Single- versus two-visit pulpectomy treatment in primary teeth with apical periodontitis: A double-blind, parallel group, randomized controlled trial

Autor: Praveenkumar S Mandroli, Sneha Bharatkumar Bharuka
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Male
Office Visits
Dentistry
law.invention
chemistry.chemical_compound
0302 clinical medicine
Randomized controlled trial
law
Root Canal Obturation
Child
Orthodontics
Tooth
Nonvital

biology
Endodontics
Periradicular
Treatment Outcome
Zinc oxide eugenol
Child
Preschool

two-visit pulpectomy
Female
Root Canal Preparation
medicine.medical_specialty
single-visit pulpectomy
Pulpectomy
Context (language use)
Statistics
Nonparametric

Calcium Hydroxide
Root Canal Filling Materials
03 medical and health sciences
Double-Blind Method
Apical periodontitis
medicine
Dental Pulp Necrosis
Humans
Tooth
Deciduous

Zinc Oxide-Eugenol Cement
General Dentistry
Periodontitis
Wound Healing
business.industry
030206 dentistry
Gutta-percha
medicine.disease
biology.organism_classification
Radiography
lcsh:RK1-715
030104 developmental biology
chemistry
lcsh:Dentistry
Gutta-Percha
business
Periapical Periodontitis
Follow-Up Studies
Zdroj: Journal of Indian Society of Pedodontics and Preventive Dentistry, Vol 34, Iss 4, Pp 383-390 (2016)
ISSN: 1998-3905
0970-4388
Popis: Context: Reduction of the bacterial populations to levels compatible with periradicular tissue healing is the primary microbiological goal of the endodontic treatment of teeth with apical periodontitis. The number of visits required to treat teeth with apical periodontitis represents one of the most debatable issues in endodontics. Objectives: The objective of this study was to compare and evaluate the clinical and radiographic outcome of single- versus two-visit pulpectomy treatment in primary teeth with apical periodontitis at the end of 6-month healing period. Settings and Design: A parallel group, double-blind, randomized controlled trial was carried out in 64 children aged 4-8 years. Nonvital primary teeth with apical periodontitis with enough coronal structure were selected. Sixty-four children were assigned randomly into two groups (32 children each) by block randomization, and allocation concealment was done with closed envelop method. Methods and Materials: Group I underwent single-visit pulpectomy followed by obturation with zinc oxide eugenol (ZOE). Group II underwent conventional two-visit pulpectomy with intracanal calcium hydroxide, followed by obturation with ZOE. Postoperative clinical and radiographic evaluation was carried out at 1, 3, and 6 months after the end of the treatment. Statistical Analysis Used: The data were analyzed by Wilcoxon's signed rank test, Mann-Whitney U-test, and Friedman test. Results: There was no statistically significant difference in clinical and radiographic outcomes in both the groups at the end of 6-month healing period. Conclusion: Single-visit pulpectomy can be considered as a viable option for the treatment of primary teeth with apical periodontitis.
Databáze: OpenAIRE