COMPARING THE EFFICACY OF ALOE VERA GEL VERSUS FERRIC SULPHATE AS A PULP MEDICAMENT IN VITAL PULPOTOMY OF DECIDUOUS MOLARS: A RANDOMIZED CONTROLLED TRIAL
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Abstract
OBJECTIVE: To compare the efficacy of Aloe vera (AV) gel versus Ferric Sulphate (FS) as a pulp medicament in vital pulpotomy of deciduous molars.
METHODS: This randomized controlled trial was conducted at Peshawar Dental College, Peshawar, Pakistan. One hundred and fourteen patients were randomized into interventional group (A): who received AV gel & control group (B): who received as FS pulpotomy medicament. Deciduous molars of patients of both genders were selected for this study. Clinical signs & symptoms and radiological findings were then observed in both groups after a period of 6 months and then checked for their comparative efficacy.
RESULTS: Out of 114 patients, 69 (60.5%) were males. Postoperative pain came out to be as no pain [AV=44/57 (77.2%); FS=43/57 (75.4%)], mild pain [AV=07/57 (12.3%); FS=11/57 (19.3%)], moderate pain [AV=03/57 (5.3%); FS=01/57 (1.8%)] and severe pain [AV=03/57 (5.3%); FS=02/57 (3.5%)]. Periapical abscess was observed in total of 04/114 (3.5%) patients (AV=03/57; FS=01/57). Pathological tooth mobility was also present as mild/normal [AV=52/57 (91.2%); FS=56/57 (98.2%)], moderate [AV=04/57 (7%); FS=01/57 (1.8%)] and severe [AV=01/57 (1.8%)]. Radiographic changes were found in total of 06/114 (5.3%) patients (AV=04/57; FS=02/57). Out of 114 patients, 51/57 (89.47%) cases remained successful in group A while in group B, 54/57 (94.73%) were successful.
CONCLUSION: AV tends to prove favorable outcomes in terms of clinical signs and symptoms and radiological features comparable to ferric sulphate and could be a better & cheap alternative to other medicaments in future and can be used safely for pulpotomy.
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References
American Academy of Pediatric Dentistry, Clinical Affairs Committee – Pulp Therapy Subcommittee. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Pediatr Dent 2016;38(6):280-88.
Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA; British Society of Paediatric Dentistry. Pulp therapy for primary molars. Int J Paediatr Dent 2006;16(Suppl. 1):15-23. DOI: 10.1111/j.1365-263X.2006.00774.x.
Yildiz E, Tosun G. Evaluation of formocresol, calcium hydroxide, ferric sulfate, and MTA primary molar pulpotomies. Eur J Dent. 2014;8(2):234-40. DOI: 10.4103/1305-7456.130616.
Smith NL, Seale NS, Nunn MS. Ferric sulfate pulpotomy in primary molars: a retrospective study. Pediatr Dent 2000;22(3):192-9.
Huth KC, Hajek-Al-Khatar N, Wolf P, Ilie N, Hickel R, Paschos E. Long-term effectiveness of four pulpotomy techniques: 3-year randomized controlled trial. Clin Oral Investig 2012;16(4):1243-50. DOI: 10.1007/s00784-011-0602-3.
Yadav P, Indushekar KR, Saraf B, Sheoran N, Sardana D. Comparative evaluation of Ferric Sulfate, Electrosurgical and Diode Laser on human primary molars pulpotomy: an “in-vivo” study. Laser Ther 2014;23(1):41-7. DOI: 10.5978/islsm.14-OR-05.
Taheri JB, Azimi S, Rafieian N, Zanjani HA. Herbs in dentistry. Int Dent J 2011;61(6):287-96. DOI: 10.1111/j.1875-595X.2011.00064.x.
Wadhawan R, Khan SDAA, Solanki G, Sabir S. Aloe Vera: A Boon in Dentistry. Int J Pharm Rev Res (IJPRR) 2014;4(3):147-51.
Agarwal A, Dwivedi N. Aloe Vera: Magic or myth. SRM J Res Dent Sci 2013; 4(3): 119-24. DOI: 10.4103/0976-433X.121638.
Sundarkar P, Govindwar R, Nyamati S, Alladwar N, Thombre V, Soni A, et al. Use of aloe vera in dentistry. J Indian Acad Oral Med Radiol (JIAOMR) 2011;23(5):389-91. DOI: 10.5005/jp-journals-10011-1177.
Gupta N, Bhat M, Devi P, Girish. Aloe-Vera: A Nature’s Gift to Children. Int J Clin Pediatr Dent 2010;3(2):87-92. DOI: 10.5005/jp-journals-10005-1059.
Jittapiromsak N, Sahawat D, Banlunara W, Sangvanich P, Thunyakitpisal P. Acemannan, an extracted product from Aloe Vera, stimulates dental pulp cell proliferation, differentiation, mineralization, and dentin formation. Tissue Eng Part A 2010;16(6):1997-2006. DOI: 10.1089/ten.TEA.2009.0593.
Gala-Garcia A, Teixeira KI, Mendes LL, Sobrinho AP, Santos VR, Cortes ME. Effect of Aloe vera on Rat Pulp Tissue. Pharmaceutical Biol 2008;46(5):302-8. DOI: 10.1080/13880200801887138
Lewis C, Stout J. Toothache in US children. Arch Pediatr Adolesc Med 2010;164(11):1059-63. DOI: 10.1001/archpediatrics.2010.206.
Ibricevic H, Al-Jame Q. Ferric sulphate and formocresol in pulpotomy of primary molars: long term follow-up study. Eur J Paediatr Dent 2003;4(1):28-32.
Khan AM, Maxood A, Farani KS, Khan NA. Efficacy of Formocresol and Ferric Sulphate pulpotomies in Cariously Exposed Primary Molars. J Adv Med Dent Sci Res 2018;6(1):1-6.
Gonna S, Ghoname N, Kabbash A. Efficacy of Aloe Vera as A Pulpotomy Agent in Children Primary Teeth: Clinical and Radiographic Studies. J Gastroenterol Hepatol Res 2019;8(5):2946-51. DOI: 10.17554/j.issn.2224-3992.2019.08.842.