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Dental Material Choices for Pulp Therapy in Paediatric Dentistry
William N Ha1, Bill Kahler1, Laurence J Walsh1
1School of Dentistry, University of Queensland, Brisbane, Australia.
European Endodontic Journal
|January 6, 2021
Summary
Paediatric dentists lack a preferred material for pulp therapy, with education identified as a key barrier to using mineral trioxide aggregate (MTA). Further training is desired by many general dentists and paediatric specialists.
Area of Science:
- Paediatric Dentistry
- Restorative Dentistry
- Dental Materials Science
Background:
- Pulpal therapy is crucial for maintaining the vitality of immature permanent teeth.
- Material selection for paediatric pulp therapy influences treatment outcomes.
- Understanding current practices among dental professionals is essential for improving clinical guidelines.
Purpose of the Study:
- To assess the current restorative choices and material preferences for pulpal therapy among members of the Australian and New Zealand Society of Paediatric Dentistry (ANZSPD).
- To identify any disparities in material selection between general dentists and specialist paediatric dentists.
- To explore the perceived barriers to the adoption of specific materials, such as mineral trioxide aggregate (MTA).
Main Methods:
- An online survey was distributed to members of the ANZSPD.
- The survey collected data on the types of pulpal therapy procedures performed and the dental materials utilized.
- Responses were analyzed based on professional background (general dentist vs. specialist paediatric dentist).
Main Results:
- Calcium hydroxide [Ca(OH)2] cement (CHC), glass ionomer cement/resin-modified glass ionomer cement (GIC/RMGIC), Ca(OH)2 paste (CHP), and mineral trioxide aggregate (MTA) were reported for indirect pulp capping.
- MTA, CHP, and CHC were used for direct pulp capping.
- MTA, ferric sulphate, formocresol, diathermy, CHP, and CHC were employed in pulpotomy procedures.
- No single material emerged as a preferred choice for any pulpal therapy procedure.
- General dentists and specialist paediatric dentists showed similar material preferences.
- A significant proportion of both general dentists (80%) and paediatric dentists (43%) lacked hands-on training in MTA usage.
- Most respondents expressed a desire for hands-on training courses in MTA.
Conclusions:
- There is no consensus on a preferred material for various paediatric pulp therapy treatments.
- Educational gaps, particularly in hands-on training for mineral trioxide aggregate (MTA), appear to be a primary obstacle to its widespread use, rather than cost.
- Enhanced educational initiatives focusing on practical application of materials like MTA are recommended to improve paediatric restorative choices.
