Filling Pastes Used in Pulp Therapy in Deciduous Teeth

Abstract

The study on filling pastes in deciduous teeth generates a great dilemma for the pediatric dentist, as it strongly interferes with the dentition that will come. Thus, it is worth noting that, in endodontic therapy of deciduous teeth, adequate instrumentation, cleaning of the canals and an effective choice must be made associated with filling materials and their correct filling of the dental element. the most used pastes in endodontic treatment are: zinc oxide eugenol (OZE) paste, iodoformed pastes, calcium hydroxidebased paste, iodoformed pastes with calcium hydroxide and CTZ paste. The choice of material to be used must be based on the properties of each substance that it composes and the scientific evidence that supports the use of these materials. Therefore, this work aims to review the literature on filling pastes with indication for pulp treatment of deciduous teeth. This is a literature review through scientific articles and periodicals, in the "PubMed" and "Scielo" databases, published between January 2017 and December 2021. The filling pastes play an essential role in the repair of the dental element, maintaining the objective that it develops with normal biological patterns. The choice of this material is extremely important when we talk about physiological root resorption, as the paste needs to have criteria that do not interfere with the natural process. In view of the above, the success of endodontic treatment does not depend only on the material used, but it is a compilation of a detailed anamnesis, precise clinical and radiographic exams, a correct diagnosis, as well as, cautious performance of the operative technique and follow-up of the patient, keeping that deciduous tooth in the mouth until its physiological exfoliation.