Abstract
Objectives: To examine the success rate of root canal treatment in primary molars with the use two different root canal instrumentation ways, irrigation solutions and root canal sealers.
Materials and Methods: Root canal treatment was applied to 120 second primary molars of 69 children between 5-8 years old. The teeth were divided in 8 groups randomly according to instrumentation ways [conventional stainless-steel hand files / Nickel-titanium (Ni-Ti) rotary files], irrigation solutions [0.5% sodium hypochlorite (NaOCl) and 0.9% saline solution combination / 0.4% chlorhehexidine (CHX)] and root canal sealers [Zinc oxide eugenol cement (ZOE) and Apexit Plus (AP)]. All teeth were restored with stainless steel crowns. The teeth were followed 12 months both clinically and radiographically. All data was analyzed statistically by χ2 and Wilcoxon test.
Results: Statistical significance were found according to “age” and “root canal sealers” factors on success rate of root canal treatment (p<0.05). No statistical significance were found according to gender, jaw, tooth type, root canal instrumentation ways and irrigation solutions on success rate of root canal treatment (p>0.05). The clinically and radiographically success rate of ZOE and AP were 98.3% and 68.3%, respectively.
Conclusions: Root canal treatment is a successful treatment in primary molars. Ni-Ti rotary files and CHX can be a good alternative for root canal treatment in primary molars. The most effective factor to obtain clinical success of root canal treatment is properties of using root canal sealer.
Keywords
Primary second molar root canal treatment conventional stainless-steel hand file nickel-titanium rotary files NaOCl CHX ZOE Apexit Plus.
References
- Whirtworth JM, Nunn JH. Paediatric endodontics. In: Welbury RR (ed). Paediatric dentistry. 2th ed. USA: Oxford University Pres Inc 2001; 159-18
- Dummett CO, Kopel HM. Pediatric endodontics. In: Ingle JI, Bakland LK (eds). Endodontics. 5th ed. Londo: BC Decker Inc Hamilton 2002;861-902.
- Alaçam A. Kök kanal tedavisinin endikasyon ve kontraendikasyonları. In: Alaçam T (ed). Endodonti. Ankara: Gazi Üniv Basın Yayın Yüksek Okulu Basımevi 1990;19920
- Bayırlı G. Kök kanalına şekil verme. In: Bayırlı G (ed). Endodontik Tedavi. İstanbul: İ. Ü. Basımevi ve Film Merkezi 1998; 358.
- Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC (eds). Pathways of the pulp. 8th ed. St. Louis: Mosby Inc 2002;231-292.
- Weine FS. Intracanal treatment procedures, basic and advanced topics. In: Weine FS (ed). Endodontic Therapy. 5th ed. St. Louise: Mosby Inc 1996;305-357.
- Glickman GN, Dumsha TC. Problems in canal cleaning and shaping. In: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ (eds). Problem solving in endodontics: prevention, identification, and management. 3th ed. St. Louise: Mosby Inc 1997;91-121.
- Barr ES, Kleier D, Barr NV. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatr Dent 2000;22:77-78.
- Silva LAB, Leonardo MR, NelsonFilho P, Tanomaru JMG. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. J Dent Child 2004;71:45-47.
- Barr ES, Kleier D, Barr NV. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatr Dent 1999;21:453-454.
- Kummer TR, Calvo MC, Cordeiro MMR, Vieira RS, Rocha MJ, Catarina FS. Ex vivo study of manual and rotary instrumentation techniques in human primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e84-e92.
- Nagaratna PJ, Shahhikiran ND, Subbareddy VV. In vitro comparison of NiTi rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. J Indian Soc Pedod Prev Dent 2006;24:186-191.
- Canoglu H, Tekcicek MU, Cehreli ZC. Comparison of conventional, rotary, and ultrasonic preparation, different final irrigation regimens, and 2 sealers in primary molar root canal therapy. Pediatr Dent 2006;28:518-523.
