Article

ZOE Paste Pulpectomies Outcome in Primary Teeth: A Systematic Review

School of Dentistry, Federal Fluminense University (UFF), Pólo Universitário de Nova Friburgo (PUNF), Rio de Janeiro, Brazil.
The Journal of clinical pediatric dentistry (Impact Factor: 0.35). 04/2011; 35(3):241-8. DOI: 10.17796/jcpd.35.3.y777187463255n34
Source: PubMed

ABSTRACT

To perform a systematic review in which the clinical research question for primary teeth with irreversible pulpal pathosis was "how pulpectomies with zinc oxide eugenol (ZOE) paste performed compared to other materials in their clinical and radiographic outcomes after twelve months or more follow-up period.
A literature survey of the electronic database (1950-2010) used the Medical Subject Headings and free text terms. Forty three references were retrieved and inclusion criteria were applied; 15 articles remained for full-text evaluation. From these, two were selected for data extraction regarding quality characteristics and results.
Selected studies showed moderate or high risk of bias. The overall success of pulpectomy was 80.0% (Calcicur), 60.0% (Sealapex) and varied from 85.0% to 100.0% (ZOE) and 89.0% to 100.0% (Vitapex). Solely Calcicur presented success rate significantly lower when compared to ZOE and Vitapex. These pastes lead to overfilled canals and particles of extruded ZOE were still evident even after the evaluation period. Resorption of Vitapex, Calcicur and Sealapex within the root canal was also reported.
In primary teeth with irreversible pulpal changes ZOE pulpectomies yielded similar outcome than Vitapex and Sealapex, although there was no agreement with regard to filling materials' resorption.

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Available from: Lucianne Cople Maia, Jan 28, 2014
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    • "The filling material must be effective in eliminating or reducing bacteria, as well as preventing canal reinfection, and must be resorbable and nontoxic to periapical tissues and the permanent tooth germ (Huang et al. 2009, Silva et al. 2010). Currently, there is a growing preference for using iodoform paste and calcium hydroxide paste (Dunston & Coll 2008, Bergoli et al. 2010), instead of zinc oxide eugenol paste (Barcelos et al. 2011), probably because of its irritant potential to periapical tissues and slow resorption rate (Silva et al. 2010). Calcium hydroxide pastes are antimicrobial, owing to their high pH and release of hydroxyl and calcium ions (Estrela et al. 1995). "
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