Priyadarshini Pragyna, Ramakrishnan Mahesh
Paediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Jun 26;16(6):e63231. doi: 10.7759/cureus.63231. eCollection 2024 Jun.
Pediatric endodontics in the primary teeth is chemomechanical due to the difficulties encountered in cleaning and shaping the root canals having complex anatomical configurations. Not only are obturating materials having ideal properties to be used in the primary teeth, but also imparting an impervious hermetic seal to prevent the nidus of reinfection is highly pivotal for the success of pulpectomy. However, certain obturating materials contain one or the other components that are irritant to the periapical region and aggravates the inflammatory process. Hence, a paradigm shift has been witnessed with the evolution of herbal medicines having innumerable beneficial properties with a broad-spectrum action to replace those components causing irritation and inflammatory reactions in conventional obturating materials. One such herbal medicament is "curcumin" popularly known as the "golden herb," which has a wide repertoire of medicinal properties due to its bioactive component and volatile oil "turmerone." Endoflas is one of the suitable obturating agents used in the primary teeth for its high success rate, but the use of eugenol in it is associated with irritation of the periapical region and causes necrosis of bone and cementum. Hence, the present case report aims to assess the rate of resorption, resorption potential, and the periapical healing of a novel obturating material Endoflas powder with curcumin gel (EPCG) replacing the liquid eugenol against conventional Endoflas material for pulpectomy in primary mandibular molars.
由于在清洁和预备具有复杂解剖结构的乳牙根管时会遇到困难,乳牙牙髓病学采用化学机械法。不仅要有理想性能的充填材料用于乳牙,而且形成不透水的密封以防止再感染病灶对于牙髓摘除术的成功至关重要。然而,某些充填材料含有一种或另一种对根尖周区域有刺激性并会加重炎症过程的成分。因此,随着具有无数有益特性且具有广谱作用的草药的发展,出现了一种范式转变,以取代那些在传统充填材料中引起刺激和炎症反应的成分。一种这样的草药制剂是“姜黄素”,俗称“金色草药”,由于其生物活性成分和挥发油“姜黄酮”而具有广泛的药用特性。Endoflas是用于乳牙的成功率较高的合适充填剂之一,但其所含丁香酚与根尖周区域刺激有关,并会导致骨和牙骨质坏死。因此,本病例报告旨在评估一种新型充填材料——用姜黄素凝胶(EPCG)替代液体丁香酚的Endoflas粉末,与传统Endoflas材料相比,在下颌乳磨牙牙髓摘除术中的吸收速率、吸收潜力和根尖周愈合情况。