scholarly journals A Systematic Review of Root Canal Filling Materials for Deciduous Teeth: Is There an Alternative for Zinc Oxide-Eugenol?

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Fernanda Barja-Fidalgo ◽  
Michele Moutinho-Ribeiro ◽  
Maria Angelina Amorim Oliveira ◽  
Branca Heloísa de Oliveira

The aim of this systematic review was to determine whether there is a root canal filling for deciduous teeth equally or more effective than zinc oxide-eugenol cement (ZOE). Six clinical trials selected for inclusion were independently reviewed by two researchers. Only two showed statistically significant different success rates between the test and the control groups. One found that an iodoform paste with calcium hydroxide () performed better than ZOE, and the other found that ZOE performed similarly to . The other four studies compared ZOE with an iodoform paste (IP), a calcium hydroxide cement , or . In these trials, the success rates in the ZOE groups were slightly lower than in the other groups. There seems to be no convincing evidence to support the superiority of any material over ZOE, and both ZOE and appear to be suitable as root canal fillings for deciduous teeth.

2011 ◽  
Vol 2 (3) ◽  
pp. 231-236 ◽  
Author(s):  
Shikha Dogra

ABSTRACT Aim The purpose of this study is to compare the efficacy of calcium hydroxide and zinc oxide eugenol as a root canal filling material in primary teeth using endodontic pressure syringe system. Materials and methods A total of 40 primary mandibular molars were selected and divided into two groups-group I (calcium hydroxide was used as root canal filling material) and group II (zinc oxide eugenol used as canal filling material). Clinical review was undertaken at 1, 3, 6 and 9 months interval for evaluating pain, tenderness, mobility and any other sign of pathology. Radiographic examination was done at interval of 3, 6 and 9 months for the evaluation of any change in the radiolucency around the apices and inter-radicular space. Resorption of root and filling material was also assessed. Results Reduction in the clinical symptoms were noted in both groups (p < 0.01). All the 20 cases in group I demonstrated a decrease in size of radiolucency. However in group II, an increase in radiolucency was observed in 2 teeth at 3 months radiographic examination. Further no decrease in the size of radiolucency was noticed at subsequent follow-up visits. Complete resorption of overfilled material was observed at the 3 months radiographic examination for group I whereas partial resorption of overfilled material was seen at 6 months radiographic examination for group II. Conclusion The findings of the present study indicate that calcium hydroxide could be used exclusively or as an alternative to zinc oxide eugenol as a root canal filling material for the primary teeth.


2012 ◽  
Vol 37 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Hegde Sapna ◽  
Lala Priti Kamlesh ◽  
B Dinesh Rao ◽  
AB Shubha

Objective: The present study aimed to evaluate and compare six different materials commonly used for filling the root canals of primary teeth for antimicrobial efficacy against some of the microorganisms commonly found in infected root canals. Study design: In this experimental in vitro study six root canal filling materials were tested for antimicrobial efficacy against eight microbial strains using the agar diffusion method. Results: Zinc oxide eugenol paste exhibited the strongest antimicrobial potential followed by Endoflas™, zinc oxide-calcium hydroxide-sodium fluoride mixture, zinc oxide-calcium hydroxide mixture and calcium hydroxide paste (Apexcal™). The addition of sodium fluoride to the zinc oxide-calcium hydroxide mixture enhanced the antimicrobial efficacy. Metapex™ demonstrated minimal inhibition and Vaseline™ was non-inhibitory. Conclusions: All the test filling materials demonstrated varying antimicrobial activity against the microorganisms tested. Zinc oxide eugenol paste and materials containing zinc oxide were found to be more effective against the microorganisms compared to materials without zinc oxide.


2011 ◽  
Vol 35 (4) ◽  
pp. 365-370 ◽  
Author(s):  
Priya Subramaniam ◽  
Kanupriya Gilhotra

Several materials have been used to fill root canals of primary teeth. Traditionally, zinc oxide eugenol was used for the purpose, until the introduction of calcium hydroxide and iodoform based materials. Another root canal filling material that contains zinc oxide eugenol, calcium hydroxide and iodoform is commercially available as Endoflas. The aim of the study was to evaluate and compare the efficacy of Endoflas, zinc oxide eugenol and Metapex as root canal filling materials. Method: A total of forty-five primary molars from children aged 5-9 years were selected for a one stage pulpectomy procedure. Teeth were randomly divided into three groups of fifteen teeth each based on the type of root canal filling material used. All the molars were evaluated clinically and radiographically at regular intervals of 3, 6, 12 and 18 months. The observations were tabulated and statistically analyzed. Results: Endoflas and zinc oxide eugenol showed 93.3% success, whereas a higher percentage of success was observed with Metapex (100%). Overfilling and voids were more commonly seen in teeth filled with Metapex. Conclusion: There was no significant difference between the three root canal filling materials.


2019 ◽  
Vol 13 (1) ◽  
pp. 308-315
Author(s):  
Asmaa A. Desouky ◽  
Maged M. Negm ◽  
Magdy M. Ali

Background: The success of the endodontic treatment is largely dependent on the sealing achieved by root canal obturation. The application of sealer fills imperfections and increases adaptation of the root filling to the canal walls. Aim: To evaluate the sealability of experimental nanosealers (nano calcium hydroxide and nano bioactive glass) and to compare it with the commercial zinc oxide eugenol sealer using a dye penetration method. Materials and Methods: Sixty single-rooted mandibular premolars were selected. The tooth crowns were removed so as to obtain standardized 15-mm-long root specimens. The root canal was instrumented with Protaper Ni-Ti rotary file and the final file size was up to # F4/.06 (in vitro study). They were then randomly allocated into 3 groups of 20 specimens each (n=20) according to the sealer used for obturation, and all samples were filled with single cone gutta-percha (#40/06) and one of the tested sealers. All teeth were coated with nail polish and then suspended in 2% methylene blue dye for 7 days. Stereo-microscope (x10) was used to evaluate the sealability of newly introduced nanosealers. The data were statistically analyzed by ANOVA test followed by post hoc analysis (P < 0.05). Results: Significant improvement shown by the presented study suggests that nano calcium hydroxide sealer showed significantly less dye leakage than nano bioactive glass sealer and zinc oxide eugenol sealer. Conclusion: The results of this study showed that the synthesized nano-powder sealers are suitable for use in root canal therapy to prevent leakage. The root canal can be sealed better by using smaller nano-powder particle sizes. In addition, the two groups exhibited significant differences in leakage in comparison with commonly used ZOE sealer.


