To evaluate and compare the clinical and radiographic success of three obturation materials in pulpectomies performed in primary molar teeth of children in the age group of 4 to 9 years at 3 and 6 month intervals. A clinical study c nagarathna, soundarya vishwanathan, navin h krishnamurthy, prasanna k bhat department of pedodontics and preventive dentistry, rajarajeswari dental college and hospital, bengaluru, karnataka, india. Root canal obturation materials and filling techniques for primary teeth. Clinical evaluation of root canal obturation methods in. Clinical evaluation of root canal obturation methods of. Root canal obturation materials and filling techniques for.
Roots of the primary teeth will begin to resorb as soon as the root length is completed. Volumetric evaluation of various obturation techniques in primary teeth using cone beam computed tomography an in vitro study nb nagaveni 1, sneha yadav 1, p poornima 1, kp bharath 2, mebin george mathew 3, pg naveen kumar 4 1 department of pedodontics and preventive dentistry, college of dental sciences, davangere, karnataka, india 2 reader, department of pedodontics and preventive. This study evaluated the efficacy of three different techniques used in the root canal filling of primary teeth. The aim of this in vivo study was to determine the efficacy of modified disposable syringe technique in root canals of primary molars using. It can be evaluated using digital intraoral receptor d. Teeth randomly divided into three groups n10 according to the obturation techniques. Gutta percha is versatile, with a long history of use, but the drawback of gutta percha is it does not bond to root canal. Comparative evaluation of obturating techniques in primary.
A comparative assessment of different techniques for. There are various methods available to fill the pulpectomized canals of primary teeth which include plugger, local anesthetic syringe, lentulo spiral, tuberculin syringe, and navitip syringe. Several obturation techniques are available for root canal treatment. A further individual chapter is dedicated to restorations of teeth treated with the different types of pulp therapy. Pulp therapy, primary teeth, obturation materials and techniques introduction a dentist who provides emergency or restorative care for children will inevitably encounter a situation where a primary tooth has a pulp exposure. The resultant mesial drift of the permanent teeth frequently leads to malocclusion. Root canals of 45 extracted primary molars were prepared and randomly divided into three groups of 15 teeth each. This study evaluated in vivo 2 different obturation techniques lentulo spiral mounted in a slowspeed handpiece and handheld in primary teeth. The most popular of these filling techniques appear to be those that use the endodontic pressure syringe. However, in curved canals, the lentulo spiral was superior.
S crespo, o cortes, c garcia, and l perez 2008 comparison between rotary and manual instrumentation in primary teeth. Obturating materials for primary teeth linkedin slideshare. The quality of the root canal filling by obturation method is presented in table 5. Various obturation techniques have been evaluated for better filling of the root canals in primary teeth using different methods. Clinical assessment of various obturating techniques for primary. Comparative evaluation of different obturation techniques. Techniques for obturating root canals include the use of heat or chemicallysoftened gutta percha, injection techniques, ultrasonics, vibration and carriers. Many investigations have been carried out to evaluate and compare the success rate of different root canal filling materials and various obturating techniques for primary teeth. Lifelong preservation of tooth in a healthy state is the ultimate goal of dentistry. Special attention is devoted to pulpectomy and root canal treatment, with consideration of debriding and obturation techniques, rinsing solutions, and rootfilling pastes.
The study compared the obturation qualities in primary teeth using three endodontic obturation techniques namely incremental filling technique. Pulpectomy and root canal treatment rct in primary teeth. Pdf clinical evaluation of root canal obturation methods. In spite of appropriate biomechanical preparation in permanent teeth, irrigation and obturation, the root canal treatment rct fails whereas in young permanent teeth, obturation in teeth with open apices is difficult 1,2.
This in vitro study evaluated the efficacy of three different obturation techniques with regards to quality of two filling pastescaoh2iodoform syringe paste and zinc oxide eugenol paste in primary molars. Presentation of my cases of obturation in primary teeth using various obturating materials such as metapex, vitapex and zoe. The rationale of this in vivo study was to evaluate and compare different obturation techniques for the intracanal conveyance of endoflas in the primary molars using conventional radiography. The resultant mesial drift of the permanent teeth frequently leads to. The ideal root canal filling material for primary teeth should resorb at a rate similar to that of the primary root, be harmless to the periapical tissues and to the permanent tooth germ, resorb readily if pressed beyond the apex, be antiseptic, fill the root canals easily, adhere to their walls, not shrink, be easily removed if necessary, be. The methods selected by practitioners to fill the pulpectomized canals of primary teeth are numerous and varied. Thirty teeth obturated with pressure syringe, and group ii.
The present study was undertaken to compare two methods of obturation in primary teeth by using lentulospirals and pressure syringe, radiographically. Thirtyeight children 49 years old with total of 45 pulpally infected primary mandibular molars indicated for pulpectomy were categorized into three groups i. Comparative evaluation of different obturation techniques in primary. Clinical evaluation of root canal obturation methods. Volumetric evaluation of different obturation techniques in primary. The quality of root canal filling was evaluated using standardized buccallingual radiographs, after the use of three different techniques. Most teeth 85% had adequate adaptation using corecarrier obturation material, but a considerable amount of teeth 31% had overfilling. Although preventive measures have reduced caries, premature loss of pulpally involved primary teeth re mains a common problem. Read an in vitro comparison of three delivery techniques for obturation of root canals in primary molars, european archives of paediatric dentistry on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Comparative evaluation of different obturation techniques in primary molars. Obturation definition of obturation by medical dictionary. Mounce, dds with the wealth of options available in obturation, it can be a challenge to know which technique to adopt and what the ramifications of these choices are in clinical practice.
