Dental Journals
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Vital pulpotomy in the primary dentition: attitudes and practices of Specialists in Paediatric Dentistry practising in the United Kingdom.
Hunter ML, Hunter B. - Int J Paediatr Dent. 2003 Jul;13(4):246-50.
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OBJECTIVES:
This study was designed to examine the attitudes and practices of Specialists in
Paediatric Dentistry practising in the United Kingdom in relation to vital pulpotomy
in the primary dentition. DESIGN: Data were collected by postal questionnaire.
SAMPLE AND METHODS:
All dentists whose names were entered on the General Dental Council's Specialist
List in Paediatric Dentistry, and who were resident and practising in the United
Kingdom, were asked to complete a questionnaire consisting of nine questions.
RESULTS:
Questionnaires were returned by 184 (86.8%) of the eligible Specialists
in Paediatric Dentistry. These yielded a sample group of 179 Specialists practising
the primary vital pulpotomy technique. The most commonly used medicament was formocresol,
with a 1 : 5 dilution being used by 66.5% of the sample. More than half (54.2%) of the
Specialists practising the technique expressed concern regarding their preferred
medicament. Without exception, their concerns related to the potential adverse
effects of formocresol and formaldehyde. Seventy-five respondents (41.9% of the sample)
were considering changing their technique. One hundred and thirty-seven Specialists
stated that they routinely took preoperative radiographs, while postoperative
radiographs were routinely taken by 107 Specialists (76.5% and 59.8% of the sample,
respectively). Rubber dam isolation was used by 62.6% of the sample.
CONCLUSIONS:
The majority of Specialists are adhering to the UK national clinical guideline
for pulp treatment of the primary dentition. However, significant numbers are
considering changing their chosen technique. There is a lack of consensus on
the use of pre- and postoperative radiographs; specific guidance with respect
to their use is required.
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