ZOE Paste Pulpectomies Outcome in Primary Teeth: A Systematic Review

Abstract

Objective: To perform a systematic review in which the clinical research question for primary teeth with irreversible pulpal pathosis was "how pulpectomies with zinc oxide eugenol (ZOE) paste performed compared to other materials in their clinical and radiographic outcomes after twelve months or more follow-up period.Study design: A literature survey of the electronic database (1950-2010) used the Medical Subject Headings and free text terms. Forty three references were retrieved and inclusion criteria were applied; 15 articles remained for full-text evaluation. From these, two were selected for data extraction regarding quality characteristics and results. Results: Selected studies showed moderate or high risk of bias. The overall success of pulpectomy was 80.0% (Calcicur), 60.0% (Sealapex) and varied from 85.0% to 100.0% (ZOE) and 89.0% to 100.0% (Vitapex). Solely Calcicur presented success rate significantly lower when compared to ZOE and Vitapex. These pastes lead to overfilled canals and particles of extruded ZOE were still evident even after the evaluation period. Resorption of Vitapex, Calcicur and Sealapex within the root canal was also reported. Conclusions: In primary teeth with irreversible pulpal changes ZOE pulpectomies yielded similar outcome than Vitapex and Sealapex, although there was no agreement with regard to filling materials' resorption.

Induction of cytotoxicity, oxidative stress and genotoxicity by root filling pastes used in primary teeth

“…), instead of zinc oxide eugenol paste (Barcelos et al . ), probably because of its irritant potential to periapical tissues and slow resorption rate (Silva et al . ).…”

Two endodontics techniques analysis in primary molars with fistula

“…Facing the various endodontic techniques for primary teeth described in the literature, Barcelos et al 9 performed a systematic review of the literature in relation to clinical and radiographic successful pulpectomy performed with the paste based on zinc oxide and eugenol and other materials after 12 months or more follow-up. Of the 43 articles identified, only 15 met the inclusion criteria and of these only two were selected as presenting both qualified characteristics and results.…”

Antimicrobial activity of different filling pastes for deciduous tooth treatment

“…The filling materials most commonly employed for pulp therapy in deciduous teeth are zinc oxide paste (OZE), iodoform-based paste (IBP) and calcium hydroxide (HCa), among others. 5,6 In addition, in Brazil, the most widely used filling paste is GuedesPinto paste, 7,8 a drug combination composed of Iodoform, Rifocort ® ointment and Camphorated Paramonochlorophenol (CPC), 9 which has shown great potential as a antimicrobial and biocompatible filling material for primary teeth. 10,11 However, one of its components -Rifocort ® ointment -composed of an association of antibiotic (Sodium Rifamycin SV) with corticosteroid (21-prednisolone acetate) was removed from the market, restricting current use of this paste.…”