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Is there life after Buckley's Formocresol? Part I - A narrative review of alternative interventions and materials

Lookup NU author(s): Vidya Srinivasan, Claire Patchett, Dr Paula Waterhouse

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Abstract

Objectives. (1) To present a narrative review of the currently available alternative interventions and materials to formocresol pulpotomy for the management of extensive caries in the primary molar, and (2) to produce a clinical protocol for pulp therapy techniques in the extensively carious primary molar. Introduction. The International Agency for Research on Cancer has recently classified formaldehyde as carcinogenic to human beings. Since Buckley's Formocresol contains 19% formaldehyde in its full strength and, therefore, 1% in a 20% dilution, a safer alternative should be identified. Methods. A narrative review of the published literature for primary molar pulp therapy techniques was undertaken following an extensive and appropriate literature search. A specialist group of paediatric dentists was formed to arrive at a consensus and establish an evidence-based protocol for the management of extensively carious primary molar teeth. Part I of this paper explores the currently available alternative interventions and materials to formocresol in the form of a narrative review. The second part of the paper will present the formation of a specialist group to arrive at a consensus and establish an evidence-based protocol for the management of the extensively carious primary molar. Conclusions. After consideration of a review of extensively searched literature, a protocol and key points document have been developed to assist clinicians in their treatment planning. Further long-term studies with the highest level of evidence (i.e. randomized controlled trials) are required to enable us to identify acceptable alternatives which can replace formocresol. © 2006 BSPD and IAPD.


Publication metadata

Author(s): Srinivasan V, Patchett CL, Waterhouse PJ

Publication type: Article

Publication status: Published

Journal: International Journal of Paediatric Dentistry

Year: 2006

Volume: 16

Issue: 2

Pages: 117-127

ISSN (print): 0960-7439

ISSN (electronic): 1365-263X

Publisher: Wiley-Blackwell Publishing Ltd.

URL: http://dx.doi.org/10.1111/j.1365-263X.2006.00688.x

DOI: 10.1111/j.1365-263X.2006.00688.x

PubMed id: 16430526


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