Formocresol, MTA, Biodentine and Aloe vera in pulpotomies

Abstract

Introduction: Pulpotomy is a treatment procedure that can be performed on healthy root pulp tissue with healing potential after surgical amputation of the infected or affected coronal pulp. Objective: To gather more recent information on the materials that can be used to perform pulpotomy treatments, such as formocresol, biodentine, mineral trioxide aggregate (MTA) and Aloe vera. Methodology: Articles found at PubMed, SCOPUS and Google scholar were analyzed, with an emphasis on the last 5 years. Articles were evaluated with the PRISMA and AMSTAR guidelines. The search was carried out using the words "pulpotomies" in relation with "formocresol", "MTA", "biodentine and "Aloe vera". Results: Formocresol: It shows 100% favorable clinical success without abscess formation, mobility or drainage on radiographic success. Some complications such as root resorption and pulp canal obliteration can be observed, although it has better results in two appointment treatment. MTA: The 9-month clinical success rate was 88.23%, while the radiographic success rate was 82.3%. Biodentine: Favorable biological, physical and mechanical properties, its clinical and radiographic success is 100%. Aloe vera: It is a natural and inexpensive medicine with good clinical and radiographic success in the short term. Conclusion: The best clinical and radiographic results are found in biodentine and MTA. The disadvantage of these is their manipulation.