PMID- 24290553
OWN - NLM
STAT- MEDLINE
DCOM- 20140812
LR  - 20131202
IS  - 1942-5473 (Electronic)
IS  - 0164-1263 (Linking)
VI  - 35
IP  - 5
DP  - 2013 Sep-Oct
TI  - Effects of glass ionomer temporary restorations on pulpal diagnosis and treatment 
      outcomes in primary molars.
PG  - 416-21
AB  - PURPOSE: To evaluate 1) if glass ionomer interim temporary restorations (ITR) 
      placed for 1-3 months prior to vital pulp therapy (VPT) improved accuracy of 
      diagnosing the pulp's clinical status and subsequent VPT success, and 2) the 
      effect of the location of the carious lesion on VPT. METHODS: Primary molars 
      (N=117) receiving pulp therapy with or without ITR were evaluated 
      retrospectively. All teeth had caries extending >50 percent into dentin; caries 
      lesion location was identified (proximal or non-proximal). Two examiners rated 
      pulp status assessment, caries location, and pulp treatment, and correlated 
      treatment outcomes after a mean of 34.7 months to these factors. RESULTS: VPT 
      failed more often in first primary molars (P<.001) than in second primary molars. 
      Using ITR improved diagnosis of the pulp status, clinical success of VPT, 
      (P=.013) and first molar VPT success (P=.02). First primary molars had more 
      proximal lesions than second molars (P<.001). Failure of VPT was greater for 
      teeth with proximal lesions (P=.03). Use of ITR significantly improved VPT in 
      teeth with proximal lesions (P=.007) but not non-proximal lesions (P=.38). 
      CONCLUSIONS: ITR placed prior to VPT improved pulpal diagnosis and VPT outcomes. 
      Vital pulp therapy was less successful in primary molars with proximal lesions, 
      and ITR significantly improved the success.
FAU - Coll, James A
AU  - Coll JA
AD  - Department of Pediatric Dentistry, University of Maryland School of Dentistry, 
      Baltimore, Md., USA; private practice, York, Pa, USA. dmd1@comcat.net.
FAU - Campbell, Alison
AU  - Campbell A
FAU - Chalmers, Natalia I
AU  - Chalmers NI
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pediatr Dent
JT  - Pediatric dentistry
JID - 7909102
RN  - 0 (Glass Ionomer Cements)
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Dental Care for Children/*methods
MH  - Dental Caries/*therapy
MH  - Dental Restoration, Temporary/*methods
MH  - *Glass Ionomer Cements
MH  - Humans
MH  - Molar/*pathology
MH  - Pulpitis/*diagnosis/therapy
MH  - Pulpotomy/*methods
MH  - Retrospective Studies
MH  - Tooth, Deciduous
MH  - Treatment Outcome
EDAT- 2013/12/03 06:00
MHDA- 2014/08/13 06:00
CRDT- 2013/12/03 06:00
PHST- 2013/12/03 06:00 [entrez]
PHST- 2013/12/03 06:00 [pubmed]
PHST- 2014/08/13 06:00 [medline]
PST - ppublish
SO  - Pediatr Dent. 2013 Sep-Oct;35(5):416-21.