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氧化锌丁香酚与乳牙牙髓摘除术:24个月的临床与影像学评估

Zinc oxide eugenol and Endoflas pulpectomy in primary molars: 24-month clinical and radiographic evaluation.

作者信息

Pandranki Jayalakshmi, V Vanga Narsimha Rao, Chandrabhatla Srinivas Kumar

机构信息

Department of Pedodontics and Preventive Dentistry, GITAM Dental College, Visakhapatnam, Andhra Pradesh, India.

出版信息

J Indian Soc Pedod Prev Dent. 2018 Apr-Jun;36(2):173-180. doi: 10.4103/JISPPD.JISPPD_1179_17.

Abstract

CONTEXT

Despite modern advancement in material and technical aspect, management of infected primary molars is of prime concern in pediatric endodontics. An effective root canal material plays the major role in achieving the fluid impervious seal by defending against variant microflora and maintaining the tooth in function for longer duration.

AIMS

This study aims to evaluate and compare the success of endoflas as root canal filling material in infected primary molars with zinc oxide eugenol (ZOE).

MATERIALS AND METHODS

Primary molars with necrotic pulp in healthy, cooperative children were selected. Ethical clearance and informed consent was obtained. Standardized pulpectomy procedure was done and root canals were filled with either ZOE or endoflas. Further follow-up with clinical and radiographic evaluation was carried at 0, 3, 6, 12, and 24 months. The findings obtained were statistically analyzed using Chi-square test.

RESULTS

Endoflas showed acceptable results as root canal filling material in primary molars even at 2-year follow-up, though overfilling of root canals led to low success rate compared to teeth with combined optimal and under fillings. There was no significant difference between the two materials (P > 0.05).

CONCLUSIONS

Endoflas could be a potential alternative to ZOE for preserving infected primary molars.

摘要

背景

尽管在材料和技术方面有了现代进展,但感染的乳磨牙的管理仍是儿童牙髓病学的首要关注点。一种有效的根管材料在通过抵御各种微生物群落实现不透液密封并使牙齿在更长时间内保持功能方面起着主要作用。

目的

本研究旨在评估和比较Endoflas作为感染乳磨牙根管充填材料与氧化锌丁香油(ZOE)的成功率。

材料与方法

选择健康、配合的儿童中患有牙髓坏死的乳磨牙。获得伦理批准和知情同意。进行标准化的牙髓摘除术,并使用ZOE或Endoflas充填根管。在0、3、6、12和24个月进行进一步的临床和影像学评估随访。使用卡方检验对所得结果进行统计学分析。

结果

即使在2年的随访中,Endoflas作为乳磨牙根管充填材料也显示出可接受的结果,尽管与充填适度和欠填的牙齿相比,根管超填导致成功率较低。两种材料之间没有显著差异(P>0.05)。

结论

Endoflas可能是ZOE保存感染乳磨牙的一种潜在替代材料。

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