Sandeep Kalisipudi, Martha Satyam, Rachuri Punithvathy, Raparla Mythraiye, Lanka Meghana, Guduru Lalitha Naga Poornima, Amudala Nikhila
Department of Pediatric and Preventive Dentistry, KLR Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.
Department of Pediatric and Preventive Dentistry, GSL Dental College, Rajahmundry, Andhra Pradesh, India.
Int J Clin Pediatr Dent. 2025 Mar;18(3):266-270. doi: 10.5005/jp-journals-10005-3077. Epub 2025 Apr 19.
Effective management of abscess in primary teeth is crucial in pediatric dentistry due to its significant impact on both immediate and long-term oral health of children. Treating deep carious primary molars poses challenges due to their unique morphology and the difficulty in achieving a hermetic seal, further complicated by the lack of apical closure following physiological root resorption. In search of better treatment modalities that enhance healing rates, reduce treatment times, and improve patient comfort, the present study aimed to compare the healing ability of Pulpotec, abscess remedy, and triple antibiotic paste (TAP) in necrotic primary molars through an evaluation.
A total of 60 patients aged 4-10 years were enrolled and randomly assigned to three groups: Pulpotec, TAP, and abscess remedy. After access opening and canal cleaning with a 20 K-file, the respective medicament was placed on the pulpal floor, and the cavities were restored with glass ionomer cement (GIC). Clinical and radiographic evaluations were conducted at 1, 3, 6, and 12 months.
Done using the Chi-squared test.
Clinical success rates were 90% for both TAP and Pulpotec, and 80% for abscess remedy after 12 months. Radiographic assessment showed reduced radiolucency of 90, 75, and 65%, respectively.
All three medicaments demonstrated effectiveness as alternatives to conventional endodontic treatments for necrotic primary molars. Among them, TAP showed the highest efficacy.
This study supports the adoption of alternative medicaments in pediatric dental practice, potentially leading to improved management strategies for managing abscesses in primary teeth and contributing to better long-term oral health for children.
Sandeep K, Martha S, Rachuri P, . Comparative Evaluation of Clinical and Radiographic Success of Pulpotec, Abscess Remedy, and Triple Antibiotic Paste as a Treatment Option in Necrotic Primary Molars: An Study. Int J Clin Pediatr Dent 2025;18(3):266-270.
由于乳牙脓肿的有效管理对儿童的即时和长期口腔健康有重大影响，因此在儿童牙科中至关重要。治疗深龋的乳牙磨牙具有挑战性，因为它们独特的形态以及难以实现密封，并且由于生理性牙根吸收后根尖未闭合而使情况更加复杂。为了寻找能提高愈合率、缩短治疗时间并改善患者舒适度的更好治疗方式，本研究旨在通过评估比较Pulpotec、脓肿治疗剂和三联抗生素糊剂（TAP）在坏死乳牙磨牙中的愈合能力。
共纳入60名4至10岁的患者，并随机分为三组：Pulpotec组、TAP组和脓肿治疗剂组。用20号K锉开髓并清理根管后，将相应药物置于髓室底，并用玻璃离子水门汀（GIC）修复窝洞。在1、3、6和12个月时进行临床和影像学评估。
采用卡方检验。
12个月后，TAP组和Pulpotec组的临床成功率均为90%，脓肿治疗剂组为80%。影像学评估显示，透光度分别降低了90%、75%和65%。
所有三种药物均显示出作为坏死乳牙磨牙传统牙髓治疗替代方法的有效性。其中，TAP显示出最高的疗效。
本研究支持在儿童牙科实践中采用替代药物，这可能会改善乳牙脓肿的管理策略，并有助于儿童获得更好的长期口腔健康。
Sandeep K, Martha S, Rachuri P, . 比较Pulpotec、脓肿治疗剂和三联抗生素糊剂作为坏死乳牙磨牙治疗选择的临床和影像学成功率：一项研究。《国际临床儿科牙科学杂志》2025；18(3):266 - 270。
