Vital Pulp Therapy Outcomes in Children’s First Permanent Molars Under General Anesthesia: A Retrospective Study
CE Hours: 1.0
Description: Pulpotomy is a proven treatment option for permanent teeth with pulp involvement, showing high success rates similar to root canal treatment. General anesthesia (GA) is used when traditional dental procedures are not feasible, especially in pediatric cases. Despite its effectiveness, limited data on endodontic treatments under GA is available, with many guidelines favoring extractions. This study aimed to evaluate the success rate of pulpotomies performed under GA on children’s first permanent molars and to identify factors influencing treatment outcomes.
At the conclusion of this article, the reader will be able to:
- Describe the success rates and clinical outcomes of pulpotomy procedures performed under general anesthesia in first permanent molars.
- Identify the factors influencing the choice of endodontic treatment plans under general anesthesia and the criteria for referring patients for GA.
- Evaluate the advantages of pulpotomy compared to root canal treatment, especially in the context of general anesthesia and its clinical challenges.
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Shlomo Elbahary, DMD, PhD
Dr. Shlomo Elbahary is a Clinical Associate Professor at the University of Illinois Chicago College of Dentistry, serving in the Endodontic Department. Dr. Elbahary earned his D.M.D. from Tel Aviv University, where he also completed a postgraduate program in endodontics. He later obtained his Ph.D. in radicular microbiology from the University of Amsterdam. With extensive experience in both clinical practice and academia, Dr. Elbahary specializes in endodontic treatments, with a particular focus on young patients, special needs patients, and severe trauma cases. He is passionate about teaching and mentoring students, fostering an environment of excellence and continuous learning in dental education. Dr. Elbahary has numerous publications and chapters in peer-reviewed journals and books and gave numerous presentations internationally.
Bradford R. Johnson, D.D.S., M.H.P.E.
Dr. Johnson completed his DDS at Virginia Commonwealth University, endodontic training at UIC, and earned an MHPE from UIC in 2005. He is a Diplomate and former President of the American Board of Endodontics and a Fellow of both the American and International Colleges of Dentists. He served as President of the Illinois Association of Endodontists, a Board Director for the American Association of Endodontists, and Commissioner for CODA. Dr. Johnson has published over 70 peer-reviewed articles and abstracts and co-authored 18 textbook chapters.
Disclosure(s): No financial relationships to disclose
Ronald Wigler
Graduate of the School of Dental Medicine, Tel Aviv University, and of the Endodontics and Dental Trauma residency program at Rambam Medical Center, Haifa. Lecturer, researcher, and postgraduate program director in the Department of Endodontics, School of Dental Medicine, Tel Aviv University. Has published numerous articles in international journals. Member of the board of the Israeli Endodontic Society and currently serves as the society’s treasurer. Owns a private practice in Tel Aviv specializing in endodontics.
Hagay Slutzky
Hagay Slutzky graduated cum laude from the Hebrew University in 1986 and earned his D.M.D. from Tel Aviv University in 1989, finishing first in his class. He specializes in esthetic dentistry and later completed a specialty in Public Health Dentistry and an M.P.H. from Hebrew University. Since 1989, he has been part of the Department of Oral Rehabilitation at Tel Aviv University. He currently serves as Chief Dental Officer for Clalit Smile, Israel’s largest DSO. Dr. Slutzky is active in several professional associations and is a member of the Israeli national dental advisory board. He has lectured widely and published on esthetic and restorative dentistry.
Sigalit Blumer
Professor Sigalit Blumer is a specialist in Pediatric Dentistry and served as the Head of the Department of Pediatric Dentistry at Tel Aviv University. She has authored numerous articles and research studies in international journals, focusing on child behavior in dental clinics, sleep apnea, and ADHD in children. Her work includes computerized anesthesia and sedation, as well as the oral microbiome and pulp therapy. Professor Blumer has been dedicated to teaching dental students and residents and is an esteemed lecturer both in Israel and internationally, sharing her expertise at various conferences and workshops. She serves on university committees and national boards that shape guidelines for pediatric dentistry in Israel.