Long-term outcomes of primary tooth pulpectomy with and without smear layer removal: a randomized split-mouth clinical trial.
Pediatr Dent
; 33(4): 316-20, 2011.
Article
em En
| MEDLINE
| ID: mdl-21902998
ABSTRACT
PURPOSE:
The aim of this study was to evaluate, via clinical and radiographic assessment, pulpectomy outcomes performed on primary anterior teeth both with and without a citric acid solution to enhance smear layer removal.METHODS:
Patients with a matched pair of primary incisors (split-mouth design) with irreversible pulp changes were selected. A total of 36 teeth (18 children) received pulpectomies and were followed for 36 months. Pulpectomies were performed using sodium hypochlorite and saline solution as canal irrigants; during the last irrigation, the tooth was randomly selected to receive ( Group 1) or not receive (Group 2) the citric acid solution for smear layer removal. The roots were filled with ZOE paste.RESULTS:
Overall pulpectomy success was 90.6%. Cases with smear layer removal were successful 82.3% of the time; those without smear layer removal, 88.2%, and there were no statistical differences (P=1.00).CONCLUSION:
Pulpectomy with smear layer removal in primary incisors exhibited, after 36 months, a high success rate; however, comparable results were obtained when the smear layer was not removed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pulpectomia
/
Quelantes
/
Camada de Esfregaço
/
Ácido Cítrico
Tipo de estudo:
Clinical_trials
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Observational_studies
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Prognostic_studies
Limite:
Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Pediatr Dent
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Brasil