A Clinical and Radiographic Study of Four Different Root Canal Filling Materials in Primary Molars—An In Vivo Study

Abstract

Introduction Pulpectomy helps in preserving a pulpally involved primary tooth by eliminating bacteria and their products and ensures hermetic seal of the root canals, so that the primary teeth can complete their function until normal exfoliation. For the success of endodontic treatment in primary teeth, the resorption of obturating material plays a vital role. The materials used for obturation in this study included zinc oxide propolis (ZOP) as a new paste, Endoflas, Metapex, and zinc oxide eugenol (ZOE). Objective To evaluate the success rate of pulpectomy of primary molars using four different root canal filling materials: ZOP as a new paste, Endoflas, Metapex, and ZOE. Materials and Methods A total of 48 primary molars were divided into four equal groups of 12 molars according to the type of root canal filling paste, that is, ZOE, Endoflas, ZOP, and Metapex. Results When Tukey’s test was applied, out of the four materials, ZOP was the most significant material as its p-value was < 0.05, whereas other materials showed nonsignificant results as their p-value was > 0.05. Conclusion Among the four groups, ZOP showed greater clinical success and its resorbability was similar to that of root.

Radiographic Evaluation of Zinc Oxide Eugenol as a Primary Teeth Root Canal Obturation Material on the Permanent Germ Condition

“…Because ZOE is a solid mass, its resorbability is more slowly and uneasily to dissolves. A research concluded, that retained ZOE was not related to pulpectomy success or failure, pulpectomy preoperative, root resorption, age of the patient at time of treatment, whether the pulpectomized tooth was extracted or exfoliated, or the timing of the pulpectomy's loss [3]. All cases in this report show a fairly good success rate of pulpectomy treatments.…”

“…Zinc oxide eugenol (ZOE) has been used as a root canal obturation material for primary teeth started in 1930 and made ZOE as one of the oldest root canal materials for primary teeth compared to other materials [3]. The American Academy of Pediatric Dentistry (AAPD) in 2008 explicitly recommended only ZOE as the material of choice for primary teeth root canal obturation [7].…”

“…Various studies have reported the advantages and disadvantages of ZOE as a root canal obturation material for primary teeth. ZOE has anti-inflammatory and analgesic properties, a larger zone of bacterial inhibition, easyly available, radiopaque, cost effective, insoluble in tissue fluids, easy to mix, and good working time [2,3].…”

Clinical and radiographic evaluation of Curcumin Gel mixed Endoflas (CGE) powder as obturating material in primary molars

“…When Endoflas was used as an obturating material,Ramar and Mungara [5] reported a success rate of 95.1%, Subramaniam and Gilhotra [10] reported 93.3% success rate, whereas Fuks et al [14] observed a lower success rate of 58% when there was overfilling and 83% success rate in cases with flush and under-filled root canals. Iodoform a constituent of Endoflas was found to have excellent healing properties with resorption of the excess material,thereby delivering a success rate of 84-100% [5].whereas,Gupta et al [22] in their study showed that among two cases with excess filling material with Endoflas, by the end of 6 months, only one case showed resorption of excess filling material. The time taken for the resorption of inadvertently extruded Endoflas has varied between 20-day and 11-month period inthis study.…”

Effectiveness of Calcium Hydroxide and Gingerols Mixture as a Novel Obturation Material for Infected Root in Primary Teeth: A Randomized Clinical Trial

“…This has not been reported by previous studies to our knowledge. Gupta et al [ 29 ] studied pathological resorption with Metapex and found a relative weakness in its prevention. This may be due to the poor distribution of Metapex in the treatment area, which Ginge-Cal achieves more effectively, due to its high flow.…”