Lesion sterilization and tissue repair with chloramphenicol, tetracyline, zinc oxide/eugenol paste versus conventional pulpectomy: A 36-month randomized controlled trial.

Autor: Castro M; Graduate Program in Dentistry, Federal University of Piauí, Teresina, Brazil., Lima M; Graduate Program in Dentistry, Federal University of Piauí, Teresina, Brazil., Lima C; Graduate Program in Dentistry, Federal University of Piauí, Teresina, Brazil., Moura M; Graduate Program in Dentistry, Federal University of Piauí, Teresina, Brazil., Moura J; Graduate Program in Dentistry, Federal University of Piauí, Teresina, Brazil., Moura L; Graduate Program in Dentistry, Federal University of Piauí, Teresina, Brazil.
Jazyk: angličtina
Zdroj: International journal of paediatric dentistry [Int J Paediatr Dent] 2023 Jul; Vol. 33 (4), pp. 335-345. Date of Electronic Publication: 2023 Feb 12.
DOI: 10.1111/ipd.13056
Abstrakt: Background: Endodontic treatment of primary molars represents one of the challenges in pediatric dentistry. There is a lack of consensus in the literature about the endodontic techniques and filling paste for primary teeth with pulp necrosis.
Aim: To compare the effectiveness of the LSTR technique (lesion sterilization and tissue repair) with CTZ paste (chloramphenicol, tetracycline, zinc oxide and eugenol) and pulpectomy with ZOE paste (zinc oxide and eugenol) in the treatment of primary molars with pulp necrosis.
Design: Eighty-eight primary molars with pulp necrosis from 70 children between the ages of 3 and 8 years were included. The teeth were randomized to the LSTR with CTZ paste group or pulpectomy with ZOE paste group. Clinical and radiographic evaluations were performed at 18, 24, 30 and 36 months.
Results: At 36 months, clinical success was 86.4% in LSTR with CTZ paste and 90.9% in pulpectomy with ZOE paste (p = .45). Radiographic success was 43.2% in both groups (p = 1.00). The overall success was 40.9% in LSTR with CTZ paste and 43.2% in pulpectomy with ZOE paste (p = 1.00).
Conclusion: After 36 months of evaluation, the effectiveness of the LSTR technique with CTZ paste and pulpectomy with ZOE paste was similar for the treatment of primary molars with pulp necrosis.
(© 2023 BSPD, IAPD and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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