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Clinical Oral Investigations

Published in:

01-06-2017 | Original Article

Pulp bleeding color is an indicator of clinical and histohematologic status of primary teeth

Authors: Naser Asl Aaminabadi, Marziyeh Parto, Parya Emamverdizadeh, Zahra Jamali, Sajjad Shirazi

Published in: Clinical Oral Investigations | Issue 5/2017

Abstract

Objectives

This study was carried out to investigate whether the changes in hematologic characteristic and color of pulpal bleeding is associated with clinical and histologic status of the pulp in primary teeth.

Materials and methods

A total of 211 primary molars in 103 patients, 3–6 years old, were treated. One hundred eight teeth had pulpectomy, 57 teeth had pulpotomy after pulp exposure during caries excavation, and 46 teeth had pulpotomy after accidental pulp exposure in sound dentin. After pulpal exposure, pulpal blood was collected in capillary tubes for blood color and hematologic assessment. Coronal and radicular pulp tissues were amputated for histologic assessment.

Results

Blood color was significantly darker in pulpectomy cases and samples with severe inflammation. The differences were clinically perceptible by the human eye. A significant negative correlation was detected between white blood cell (WBC) count and blood color. The counts of neutrophils and lymphocytes were significantly different between treatment groups. In addition, WBC, eosinophil, monocyte, neutrophil, and basophils counts were significantly different between degrees of inflammation in coronal pulp. Moreover, severe inflammation was higher in pulpectomy group versus pulpotomy groups. Pulp tissue calcification was also significantly higher in the pulpectomy cases.

Conclusions

Considering the significant difference in pulpal blood color between the pulpectomy and pulpotomy cases, and between the different levels of pulpal inflammation; blood color can be a valid clinical diagnostic criterion of pulpal status and can be used for the selection of appropriate pulp treatment strategy.

Clinical relevance

This study shows that pulp bleeding color can be used for selection of an appropriate pulp treatment method in primary teeth.

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Title: Pulp bleeding color is an indicator of clinical and histohematologic status of primary teeth
Authors: Naser Asl Aaminabadi
Marziyeh Parto
Parya Emamverdizadeh
Zahra Jamali
Sajjad Shirazi
Publication date: 01-06-2017
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 5/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2098-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pulp bleeding color is an indicator of clinical and histohematologic status of primary teeth

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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