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Vital pulp therapy in dogs: 190 cases (2001-2011)
Niina Luotonen1, Helena Kuntsi-Vaattovaara, Eva Sarkiala-Kessel
1Anident Veterinary Clinic, Lamminpääntie 43, FI-01490 Veikkola, Finland.
Journal of the American Veterinary Medical Association
|February 1, 2014
Summary
Mineral trioxide aggregate (MTA) shows high success rates for vital pulp therapy (VPT) in dogs, unlike calcium hydroxide (Ca(OH)2). MTA is effective for treating crown fractures and malocclusions in immature or mature teeth.
Area of Science:
- Veterinary Dentistry
- Endodontics
- Comparative Dentistry
Background:
- Vital pulp therapy (VPT) aims to maintain pulp vitality after dental trauma or procedures.
- Evaluating factors influencing VPT success is crucial for optimizing treatment outcomes in veterinary patients.
Purpose of the Study:
- To assess variables linked to the success of vital pulp therapy (VPT) in dogs.
- To compare the efficacy of different biomaterials used in VPT.
Main Methods:
- A retrospective analysis of 190 teeth from 138 dogs undergoing VPT.
- Radiographic evaluation for signs of success, no failure, or failure, including dentinogenesis and absence of periapical pathology.
- Multinomial logistic regression used to identify factors associated with treatment outcomes.
Main Results:
- An overall VPT success rate of 85% was observed.
- Teeth treated with mineral trioxide aggregate (MTA) alone had a 92% success rate, compared to 58% for teeth treated with calcium hydroxide (Ca(OH)2) alone.
- The use of Ca(OH)2 and deep pulp capping were significantly associated with higher failure rates.
Conclusions:
- Vital pulp therapy using MTA is a highly effective treatment option for dogs.
- MTA is recommended for treating recent crown fractures and in cases of malocclusion requiring crown reduction in immature and mature permanent teeth.
