root resorption. But the Intra-Oral Periapical Radiographs (IOPA’s) provided by the authors’s as pre operative IOPA’S, already show root resorption which makes them candidates fit for a pulpectomy procedure hence, the selected cases do not seem to be appropriate.

4. No reference has been quoted for the indications or the criteria of selection of the teeth for pulpotomy [5].

5. Also, the authors have not described the exact method and technique for placement of MTA and Biodentine [6,7].

6. The authors have made use of Zinc Oxide Eugenol cement over which Stainless Steel crowns were placed. But study by Shifflet K, White SN, state that zinc oxide eugenol shows a greater micro leakage, hence a more definitive restorative material like Glass Ionomer should have been used by the authors. Also whether the stainless steel crowns were placed immediately after the pulpotomy procedure or the placement of crown was deferred is not mentioned. This use of Glass Ionomer/Zinc Phosphate Cement/Reinforced Zinc oxide Eugenol/Metal modified Glass Ionomer cement may have a role in preventing micro leakage and significantly improving the success rates [8].

References

[1]Niranjani K, Prasad MG, Vasa AA, Gaddam D, Thakur MS, Kanithi S, Clinical evaluation of success of primary teeth pulpotomy using mineral trioxide aggregate, laser and biodentine- an in vivo study J Clin Diagn Res 2015 9:ZC35-37.  [Google Scholar]

[2]Habibzadeh F, Yadollahie M, Are shorter article titles more attractive for citations? Cross sectional study of 22 scientific journals Croat Med J 2010 51:165-70.  [Google Scholar]

[3]Schroter S, Plowman R, Hutchings A, Gonzalez A, Reporting ethics committee approval and patient consent by study design in five general medical journals J Med Ethics 2006 32:718-23.  [Google Scholar]

[4]Clinical Affairs Committee – Pulp Therapy SubcommitteeGuidelines on Pulp Therapy for Primary and Immature Permanent Teeth AAPD Reference Manual 2014 37:15-16.  [Google Scholar]

[5]Pulp treatment in Mathewson R, Primosch R. Fundamentals of pediatric dentistry. Chicago: Quintessence Books; 1995. pg 257-84  [Google Scholar]

[6]Hugar SM, Deshpande SD, Comparitive investigation of clinical/radiographical signs of mineral trioxide aggregate and formocresol pulpotomies on primary molars Contemp Clin Dent 2010 1:146-51.  [Google Scholar]

[7]Priyalakshmi S, Ranjan M, Review on biodentine-a bioactive dentin substitute J Dent and Med Sci 2014 13:13-17.  [Google Scholar]

[8]Shifflet K, White SN, Microleakage of cements for stainless steel crowns Pediat Dent 1997 19:262-64.  [Google Scholar]