Comparison of clinical performance of obturating materials in pulpectomies: A randomized clinical trial.
J Indian Soc Pedod Prev Dent
; 42(1): 28-36, 2024 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-38616424
ABSTRACT
BACKGROUND:
Chemomechanical debridement is insufficient to disinfect all bacteria from the root canals of primary teeth, and obturation of canals with an appropriate material thus acquires excellent importance and remains a critical step in the ultimate success of pulpectomy.AIM:
The aim of the study was to compare and evaluate Endoflas, Metapex, and a mixture of calcium hydroxide (CH) and zinc oxide (ZnO) as obturating materials (OMs) in primary mandibular second molars. MATERIALS ANDMETHODS:
Seventy-five mandibular second primary molars requiring pulpectomies were identified in children aged 4-8 years. They were randomly allocated to the three treatment groups according to the type of OM received using the block randomization technique. After the completion of chemomechanical debridement, the canals were filled with Endoflas, Metapex, and CH-ZnO mixture, respectively. The intergroup clinical and radiographic comparison was made based on Coll and Sadrian criteria to decipher their clinical performance at 1, 3, and 6 months.RESULTS:
No statistically significant differences between the groups were observed at any evaluation time interval (P > 0.05). At 6 months, the clinical success rates were 95.2% in Endoflas, 96% in Metapex, and 95.8% in the CH and ZnO mixture groups, respectively. The materials, however, behaved differently in different clinical situations.CONCLUSION:
Based on the observations, all three OMs showed similar clinical success in maintaining tooth functioning, but their use can be restricted to indications. However, prospective studies with longer follow-ups with more stringent eligibility criteria are required to reach more definitive conclusions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pulpectomia
/
Óxido de Zinco
/
Óleos de Silicone
Limite:
Child
/
Humans
Idioma:
En
Revista:
J Indian Soc Pedod Prev Dent
/
J. Indian Soc. Pedod. Prev. Dent
/
Journal of the Indian Society of Pedodontics and Preventive Dentistry
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Índia