Comparative Evaluation of Different Obturation Techniques in Primary Molars Pulpectomy: A Clinical Study
Hanaa Mahmoud Shalan*
1Pediatric Dentistry Department, Faculty of Dentistry, Mansoura University, and Badr University in Cairo (BUC), Egypt
2Professor of Pediatric Dentistry, Faculty of Dentistry, Mansoura University, Egypt
3Lecturer of Pediatric Dentistry, Faculty of Dentistry, Mansoura University, Egypt
4Mansoura University, Dentist at Ministry of Health , Egypt
*Corresponding Author: Hanaa Mahmoud Shalan, Pediatric Dentistry Department, Faculty of Dentistry, Mansoura University, and Badr University in Cairo (BUC), Egypt.
Received: January 11, 2022; Published: February 10, 2022
Abstract
Introduction: Extensive dental caries in primary dentition, remains a serious problem in pediatric dental practice.
Objective: To evaluate different obturation techniques of pulpectomized primary molars using pressure syringe (Map System), endodontic plugger and rotary lentulo spiral
Methodology: The clinical study was carried out on 120 pulpectomized primary molars, which divided into two groups according to the material used for obturation. Group I: obturated with zinc oxide eugenol paste (ZOE). Group 2: obturated with Iodoform paste. According to obturation technique, each group was subdivided into three Subgroups(A) using Map system technique, (B) using Endodontic plugger and (C) using Rotary Lentuo spiral. All teeth were restored using stainless steel crowns. Teeth were evaluated radiographically regarding quality of obturation and presence of voids. Data was statistically analyzed using Chi- square test.
Result: Good results were observed with lentulospiral technique in terms of quality of obturation (optimum filling) followed by endodontic plugger technique and then map system with no significant difference (P = 0.8). Voids were found in all subgroups with no significant difference between them. Significant difference was only between filled mesial and distal root canals of A1 and C1 subgroups (p = 0.016, P = 0.023) respectively.
Conclusion: All techniques used for obturating primary root canals obturation showed good result regarding quality of obturation with no significant difference. Map syringe can be recommended as a technique of obturation as it is simple, easy to use, less threatening to the child.
Keywords: Pulpectomy; Primary Teeth; Obturation Technique; Zinc Oxide Eugenol; Iodoform
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