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Métodos Terapêuticos e Terapias MTCI
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Eur J Paediatr Dent ; 18(4): 285-290, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29380613

RESUMO

AIM: To compare the clinical and radiographic success rates of an antibiotic mix consisting of metronidazole, minocycline and ciprofloxacin (3Mix-MP) and another mix where minocycline was replaced with clindamycin (3Mix-MP-R) in non-instrumentation endodontic treatment (NIET) of necrotic primary molars and to determine the effect of root resorption on the success of the treatment. MATERIALS AND METHODS: Forty-two necrotic mandibular primary molars from 22 healthy children were randomly assigned to either mixture. Blinded clinical evaluation was conducted after 1, 3, 6 and 12 months by the operator, and blinded radiographic evaluation was conducted at 6 and 12 months follow-ups by other two investigators with inter-examiner reproducibility of 0.95. RESULTS: Overall success rates of 3Mix-MP and 3Mix-MP-R were 80.96% and 76.20% respectively, with no statistically significant difference. Radiographically, resorption of more than one third of the root length had a lower failure rate with no statistically significant difference (p<0.5). CONCLUSION: Primary teeth with necrotic pulp can be treated with 3Mix-MP or 3Mix-MP-R irrespective of the degree of root resorption.


Assuntos
Antibacterianos/uso terapêutico , Necrose da Polpa Dentária/diagnóstico por imagem , Necrose da Polpa Dentária/terapia , Dente Molar/diagnóstico por imagem , Criança , Ciprofloxacina/uso terapêutico , Clindamicina/uso terapêutico , Combinação de Medicamentos , Feminino , Humanos , Masculino , Metronidazol/uso terapêutico , Minociclina/uso terapêutico , Reprodutibilidade dos Testes , Materiais Restauradores do Canal Radicular/uso terapêutico , Reabsorção da Raiz , Dente Decíduo , Resultado do Tratamento
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