- Deery C, Hosey MT, Waterhouse P. Pulp therapy in the primary dentition. In: Deery C, Hosey MT, Waterhouse P (eds). Paediatric Cariology. London: Quintassene Publishing Co. Ltd 2004;108-117.
- Önçağ Ö, Hoşgör M, Hilmioğlu S, Zekioğlu O, Eronat C, Burhanoğlu D. Comparison of antibacterial and toxic effects of various root canal irrigants. Int Endod J 2003;36:4234
- Sweet CA. Procedure for treatment of exposed and pulpless deciduous teeth. J Am Dent Assoc 1930;17:1150–1153.
- Fuks AB, Eidelman E. Pulp therapy in the primary dentition. Curr Opin Dent 1991; 1: 556-563.
- Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent 1996;18:57-63.
- Mani SA, Chawla HS, Tewari A, Goyal A. Evaluation of calcium hydroxide and zinc oxide eugenol as root canal filling materials in primary teeth. J Dent Child 2000;67:142-147. Wright GZ. Pshycologic management of children’s behaviours. In: McDonald RE, Avery DR (eds). Dentistry for the child and adolescent. 8th ed. St Louis: Mosby Inc 2004;34-51.
- Ekstrand KR, Ricketts DNJ, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination. Caries Res 1997;31:224-231.
- Fanning EA. The relationship of dental caries and root resorption of deciduous molars. Arch Oral Biol 1962;7:595-601.
- Goodman JR. Endodontic treatment for children. Br Dent J 1985;158:363-366.
- Murray JJ, Majid ZA. The prevalence and progression of approximal caries in the deciduous dentition in British children. Br Dent J 1978;145:161-164.
- Moss SJ, Addelston H, Goldsmith ED. Histologic study of pulpal floor of deciduous molars. J Am Dent Assoc 1965;70:372-279.
- Rifkin A. A simple, effective, safe technique fort he root canal treatment of abscessed primary teeth. J Dent Child 1980;435-441.
- Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J 2009;42:288-302.
- Vahdaty A, Pitt Ford TR, Wilson RF. Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro. Endod Dent Traumatol 1993;9:2432
- Martin DM, Crabb HSM. Calcium hydroxide in root canal therapy. Brit Dent J 1977;142:277-283.
- Kubota K, Golden BE, Penugonda B. Root canal filling materials for primary teeth: A review of the literatüre. ASDC J Dent Child 1992;59:225-227.
Abstract
References
- Whirtworth JM, Nunn JH. Paediatric endodontics. In: Welbury RR (ed). Paediatric dentistry. 2th ed. USA: Oxford University Pres Inc 2001; 159-18
- Dummett CO, Kopel HM. Pediatric endodontics. In: Ingle JI, Bakland LK (eds). Endodontics. 5th ed. Londo: BC Decker Inc Hamilton 2002;861-902.
- Alaçam A. Kök kanal tedavisinin endikasyon ve kontraendikasyonları. In: Alaçam T (ed). Endodonti. Ankara: Gazi Üniv Basın Yayın Yüksek Okulu Basımevi 1990;19920
- Bayırlı G. Kök kanalına şekil verme. In: Bayırlı G (ed). Endodontik Tedavi. İstanbul: İ. Ü. Basımevi ve Film Merkezi 1998; 358.
- Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC (eds). Pathways of the pulp. 8th ed. St. Louis: Mosby Inc 2002;231-292.
- Weine FS. Intracanal treatment procedures, basic and advanced topics. In: Weine FS (ed). Endodontic Therapy. 5th ed. St. Louise: Mosby Inc 1996;305-357.
- Glickman GN, Dumsha TC. Problems in canal cleaning and shaping. In: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ (eds). Problem solving in endodontics: prevention, identification, and management. 3th ed. St. Louise: Mosby Inc 1997;91-121.
- Barr ES, Kleier D, Barr NV. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatr Dent 2000;22:77-78.
