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ZOE paste pulpectomies outcome in primary teeth: a systematic review
R Barcelos1, M P A Santos, L G Primo
1School of Dentistry, Federal Fluminense University (UFF), Pólo Universitário de Nova Friburgo (PUNF), Rio de Janeiro, Brazil. rbarcelos@vm.uff.br
The Journal of Clinical Pediatric Dentistry
|June 18, 2011
Summary
Zinc oxide eugenol (ZOE) paste showed comparable clinical outcomes to other materials for primary teeth pulpectomies. Further research is needed on material resorption for irreversible pulpal pathosis treatments.
Area of Science:
- Pediatric Dentistry
- Endodontics
- Dental Materials Science
Background:
- Primary teeth with irreversible pulpal pathosis require endodontic treatment.
- Pulpectomy is a common procedure for managing such cases.
- Material selection impacts treatment success and long-term outcomes.
Purpose of the Study:
- To systematically review and compare the clinical and radiographic outcomes of pulpectomies using zinc oxide eugenol (ZOE) paste versus other materials in primary teeth.
- To evaluate outcomes after a minimum 12-month follow-up period.
Main Methods:
- A systematic literature search was conducted from 1950-2010 using electronic databases and specific search terms.
- Initial retrieval of 43 references, refined to 15 for full-text evaluation.
- Two studies were ultimately selected for data extraction and analysis.
Main Results:
- Selected studies exhibited a moderate to high risk of bias.
- Pulpectomy success rates varied: Calcicur (80.0%), Sealapex (60.0%), ZOE (85.0%-100.0%), and Vitapex (89.0%-100.0%).
- Calcicur showed a significantly lower success rate compared to ZOE and Vitapex; ZOE extrusion and resorption of other materials were noted.
Conclusions:
- Pulpectomies with ZOE paste demonstrated similar outcomes to Vitapex and Sealapex in primary teeth with irreversible pulpal changes.
- There was no consensus regarding the resorption characteristics of the filling materials used.
