European Archives of Paediatric Dentistry

, Volume 10, Issue 2, pp 98–103 | Cite as

The Teaching of Management of the Pulp in Primary Molars in Europe: A preliminary investigation in Ireland and the UK

  • A. Ní ChaollaíEmail author
  • J. Monteiro
  • M. S. Duggal


AIM: This was to determine which methods of primary pulp therapy are currently being taught in European dental schools starting with a preliminary study in the UK and Ireland. METHODS: A questionnaire, based on that used in a USA study, was sent to paediatric dentistry staff at each of 18 dental schools in Ireland and the UK. RESULTS: There was a response rate of 87%. All respondents taught the vital pulpotomy technique in primary molars but no uniformity was found regarding pulpectomy, indirect and direct pulp capping techniques. Most respondents, 92.9%, taught the use of ferric sulphate for vital pulpotomy. Formocresol, mineral trioxide aggregate and calcium hydroxide accounted for the remainder, with some respondents electing to teach different medicaments depending on whether the students were at undergraduate or postgraduate level. CONCLUSIONS: Formocresol is no longer the most commonly taught pulp medicament in dental schools in Ireland and the UK.

Key words

Primary pulp therapy pulpotomy ferric sulphate mineral trioxide aggregate formocresol 


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  1. American Academy of Pediatric Dentistry. Reference Manual guidelines for pulp treatment for primary and young permanent teeth. Pediatr Dent 2006;28:144–8Google Scholar
  2. Al-Zayer MA, Straffon LH, Feigal RJ, Welch KB. Indirect pulp treatment of primary posterior teeth: a retrospective study Pediatr Dent. 2003;25(1):29–36.Google Scholar
  3. Atieh M. Stainless steel crown versus modified open-sandwich restorations for primary molars: a 2-year randomized clinical trial. Int J Paed Dent 2008; 18:325–332CrossRefGoogle Scholar
  4. Duggal MS. Providing children with the quality dental care they deserve. Community Dent Health 2006; 23:66–68.PubMedGoogle Scholar
  5. Duggal MS, Nooh A, High A. Response of the primary pulp to inflammation: a review of the Leeds studies and challenges for the future. Eur J Paed Dent 2002; 3:112–117Google Scholar
  6. Dunston B, Coll JA. A survey of primary tooth pulp therapy as taught in US dental schools and practiced by diplomats of the American Board of Pediatric Dentistry. Pediatric Dentistry 2008; 30(1) 42–48PubMedGoogle Scholar
  7. Falster CA, Arujo FB, Strffon LH, Nor JE. Indirect pulp capping: in vivo outcomes of an adhesive resin system v’s calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent 2002;24:241–248PubMedGoogle Scholar
  8. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpotomy and indirect pulp capping in the treatment of deep dentinal caries in primary teeth. Pediatr Dent 2000; 22:278–286PubMedGoogle Scholar
  9. Hinds K, Gregory JR. Condition of young children’s teeth. National Diet and Nutrition Survey: children aged 1.5 to 4.5 years. Report of the dental survey. Vol. 2, London: HMSO, 1995:11–20.Google Scholar
  10. Huth KC, Paschos E, Hajek-Al-Khatar N, et al. Effectiveness of 4 pulpotomy techniques—randomized controlled trial J Dent Res. 2005 Dec;84(12):1144–8PubMedCrossRefGoogle Scholar
  11. Innes NPT, Stirrups DR, Evans DJP, Hall N, Leggate M. A novel technique using preformed metal crowns for managing carious primary molars in general practice — A retrospective analysis Bait Dent J. 2006; 200:451–454CrossRefGoogle Scholar
  12. International Agency for Research on Cancer. Press release no. 153. 15 June 2004. URL Accessed 6 December 2007
  13. Kassa D, Day P, High A, Duggal MS. Histological comparison of pulpal inflammation in primary teeth with occlusal or proximal caries. Int J Paed Dent 2009; 19:26–33CrossRefGoogle Scholar
  14. Nadin G, Goel BR, Yeung CA, Glenny AM. Pulp treatment for extensive decay in primary teeth. Cochrane Database of Systematic Reviews 2003; 1:CD003220Google Scholar
  15. Ng FK, Messer LM. Mineral Trioxide Aggregate as a pulpotomy medicament: An evidence-based assessment. Eur Arch Paediatr Dent. 2008 Jun;9(2):58–73.PubMedCrossRefGoogle Scholar
  16. Pitts NB, Boyles J, Nugent ZJ, Thomas N, Pine CM. The dental caries experience of 5-year-old children in Great Britain (2005/6). Surveys co-coordinated by the British Association for the study of community dentistry. Community Dent Health. 2007 Mar;24(1):59–63PubMedGoogle Scholar
  17. Primosch RE, Glomb TA, Jerrell RG. Primary Tooth Pulp Therapy as Taught in Predoctoral Pediatric Dental Programs in the United States. Pediatr Dent 1997; 19:118–22PubMedGoogle Scholar
  18. Randall RC. Preformed metal crowns for primary and permanent molar teeth: review of the literature Pediatr Dent. 2002 Sep–Oct;24(5):489–500PubMedGoogle Scholar
  19. Roberts JF, Sherriff M. The fate and survival of amalgam and preformed crown molar restorations placed in a specialist paediatric dental practice. Brit Dent J 1990; 169:237–44.PubMedCrossRefGoogle Scholar
  20. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. Pulp therapy for primary molars. Int J Paed Dent 2006; 116 (Suppl. 1):15–23CrossRefGoogle Scholar
  21. Srinivasan V, Patchett CL, Waterhouse PJ. Is there life after Buckley’s Formocresol? Part 1 — A narrative review of alternative interventions and materials. Int J Paediatr Dent 2006; 16:117–127PubMedCrossRefGoogle Scholar
  22. Torabinejad M, Chivian N. Clinical applications of Mineral Trioxide Aggregate. J Endod 25:197–205, March 1999.PubMedCrossRefGoogle Scholar
  23. Vij R, Coll JA, Shelton P, Farooq NS. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent 2004; 26:214–220PubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2009

Authors and Affiliations

  1. 1.Dept. Paediatric DentistryLeeds Dental InstituteLeedsEngland

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