Jeevanandan Ganesh, Govindaraju Lavanya, Kotian Niharika, Maganur Prabhadevi C, Marwah Nikhil, Vishwanathaiah Satish
Department of Pedodontics, Saveetha Dental College & Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS) (Deemed to be University), Chennai, Tamil Nadu, India.
Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan, Saudi Arabia.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):376-379. doi: 10.5005/jp-journals-10005-2537.
The success of the pulpectomy depends on adequate access, cleaning, shaping, and good-quality obturation. Evaluating the quality of obturation is the major tool that determines the success of the procedure. The present study aimed to assess the quality of obturation in all the canals of primary teeth and suggest a new classification.
A total of 1,000 radiographs of the pulpectomy procedure performed in primary molars were evaluated. The quality of obturation was assessed for each canal using the criteria given by Coll and Sandrian. The prevalence of each obturation criterion in every canal was represented in the form of a percentage.
It was observed that among the mandibular primary molars, most of the mesial canals were underfilled, and in the distal canal, most of the canals were overfilled. Among the maxillary primary molars, most of the mesial canals were overfilled, more distal canals were underfilled, and with respect to palatal canals, optimal obturation was seen.
The pitfalls of the previous classification were revised, and a new classification for assessing the quality of obturation was proposed, which is arch, segment, and canal specific.
The new classification will give a more precise assessment for the evaluation of various techniques and materials used for pulpectomy in primary teeth.
Jeevanandan G, Govindaraju L, Kotian N, A New Criteria to Assess Quality of Obturation in Primary Teeth: KEDOO Classification. Int J Clin Pediatr Dent 2023;16(2):376-379.
牙髓摘除术的成功取决于充分的开髓、清理、成形以及高质量的充填。评估充填质量是决定该手术成功与否的主要手段。本研究旨在评估乳牙所有根管的充填质量并提出一种新的分类方法。
共评估了1000例乳牙磨牙牙髓摘除术的X线片。使用Coll和Sandrian给出的标准评估每个根管的充填质量。每个根管中各充填标准的患病率以百分比形式呈现。
观察到在下颌乳牙磨牙中,大多数近中根管充填不足,而远中根管大多充填过度。在上颌乳牙磨牙中,大多数近中根管充填过度,更多远中根管充填不足,关于腭侧根管,则可见最佳充填情况。
对先前分类的缺陷进行了修订,并提出了一种评估充填质量的新分类方法,该方法针对牙弓、节段和根管。
新分类将为评估乳牙牙髓摘除术使用的各种技术和材料提供更精确的评估。
Jeevanandan G, Govindaraju L, Kotian N, 评估乳牙充填质量的新标准:KEDOO分类。《国际临床儿科牙科学杂志》2023年;16(2):376 - 379。