Abstract
ABSTRACT The technique using CTZ paste (chloramphenicol, tetracycline, and zinc oxide-eugenol) in the endodontic treatment of deciduous teeth is easy to perform and requires a single session, which is an advantage with child patients. The inexistence of clinical protocols with the use of CTZ and the multifactorial endodontic repair process in deciduous teeth evidence the need for research on the subject. This study aimed to suggest a clinical protocol model for the systematization and standardization of the endodontic treatment of deciduous teeth using CTZ paste. In the case report presented, after pulp therapy, clinical-radiographical follow-up was conducted after 30, 60, 90 and 180 days. It was concluded that using CTZ paste is a simple, viable, and satisfactory alternative. Future clinical studies are needed regarding CTZ use in child clinic with strong scientific evidence.
Highlights
The premature loss of deciduous teeth can lead to malocclusion, in addition to functional and aesthetical problems [1]
There is a disadvantage regarding tetracycline as a component of the CTZ paste: when it is inserted into the pulp chamber, there is the risk of it pigmenting the crown on the deciduous teeth after the treatment [12,13]
The use of CTZ paste was shown to be clinically and radiographically effective in all treated teeth during a 180-day follow-up, in order to provide clinical conditions for the maintenance of deciduous teeth in the oral cavity and to fulfill the physiological cycle. This suggests that endodontic treatment with CTZ paste is an alternative in the public network, in cases where it is not possible to carry out conventional endodontic treatment, or the placement of space maintainers
Summary
The premature loss of deciduous teeth can lead to malocclusion, in addition to functional and aesthetical problems [1]. The intact preservation of deciduous teeth, through preserving their vitality until the natural time for exfoliation, until their permanent successors erupt, is paramount to maintain arch integrity [1,2]. Public dental services oftentimes cannot offer the conventional endodontic technique for deciduous teeth – with radiographs and chemomechanical preparations – due to the great amount of clinical time it takes. The deciduous teeth endodontic procedure has been described as complex because of its anatomical singularities, the topography of the root canals, relation to adjacent structures, the biological cycle of the tooth, and pulp disease etiological factors [3,4]. The characteristics of deciduous teeth root canals make them difficult to be effectively manipulated during endodontic treatment. Using filling paste with antimicrobial properties is one of the most important aspects of such successful treatments [4,5]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
