Comparative Analysis of Clinical and Radiographic Outcomes Using a Combination of Zinc Oxide and Nano-Hydroxyapatite...

Background A primary tooth plays a vital role in maintaining oral health and general well-being in children. It is important to maintain its position in the dental arch. Aim This study aims to compare the clinical and radiographic success of a mixture of zinc oxide and nano-hydroxyapatite with ozonated oil and Endoflas FS (Sanlor, Cali, Colombia) as an obturating material in primary teeth. Materials and methods The study sample consisted of 30 human primary teeth treated with pulpectomy in children aged five to eight years, and it was split into two groups. Group A consisted of 15 teeth that were obturated with a mixture of zinc oxide, nano-hydroxyapatite, and ozonated oil (Adc Inclusive Dentozone India, Raigad, India), and group B consisted of 15 teeth that were obturated with Endoflas FS endodontic sealer. Both the groups were observed based on clinical criteria including presence/absence of pain, swelling, mobility, and tenderness on percussion and radiographic criteria including resorption of the material along with physiological resorption of the root, deviation of the path of eruption of the underlying permanent teeth, and resorption of over-pushed material (if any) at the end of the three-month, six-month, and nine-month periods. Statistical analysis was done using the chi-square test using SPSS version 24 (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY) to see the significant difference (p < 0.05) of each group. Result At the end of nine months, both group A and group B showed a 100% success rate clinically, whereas radiographically, group B showed a 100% success rate and group A showed an 80% success rate, with a significant difference of p < 0.05. Conclusion Based on the current study, after the clinical and radiographic evaluation for nine months, Endoflas showed betterresults than the mixture of zinc oxide, nano hydroxyapatite, and ozonated oil.