A SURVEY ON CURRENT TRENDS IN PRIMARY TOOTH PULPOTOMY IN KARACHI
AbstractBackground: In comparison to USA and United Kingdom where Paediatric Dentistry is considered a separate specialty; there very few formal teaching programs in Pakistan for Paediatric Dentistry. Many surveys have been carried out internationally,but no survey has been carried out locally to ascertain practice of dentists when treating paediatric patients. Therefore, it appears important to map features of Paediatric Dentistry practice in our country. The purpose of this study was to assess practice regarding pulpotomy of primary teeth among dentists of Karachi and to compare difference in pulpotomy practice of primary teeth between private practitioners and teaching dentists. Methods: Questionnaire was distributed by hand to dentists working in private clinics and teaching hospitals of Karachi, involved in treating primary teeth of children. Questions captured information on aspects related to pulpotomy procedure as carried out by dentists. Descriptive statistics and frequency distribution were computed. Chi-square test was applied to compare difference between dentists working in teaching hospitals versus private practitioners. Level of significance was kept at 0.05. Results: Although majority of dentists use the preferred medicament for pulpotomy, i.e., formocresol, it was seen that only a small proportion reported frequent use of radiographs and rubber dam. There was a significant difference in selecting post pulpotomy restorations for anterior teeth by teaching dentists (Composites) compared to private practitioners (who favoured GIC). Only 20–27% of dentists reported use of stainless steel crown for definitive restoration after pulpotomy. Conclusions: Although majority of dentists use formocresol as a preferred medicament for pulpotomy, it was seen that only a small proportion of participants reported frequent use of radiographs, rubber dam and stainless steel crowns which is far below the standard of care.
Bergoli AD, Primosch RE, de Araujo FB, Ardenghi TM, Casagrande L. Pulp Therapy in Primary Teeth- Profile of Teaching in Brazilian Dental Schools. J Clin Pediatr Dent 2010;35(2):191–5.
de Silva-Sanigorski AM, Calache H, Gussy M, Dashper S, Gibson J, Waters E. The VicGeneration study--a birth cohort to examine the environmental, behavioral and biological predictors of early childhood caries: background, aims and methods. BMC Public Health 2010;10:97.
Ni Chaollai A, Monteiro J, Duggal MS. The teaching of management of the pulp in primary molars in Europe: a preliminary investigation in Ireland and the UK. Eur Arch Paediatr Dent 2009;10(2):98–103.
Peng L, Ye L, Guo X, Tan H, Zhou X, Wang C, et al. Evaluation of formocresol verses ferric sulphate primary molar pulpotomy: a systematic review and meta-analysis. Int Endod J 2007;40(10):751–7.
Goyal S, Indushekar KR. “Use of formocresol by the pediatric dentists across India - A questionnaire survey”. J Evol Med Dent Sci 2013;l2(32):5943–51
Hunter ML, Hunter B. Vital pulpotomy in the primary dentition: attitudes and practices of Specialists in Paediatric Dentistry practicing in the United Kingdom. Int J Paediatr Dent 2003;13(4):246–50.
Srinivasan V, Patchett CL, Waterhouse PJ. Is there life after Buckley's Formocresol? Part I- a narrative review of alternative interventions and materials. Int J Paediatr Dent 2006;16(2):117–27.
Aldlaigan YH. Dentists attitudes, knowledge and practices towards Pulpotomy procedure of primary teeth in Riyadh, Saudi Arabia. J Pak Dent Assoc 2007;16(2):90–4.
Togoo RA, Nasim V, Zakirulla M, Yaseen S. Knowledge and Practice of Pulp Therapy in Deciduous Teeth among General Dental Practitioners in Saudi Arabia. Ann Med Health Sci Res 2012;2(2):119–23.
American Academy of Pediatric Dentistry. Clinical Affairs Committee – Restorative Dentistry Subcommittee. Guideline on Pediatric Restorative Dentistry. Pediatr Dent 2012;34(5):173–80.
Threlfall AG, Pilkington L, Milsom KM, Blinkhorn AS, Tickle M. General dental practitioners' views on the use of stainless steel crowns to restore primary molars. Br Dent J 2005;199(7):453–5.
Khan FR, Mahmud S, Rahman M. The Need of Paediatric Dentistry Specialists in Pakistan. J Coll Physicians Surg Pak 2013;23(4):305–7.
Khan FR, Mahmud S, Rahman M. Pediatric Dentistry Training for dentists in Pakistan. J Pak Dent Assoc. 2013.22(1):3–8.
Slaus G, Bottenberg P. A survey of endodontic practice amongst Flemish dentists. Int Endod J 2002;35(9):759–67.
Forss H, Widström E. Factors influencing the selection of restorative materials in dental care in Finland. J Dent 1996;24(4):257–62.
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