2007 ◽  
Vol 330-332 ◽  
pp. 1357-1360
Author(s):  
Li Zhao Teng ◽  
Hong Song Fan ◽  
Xing Dong Zhang

The purpose of this study was to evaluate biocompatibility of a new injectable root canal sealer. The cytotoxicity of zinc oxide-eugenol cements, CCQ and the new injectable root canal sealer were assessed by the MTT assays. These materials were filled into the root canals of the dog. One month later, the dog was sacrificed and the X-ray photos were taken. The histological response was observed through the microscope. The results show the new injectable root canal sealer showed better biocompatibility than the other two materials.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 226-232
Author(s):  
Lakshmi Lakshmanan ◽  
Subramanian EMG ◽  
Ganesh Jeevanandan ◽  
Mebin George Mathew

Utilisation of root canal sealers to perform obturation procedures is an endorsed method in endodontics and has an indispensable role in the success of treatment. The objective of this study was to explore the pediatric dentists’ preference for root canal sealers for obturating permanent teeth. 360 permanent teeth with gutta-percha obturation done by pediatric dentists were analyzed for the study. The variety of root canal sealers that are utilised for obturating the permanent teeth by pediatric dentists were assessed. The data were obtained from a patient management software. Chi-square test was performed. Out of the 360 permanent teeth, 186 teeth were obturated using resin-based sealers, 101 teeth using zinc oxide eugenol-based sealers and 73 teeth were obturated using calcium hydroxide-based sealers, with statistically significant difference between the three materials (P<0.05). Based on the findings of the present study, resin sealers followed by zinc oxide eugenol sealers and calcium hydroxide sealers were more preferred by pediatric dentists for root canal therapy in permanent teeth. 


Author(s):  
Elahe Babashahi ◽  
Maryam Mohmadi Kartalaie ◽  
Leila Basir ◽  
Vahid Rakhshan4

Objectives: In this study, chitosan was introduced and used as a substitute for pulpectomy obturation against conventional materials: zinc oxide eugenol (ZOE) and iodoform-calcium hydroxide (Ca(OH)2) compounds. Also, efficacies of rotary versus manual instrumentations were compared. Materials and Methods: This preliminary in-vitro study was performed on 152 intact non-resorbed root canals of primary molars divided into rotary (n=78) versus hand-instrumentation (n=74) and also into ZOE (n=53), iodoform-Ca(OH)2 (n=50), and 3% nano-chitosan (n=49). Canals were cleaned/shaped using hand or rotary files. Canal spaces were measured using spiral computed tomography (CT). Canals were then obturated using the three materials. The percentages of obturation volume (POV) were estimated. Rotary and manual instrumentations were compared in terms of canal spaces before and after obturation. Three obturation materials were compared in terms of canal spaces after obturation (α=0.05). Results: Average POVs of materials were 96.54% (ZOE), 97.87% (Metapex), and 74.74% (nano-chitosan; P=0.000). POV of chitosan differed from the other two (P=0.000) but the other two were similar (P=0.896). Average POVs were 91.46% (manual) and 88.51% (rotary); the difference was not significant (P=0.322). Pre-obturation spaces of canals for different methods were 3.89 mm3 (manual) and 3.26 mm3 (rotary); the difference was significant (P=0.013). Two-way ANCOVA showed a significant effect of materials (P=0.000) but not root length (P=0.585) or shaping methods (P=0.362) on POVs. Conclusions: Nano-chitosan showed a considerable success rate but it still needs reformulation as it was weaker than the extremely successful commercial competitors. Rotary instrumentation can provide results similar to hand-filing in terms of POV although it might yield smaller canals.


2021 ◽  
Vol 17 (2) ◽  
pp. 63-68
Author(s):  
Bambang Tri Hartomo ◽  
Laksmita Tanjung ◽  
Mahindra Awwaludin Romdlon ◽  
Fitri Diah Oktadewi

Introduction: Pulpectomy is the procedure of taking the entire pulp tissue from all the roots and corona of a tooth. There are several materials for obturation / root canal fillers in deciduous teeth, namely zinc oxide eugenol (ZOE), calcium hydroxide and iodoform paste a mixture of calcium hydroxide. A 6 year old boy patient came to RSGM with his parents seeking for treatment a tooth with a large cavity in the upper left posterior region and had been pain before. Intraoral examination revealed deep caries in the occlusal tooth 65 which reaching the pulp, percussion (-), palpation (-), mobility (-), vitality (-). Radiographic examination of tooth 65 showed a radiolucent image that had reached the pulp and the root canals had not yet undergone resorption. The diagnosis of this case was pulp necrosis at tooth 65. Case management: The treatment plan to be carried out was non-vital pulpectomy on tooth 65 and used technique non-vital pulpectomy because the tooth had already necrosis. Discussion: The filler used is ZOE. The reason for choosing this material was because it was indications for the use of ZOE material for teeth with necrosis. Conclussion: ZOE has anti-inflammatory and analgesic properties that can reduce pain


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