Success Rate and Related Factors of Vitapex Pulpectomy in Primary Teeth: A Retrospective Study
Issued Date
2023-12-29
Resource Type
ISSN
13057456
eISSN
13057464
Scopus ID
2-s2.0-85183012769
Journal Title
European Journal of Dentistry
Volume
17
Issue
4
Start Page
1163
End Page
1169
Rights Holder(s)
SCOPUS
Bibliographic Citation
European Journal of Dentistry Vol.17 No.4 (2023) , 1163-1169
Suggested Citation
Mekkriangkrai D., Nakornchai S., Jirarattanasopha V. Success Rate and Related Factors of Vitapex Pulpectomy in Primary Teeth: A Retrospective Study. European Journal of Dentistry Vol.17 No.4 (2023) , 1163-1169. 1169. doi:10.1055/s-0042-1758792 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/96004
Title
Success Rate and Related Factors of Vitapex Pulpectomy in Primary Teeth: A Retrospective Study
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Author's Affiliation
Corresponding Author(s)
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Abstract
Objectives Our aims were to evaluate the Vitapex pulpectomy (PE) success rate, Vitapex resorption rate, and their associated factors in primary teeth. Material and Methods This retrospective study evaluated the clinical records of Vitapex PE-treated patients at the Pediatric Dental Clinic, Faculty of Dentistry, Mahidol University, from 2013 to 2019. The patient's and pulpectomized tooth's characteristics, procedure, materials used, and type of operator were recorded. A dentist evaluated and compared the periapical lesion, root status, obturation quality, and Vitapex resorption on preoperative, immediate, and follow-up digital radiographs. PE failure was defined as radiographic lesion progression. Statistical Analysis The Kaplan-Meier method was used to estimate the Vitapex PE success rate and Vitapex resorption rate. Multivariate Cox regression was used to determine the related factors. Results In total, 647 Vitapex PE teeth from 448 patients (19-121-month-old) were analyzed. The follow-up periods ranged from 6 to 60 months. The success rate was 88.9 and 68.1% at the 12- and 24-month follow-up, respectively, and remained stable at 53.8% at the 36 to 60-month follow-ups. The factors related to Vitapex PE failure were age and a preoperative pathologic lesion. More than 50% of the pulpectomized teeth presented Vitapex resorption faster than physiologic root resorption at the 12-month follow-up. The patients' age at treatment and the obturation quality were significantly related to the Vitapex resorption rate. Conclusions The success rate of Vitapex PE decreased time dependently and was related to the patient's age at treatment and a preoperative lesion. The Vitapex resorption was faster than root resorption and was associated with the patient's age at treatment and the root filling extravasation.