scholarly journals Comparação clínica e radiológica de pulpotomia em dentes decíduos com formocresol, MTA e biodentine

2021 ◽  
Vol 10 (13) ◽  
pp. e447101321492
Author(s):  
Larissa Maria Monteiro de Albuquerque ◽  
Camila Carla de Andrade Silva ◽  
Wenys Cláudio Gomes da Silva ◽  
Ana Cláudia da Silva Araújo

Introdução: O processo de pulpotomia convencionalmente é feito com formocresol, porém, devido as suas características mutagênicas, novos materiais obturadores foram desenvolvidos como alternativa. Objetivo: Revisar a literatura de forma integrativa a respeito do material obturador mais adequado para pulpotomia de dentes decíduos. Metodologia: A busca ocorreu nas bases de dados Pubmed e Medline, por meio dos descritores: “child”, “children”, “primary teeth”, “tooth, deciduous”, “primary tooth”, "pulpotomy", "pediatric dentistry", "endodontics", "root canal filling materials", "materials", "material", "biodentine", "mineral trioxide aggregate", "formocresol", "formocresols", "cytotoxicity", "biocompatible materials", "biocompatibility", "radiopacity", "radiographic" e "radiography, dental". Foram incluídos ensaios clínicos, estudos retrospectivos e estudos prospectivos, publicados entre 2016 e 2021, em inglês ou português. Os critérios de exclusão foram teses, dissertações, monografias, cartas ao editor, livros e revisões de literatura. Resultados: A pesquisa resultou em 9 estudos de ambas as bases de dados, com maior prevalência de ensaios clínicos. Conclusão: O material mais recomendado para realização de pulpotomias em dentes decíduos é o Biodentine e Mineral Trioxide Aggregate, devendo a escolha ser feita de acordo com o critério do profissional e caso do paciente. É preciso que seja considerado os custos e colaboração do paciente durante o tratamento.

2019 ◽  
Vol 07 (02) ◽  
pp. 061-065
Author(s):  
Bhavleen Gupta ◽  
Inderjeet Singh ◽  
Puneet Goyal ◽  
Shaveta Garg ◽  
Shivani Gupta

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.


2009 ◽  
Vol 20 (4) ◽  
pp. 290-296 ◽  
Author(s):  
Alexandra Mussolino de Queiroz ◽  
Paulo Nelson Filho ◽  
Léa Assed Bezerra da Silva ◽  
Sada Assed ◽  
Raquel Assed Bezerra da Silva ◽  
...  

This study evaluated in vitro the antibacterial activity of 4 root canal filling materials for primary teeth - zinc oxide and eugenol cement (ZOE), Calen paste thickened with zinc oxide (Calen/ZO), Sealapex sealer and EndoREZ sealer - against 5 bacterial strains commonly found in endodontic infections (Kocuria rhizophila, Enterococcus faecalis, Streptococcus mutans, Escherichia coli and Staphylococcus aureus) using the agar diffusion test (agar-well technique). Calen paste, 1% chlorhexidine digluconate (CHX) and distilled water served as controls. Seven wells per dish were made at equidistant points and immediately filled with the test and control materials. After incubation of the plates at 37oC for 24 h, the diameter of the zones of bacterial growth inhibition produced around the wells was measured (in mm) with a digital caliper under reflected light. Data were analyzed statistically by analysis of variance and Tukey's post-hoc test (?=0.05). There were statistically significant differences (p<0.0001) among the zones of bacterial growth inhibition produced by the different materials against all target microorganisms. K. rhizophila was inhibited more effectively (p<0.05) by ZOE, while Calen/ZO had its highest antibacterial activity against E. faecalis (p<0.05). S. mutans was inhibited by Calen/ZO, Sealapex and ZOE in the same intensity (p>0.05). E. coli was inhibited more effectively (p<0.05) by ZOE, followed by Calen/ZO and Sealapex. Calen/ZO and ZOE were equally effective (p>0.05) against S. aureus, while Sealapex had the lowest antibacterial efficacy (p<0.05) against this microorganism. EndoREZ presented antibacterial activity only against K. rhizophila and S. aureus. The Calen paste and Calen/ZO produced larger zones of inhibition than 1% CHX when the marker microorganism was E faecalis. In conclusion, the in vitro antibacterial activity of the 4 root canal filling materials for primary teeth against bacterial strains commonly found in endodontic infections can be presented in a decreasing order of efficacy as follows: ZOE>Calen/ZO>Sealapex>EndoREZ.


