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Abstract
Background:Zinc oxide eugenol(ZOE) has long been the material of choice for obturating primary teeth,but it is resistant to resorption, might result in a deflected successor and has limited antibacterial efficacy. Curcuminpossessesanti-inflammatory and antimicrobialproperties which can be implied by its use as obturating material in primary teeth.Objective: To evaluate and compare the efficacy of Curcumin Gel mixed Endoflas powderand Zinc oxide eugenol as obturating materials in primary molars.Material and Methods: A total of 30 primary molars indicated for pulpectomy were selected from 4-9-year-old children and divided into two equal groups based on the obturating material used. Group 1- Curcumin Gel mixed Endoflas powder(CGE) and Group 2- Zinc oxide eugenol(ZOE). The efficacy of these obturation materials was evaluatedboth clinically and radiographically. Follow-up was done after 1, 3and 6months to evaluate clinical and radiographical success rates. The results were subjected to statistical analysis using SPSS software version 21 usingchi-square test.Results: At the end of the 6th month follow-up,there was 93.3% clinical success inGroup 1compared with 86.6% success in Group 2. Whereas, radiographically success reported was 100% with Group 1and93.3% with Group 2. The difference in the radiographic success rate between the two Groups was statistically significant (P <0.05).Conclusion: Based on the present study results, Curcumin Gel mixed Endoflas powder can be considered as an alternative obturation material for treating deciduous molars with extensive involvement of pulp and peri-radicular tissues.KeywordsPulpectomy;Obturating materials;Endoflas;Antimicrobials;Turmeric; Zinc oxide eugenol.
Highlights
The primary objective of pulp therapy is to preserve the integrity and health of the teeth and their supporting tissues
Theroot canal filling material must be biocompatible and protected with a well-sealed coronal restoration [2]. Numerous materials such as Zinc oxide eugenol (ZOE), calcium hydroxide, calcium hydroxide with iodoform paste, Guedes-Pinto paste ( a drug combination composed of Iodoform, Rifocort® ointment and Camphorated Paramonochlorophenol (CPC) [3],KRI paste, Maisto’s paste, Walkhoff’s paste, etc. have been tested for their efficiency as root canal filling materials, but none of these have shown to possess all the requisite properties of an ideal root canal filling material for primary teeth, especially with regard to the major desirable property of having a rate of resorption matching that of the physiologic root resorption of the primary teeth [4]
Bythe end of 1-month follow-up,inter radicular radiolucency was observed in two primary molars and at 3rd month follow-upall the teeth displayed complete resolution of radiolucency.All the teeth displayednointer radicular radiolucency at the end of 6th month follow-up (p= 0.001)
Summary
The primary objective of pulp therapy is to preserve the integrity and health of the teeth and their supporting tissues. Zinc oxide eugenol(ZOE) has long been the material of choice for obturating primary teeth,but it is resistant to resorption, might result in a deflected successor and has limited antibacterial efficacy. Objective: To evaluate and compare the efficacy of Curcumin Gel mixed Endoflas powderand Zinc oxide eugenol as obturating materials in primary molars. Group 1- Curcumin Gel mixed Endoflas powder(CGE) and Group 2Zinc oxide eugenol(ZOE). The efficacy of these obturation materials was evaluatedboth clinically and radiographically. Conclusion: Based on the present study results, Curcumin Gel mixed Endoflas powder can be considered as an alternative obturation material for treating deciduous molars with extensive involvement of pulp and periradicular tissues
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