Cbct analysis of root canal filling using different. Clinical evaluation of root canal obturation methods in primary teeth. The singlecone obturation technique enables an easier and faster. Motor driven lentulospiral, hand held lentulospiral and endodontic pressure syringe and volumetric analysis of obturation was done using cbct. Review article various obturation methods used in deciduous teeth. It is unwise to maintain untreated infected primary teeth in the mouth. Making clinical choices december 1, 2007 by richard e. A total of 75 primary teeth were treated in 52 subjects by the technique. The aim of endodontic treatment in primary teeth is to keep the.
Primary molar pulpectomy using two different obturation techniques. Previous in vitro investigations of methods of obturation in primary teeth showed good performance of the lentulospiral over other techniques. Contemporary obturation of the root canal system british. An alternative to cold lateral compaction with finger spreaders is ultrasonics and more. Pulpotomy and partial pulpectomy techniques for devitalized primary teeth have been developed to preclude an almost impossible obturation. When considering the depthoffill properties, it was concluded that the lentulo spiral was the best overall zoe filling tool. Disadvantages its rate of resorption is slower than that of the primary tooth root. Spiral computed tomography sct is a new revolution in the pediatric endodontics for assessment of quality of the obturation from 3 dimensions. Numerous techniques and root canal filling materials for the endodontic treatment of deciduous teeth are described in the dental literature. The purposes of this study were to compare 3 different obturation techniques such as lentulospiral, insulin syringe, and endodontic plugger in primary incisors and to evaluate its quality of obturation using d. Comparative evaluation of three obturation techniques in. Root canal filling material an overview sciencedirect. Calcium hydroxide calcium hydroxide is widely used as a liner for deep restorations, a temporary intracanal dressing and apexification proce dures in permanent teeth. Root canal obturating materials for primary teeth dept.
The pooled proportion of treatment success, incidence of shortterm postoperative pain, overfilling and obturation quality adequate adaptation in teeth obturated with corecarrier obturators, were summarised in fig. Placement of an apical barrier and immediate obturation. Comparison between rotary and manual instrumentation in. Comparison of clinical and radiographic success of three. Various materials were developed for obturation of primary teeth. The most popular obturation method is lateral compaction, followed by warm vertical compaction. Teeth treated with calcium hydroxide for prolonged periods have recently been found to be more susceptible to fracture. Pediatric endodontics current concepts in pulp therapy. An in vivo study monika khubchandani 1, m sudhindra baliga 1, sudhir s rawlani 2, shivlal m rawlani 3, khushboo m khubchandani 4, nilima thosar 1 1 department of pedodontics and preventive dentistry, sharad pawar dental college and hospital, wardha, maharashtra, india 2 department of oral medicine diagnosis and. Volumetric evaluation of different obturation techniques. Clinical evaluation of root canal obturation methods in primary teeth article pdf available in pediatric dentistry 281. Comparative evaluation of efficiency of three obturation.
The aim of the study was to outline a simple, costeffective technique for obturation of primary tooth root canals. Assessment of filling techniques for primary teeth. Comparison of obturation techniques using three delivery. Calcium hydroxide is also recommended as a final obturation material for root canal therapy of primary teeth 11. They may be opened for drainage and often remain asymptomatic for an indefinite period. Comparative evaluation of obturating techniques in primary teeth. An in vitro comparison of three delivery techniques for. Ravindranath reddy9 stated that there is no significant difference among incremental filling, lentulo spiral, and pressure syringe technique used for obturation of primary teeth canals. A total of 75 primary teeth were treated in 52 subjects by the technique discussed, i. The obturation materials can be carried to the pulp chamber and canals by a lentulospiral, can be placed in bulk and pushed into the canals with an endodontic plugger or with a cotton pellet. The present study was undertaken to compare two methods of obturation in primary teeth by using lentulospirals and pressure syringe.
It is desirable to attempt to maintain the vitality of. Volumetric evaluation of various obturation techniques in. The methods selected by the practitioners to fill the pulpectomized canals of primary teeth are numerous and varied. This article will provide an overview of the rationale behind taking a contemporary approach to obturation of the root canal system. To compare filling effectiveness and internal voids of root filling materials and obturation techniques in resin.
Primary molar pulpectomy using two different obturation. A pulpectomy may be performed on primary teeth when the coronal pulp tissue and the tissue entering the pulp canals are vital but show clinical evidence of hyperemia fig. Only 42 percent of obturated canals were considered technically satisfactory. Pdf clinical assessment of various obturating techniques for. The primary objective of pulp therapy is to main tain the integrity and health of the teeth and their. To confirm the best, various studies have investigated different filling techniques in vivo and in vitro. Lesion sterilization and tissue repair lstr technique. Pdf the aim of the study was to outline a simple, costeffective technique for obturation of primary tooth root canals. The study was carried out on 24 children mean age 6.
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