Clinical evaluation of root resorption and its correlation with obturation quality in pulpectomized deciduous teeth with different obturating materials: An In vivo study

Brar, Gurlal Singh; Bajaj, Nitika; Bhola, Meenu; Brar, Jaskirat Kaur

doi:10.4103/ccd.ccd_448_18

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…All of these results were attributed to the high success rate of pulpectomy procedures for both groups 1 and 2 respectively. Another study revealed success rate 93.3% with endoflas while the success rate was 100% with Metapex, the voids and over filling was seen in teeth filled with Metapex (23) which agree with the results of this study while in another study the success rate of endoflas was 95.1% while was 90.5% with Metapex (24) which not in accordance with our study. However, a study compares between Endoflas and ZOE material in pulpectomy of primary molars revealed that endoflas could be a potential alternative to ZOE for preserving infected primary molars (25) .…”

Section: Discussionsupporting

confidence: 84%

Success of pulpectomy in primary molars using a modified obturating materials (a comparative study between Metapex and Endoflas)

Etman

2023

Egyptian Dental Journal

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Metapex a material used widely today in pulpectomy treatment of deciduous teeth. A comparison between Metapex and Endoflas as root canal obturating material was presented. Sixty children with age range from four to seven years were participating in the research, selected from the pediatric dentistry department in Delta hospital, Delta university. Restorable non-vital deeply decayed primary first mandibular molars indicated for pulpectomy with previous spontaneous pain and pulp exposure were selected. Radiographically, the teeth selected were presented with interradicular and peri-radicular radiolucency's. The selected teeth were separated into two groups each of them consists of 30 teeth:Group 1, the canals filled with Metapex.Group 2, the canals filled with endoflas.Endoflas showed the higher percentage of Flush-filled obturated roots (93.3%), with no cases of overfilled roots. Additionally, 80% of Metapex treated teeth were flush filled in comparison to 10% with overfilling. No statistically significant difference is detected between studied groups as regard flush-filled, underfilled, and overfilled materials. Non statistically significant difference is detected between the two groups Metapex and endoflas regarding clinical and radiographic rate of success which is higher in group Metapex than endoflas (90% versus 80%, respectively). Clinical and radiographic finding were evaluated among studied groups at each follow up period.Metapex appears to be an effective treatment more than endoflas in pulpectomy procedures. Other studies may be needed in the future to compare Metapex with the other obturating materials in deciduous teeth.

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Section: Discussionsupporting

confidence: 84%

Success of pulpectomy in primary molars using a modified obturating materials (a comparative study between Metapex and Endoflas)

Etman

2023

Egyptian Dental Journal

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“…About the root canal filling, the obturating material needs to be flowable to seal the resorptive defect. [ 17 ] The thermoplastic gutta-percha technique seems to give the best results when the canal walls are respected. Nilsson et al .…”

Section: Discussionmentioning

confidence: 99%

Internal root resorption in permanent mandibular molars – A rare entity: Report of two cases

Rathi,

Nikhil,

Sharma

et al. 2024

Journal of Conservative Dentistry and Endodontics

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The cases presented here aim to highlight the occurrence of a very rare internal root resorption (IRR) of inflammatory type among mandibular molars (prevalence 0.01%–1%). Patients reported in the outpatient department with a chief complaint of pain in the lower posterior region of the jaws, on thorough clinical and radiological examinations a diagnosis of irreversible pulpitis was made and nonsurgical root canal treatment was planned using thermoplastic obturation technique along with the use of magnification, cone-beam computed tomography, endosonics, and intracanal medicament to attain a successful outcome. Six-month follow-up showed arrest of IRR. This report of two cases with a literature review discusses the etiology, prevalence of IRR, the clinical decision, and the therapeutic management. Early detection of such resorption is the key to successful management and preserves the integrity of the tooth.

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“…When used for obturation, this cement has the benefit of showing no foreign body response when extruded into furcal or apical locations. There have been no reports of the extruded Metapex having any impact on the bud stages of permanent teeth [ 40 ]. Uncontrolled root canal instrumentation causes apical ejection of the obturating material, resulting in the release of iodoform, a potent irritant, into the periapical region, triggering an inflammatory reaction that causes discomfort [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Post-Operative Pain following a Single-Visit Pulpectomy in Primary Molars Employing Adaptive, Rotary, and Manual Instrumentation: A Randomized Clinical Trial

et al. 2023

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Background and Objectives. To differentiate the intensity of postoperative pain after primary molar pulpectomy employing manual instrumentation versus two single-file systems with different kinetics (the XP-Endo shaper file with adaptive instrumentation vs. the Kedo-SG blue file with continuous rotation instrumentation). Materials and Methods. This three-arm, single-blind, randomized clinical trial included assessing 75 healthy children between 4 to 9 years who required pulpectomy for primary molars (mandibular first and second). The three groups each had an equal number of children. Children in Group 1 had their teeth instrumented with the XP-endo Shaper, children in Group 2 had their teeth instrumented with the Kedo-SG Blue file, and children in Group 3 had their teeth instrumented manually using K-files. The degree of postoperative pain was measured using a four-point pain scale at 6-, 12-, 24-, 48-, and 72-h following therapy. Each participant’s parent received five flashcards with four faces and a word characterizing each face. The data were analyzed using Kruskal–Wallis and chi-square tests. The level of significance was set to 5%. Results. During the follow-up period, there was a significant difference in postoperative pain intensity between the three groups. The XP-endo shaper was associated with considerably decreased post operative at the 6- and 12-h interval followed by Kedo-SG. The highest post-operative discomfort across the groups was related to the patients who underwent manual instrumentation. Conclusion. In comparison to rotary and manual instrumentation, postoperative pain severity was reduced with adaptive instrumentation.

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Clinical evaluation of root resorption and its correlation with obturation quality in pulpectomized deciduous teeth with different obturating materials: An In vivo study

Cited by 8 publications

References 10 publications

Success of pulpectomy in primary molars using a modified obturating materials (a comparative study between Metapex and Endoflas)

Success of pulpectomy in primary molars using a modified obturating materials (a comparative study between Metapex and Endoflas)

Internal root resorption in permanent mandibular molars – A rare entity: Report of two cases

Incidence of Post-Operative Pain following a Single-Visit Pulpectomy in Primary Molars Employing Adaptive, Rotary, and Manual Instrumentation: A Randomized Clinical Trial

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