- Silva LAB, Leonardo MR, NelsonFilho P, Tanomaru JMG. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. J Dent Child 2004;71:45-47.
- Barr ES, Kleier D, Barr NV. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatr Dent 1999;21:453-454.
- Kummer TR, Calvo MC, Cordeiro MMR, Vieira RS, Rocha MJ, Catarina FS. Ex vivo study of manual and rotary instrumentation techniques in human primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e84-e92.
- Nagaratna PJ, Shahhikiran ND, Subbareddy VV. In vitro comparison of NiTi rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. J Indian Soc Pedod Prev Dent 2006;24:186-191.
- Canoglu H, Tekcicek MU, Cehreli ZC. Comparison of conventional, rotary, and ultrasonic preparation, different final irrigation regimens, and 2 sealers in primary molar root canal therapy. Pediatr Dent 2006;28:518-523.
- Deery C, Hosey MT, Waterhouse P. Pulp therapy in the primary dentition. In: Deery C, Hosey MT, Waterhouse P (eds). Paediatric Cariology. London: Quintassene Publishing Co. Ltd 2004;108-117.
- Önçağ Ö, Hoşgör M, Hilmioğlu S, Zekioğlu O, Eronat C, Burhanoğlu D. Comparison of antibacterial and toxic effects of various root canal irrigants. Int Endod J 2003;36:4234
- Sweet CA. Procedure for treatment of exposed and pulpless deciduous teeth. J Am Dent Assoc 1930;17:1150–1153.
- Fuks AB, Eidelman E. Pulp therapy in the primary dentition. Curr Opin Dent 1991; 1: 556-563.
- Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent 1996;18:57-63.
- Mani SA, Chawla HS, Tewari A, Goyal A. Evaluation of calcium hydroxide and zinc oxide eugenol as root canal filling materials in primary teeth. J Dent Child 2000;67:142-147. Wright GZ. Pshycologic management of children’s behaviours. In: McDonald RE, Avery DR (eds). Dentistry for the child and adolescent. 8th ed. St Louis: Mosby Inc 2004;34-51.
- Ekstrand KR, Ricketts DNJ, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination. Caries Res 1997;31:224-231.
- Fanning EA. The relationship of dental caries and root resorption of deciduous molars. Arch Oral Biol 1962;7:595-601.
- Goodman JR. Endodontic treatment for children. Br Dent J 1985;158:363-366.
- Murray JJ, Majid ZA. The prevalence and progression of approximal caries in the deciduous dentition in British children. Br Dent J 1978;145:161-164.
- Moss SJ, Addelston H, Goldsmith ED. Histologic study of pulpal floor of deciduous molars. J Am Dent Assoc 1965;70:372-279.
- Rifkin A. A simple, effective, safe technique fort he root canal treatment of abscessed primary teeth. J Dent Child 1980;435-441.
- Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J 2009;42:288-302.
- Vahdaty A, Pitt Ford TR, Wilson RF. Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro. Endod Dent Traumatol 1993;9:2432
- Martin DM, Crabb HSM. Calcium hydroxide in root canal therapy. Brit Dent J 1977;142:277-283.
- Kubota K, Golden BE, Penugonda B. Root canal filling materials for primary teeth: A review of the literatüre. ASDC J Dent Child 1992;59:225-227.
Details
| Primary Language | English |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | January 31, 2013 |
| Submission Date | June 19, 2012 |
| Published in Issue | Year 2013Volume: 16 Issue: 1 |
Cited By
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International Journal of Pedodontic Rehabilitation
https://doi.org/10.56501/intjpedorehab.v7i2.684
Reciprocating instrumentation for endodontic treatment of primary molars: 24‐month randomized clinical trial
International Journal of Paediatric Dentistry
https://doi.org/10.1111/ipd.13042
Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth—A systematic review and meta‐analysis
International Journal of Paediatric Dentistry
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https://doi.org/10.1111/ipd.12720
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