Clinical study of two root filling materials in treating a vital pulp of deciduous tooth

Not Applicable

• Conditions: Pulpits; Periapical abscess with sinus

• Registration Number: RBR-93x9vcb
• Lead Sponsor: niversidade Federal de Alfenas

Brief Summary

This randomized, double-blind clinical study aimed to evaluate the performance of two filling materials after biopulpectomy in primary teeth. Forty-three biopulpectomies were performed on lower deciduous molars of children with age between 4 and 11 years. The teeth were selected and randomly divided into two groups: Group I - (Calcium Hydroxide Paste and polyethylene glycol 400 thickened with zinc oxide) thickened with zinc oxide and Group II - (Calcium Hydroxide Paste and iodoform). Biopulpectomies were performed and teeth restored in a single session. Clinical success, teeth with no pain, abscess/fistula, sensitivity to percussion and mobility were considered. Radiographically, teeth with no periapical lesion/radiolucent interradicular area, periodontal ligament integrity, and adequate root canal filling were considered successful. In addition, the conditions of the restorations were evaluated following the modified USPHS criteria. Clinical and radiographic results were collected in the immediate postoperative period, at three, six and nine months after treatment. The percentage of clinical success was 100% and radiographic was 78.9% for GI and 81.0% for GII. The distal roots, both in GI and GII, had a high success rate in fillings. The restorations showed satisfactory clinical behavior (Alpha and Beta scores), in 72.5% of the cases, only 27.5% of the sample showed failures in the restorations and without secondary caries. It was concluded that biopulpectomies in primary teeth performed with either Calcium Hydroxide Paste and polyethylene glycol 400 thickened with zinc oxide thickened with zinc oxide or with Calcium Hydroxide Paste and Iodoform had a good clinical performance.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2019-04-04
• Study Start: 2022-11-03
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Data analysis completed
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

First or second deciduous lower molar with deep caries and pulp vitality; provoked or spontaneous pain that does not relieve with the use of medication; in case of teeth with provoked pain, absence of hemostasis in adequate time up to 5 minutes, after attempted pulpotomy; absence of fistula or abscess; absence of bone rarefaction on radiographic examination; absence of internal or external resorption of more than two thirds of the root; tooth restorative possibility

Exclusion Criteria

Children with difficult behavior and who do not cooperate with the treatment; children who have systemic health problems; teeth with periapical lesion or interradicular bone rarefaction; internal and or external resorption involving more than one thirds of the root length; teeth with less than two thirds of the root remainder; rupture of the pericoronary sac; restorative impossibility; teeth that have had some kind of previous pulp treatment; patients using antibiotics

Study & Design

• Study Type: Intervention
• Study Design: Not specified