2018 ◽  
Vol 3 (3) ◽  
pp. 2-8
Author(s):  
Mariana Coutinho SANCAS ◽  
Andrea Vaz Braga PINTOR ◽  
Aline Borburema NEVES ◽  
Laura Guimarães PRIMO

2007 ◽  
Vol 31 (3) ◽  
pp. 193-198 ◽  
Author(s):  
S Reddy ◽  
Y Ramakrishna

The primary goal of endodontic treatment in primary teeth is to eliminate infection, and to retain the tooth in a functional state until their normal exfoliation time without endangering the permanent dentition or the general health of the child. The complexity of the pulp canal system in primary teeth presents a discerning problem for chemo-mechanical preparation. One of the factors determining the success of endodontic treatment in infected primary teeth is the sealing material that should encompass among other factors a potent bactericidal effect and the capacity to resorb along with the roots of primary teeth. This study evaluated the antimicrobial effectiveness of 5 root canal filling materials and a negative control agent against 23 strains of bacteria isolated from infected root canals of primary molar teeth and 3 non standard bacterial strains using agar diffusion assay. The materials were Zinc oxide and Eugenol (ZOE), Zinc oxide-Eugenol and Formocresol (ZOE+FC), Calcium hydroxide and sterile water (CAOH+H2O), Zinc oxide and Camphorated phenol (ZO+CP), Calcium hydroxide and Iodoform (Metapex) and Vaseline (Control). All the materials except Vaseline showed varied antimicrobial activity against the test bacteria. The zones of inhibition were ranked into 4 inhibition categories based on the proportional distribution of the data. All the 26 bacterial isolates were classified under 4 groups based on Aerobic/Anaerobic and Gram positive/Gram negative. Statistical analysis was carried out to compare the antimicrobial effectiveness between materials tested with each of the bacterial groupings. ZOE+FC produced strong inhibition against most bacteria when compared to ZOE, ZO+CP and CAOH+H2O. Metapex and Vaseline were found to be non inhibitory


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Taraneh Zeynalzade Ghouchani ◽  
Hajar Farhadpour ◽  
Najmeh Mohammadi

Aim. Root canal filling materials have the tendency to inhibit adhesion of resin-based composites. This study was aimed at evaluating the effect of root canal filling materials and their solvents on the shear bond strength (SBS) of resin composite with the primary tooth dentin. Methods and Materials. Seventy-two intact anterior primary teeth were selected. Smooth dentinal surfaces were prepared to a minimum diameter of 3 mm and thickness of 1.5–2.0 mm. The samples were equally divided into six groups ( n = 12 ). In group 1: control group, no root filling material; in group 2: Metapex, no solvent; in group 3: Metapex+ethanol solvent; in group 4: ZOE, no solvent; in group 5: ZOE+ethanol solvent; and in group 6: ZOE+orange oil solvent were applied. Then, dentin surfaces were etched, and composite restorations were placed and cured. The specimens were stored in distilled water at 37°C for 24 hours. SBS values were determined using a universal testing machine. Results. The SBS values of composite to dentin in groups 2 and 4 were significantly lower than those in the control group ( P < 0.001 ). Cleansing of the specimens with 96% ethanol after removal of Metapex significantly increased the composite-dentin bond ( P < 0.001 ). Applying ZOE, only orange oil solvent significantly increased the SBS of the composite to the primary tooth dentin ( P = 0.01 ). Conclusion. To reduce the negative effects of endodontic root filling materials on the SBS of composite and primary tooth dentin, ethanol is a suitable solvent when Metapex is used, while orange oil might be a better choice than ethanol when applying ZOE.


Folia Medica ◽  
2021 ◽  
Vol 63 (5) ◽  
pp. 657-662
Author(s):  
Maria Shindova

Inadequate treatment of endodontic infections in primary teeth results in a loss of &#1072; deciduous tooth or abnormality in the development of hard dental tissues of the permanent successor. The main goal is to maintain the integrity and health of the primary tooth until their physiological exfoliation. The success of the endodontic treatment depends on the antimicrobial activity of the root canal filling material that contributes to the elimination or reduction of the microbial infection of the root canal system. The aim of this article is to systematically review the contemporary scientific literature concerning the root canal filling materials used in primary teeth. A critical evaluation of the antimicrobial activity, as well as the advantages and disadvantages of the investigated materials, has been made. Knowledge of the composition and characteristics of the available obturating materials is a useful advantage to dentists to address the functional problems associated with endodontic infections in very young patients. Future studies should also seek and compare the long-term effects of the use of traditional and alternative intracanal materials.


2011 ◽  
Vol 27 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Daniela Nunes Pinto ◽  
Denise Lins de Sousa ◽  
Rebecca Bastos Rocha Araújo ◽  
José Jeová Siebra Moreira-Neto

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