Assessment of Material Standardization in Primary Tooth Obturation: An Observational Study Original Research
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Abstract
Background: The success of pulpectomy in primary teeth relies heavily on optimal obturation to ensure the longevity of treated teeth. Standardizing obturation material volumes is critical for preventing complications such as voids or overfilling.
Aim: This study aimed to evaluate the impact of material volume on obturation quality in primary tooth pulpectomy using zinc oxide eugenol (ZOE) and Metapex, with assessments conducted via cone-beam computed tomography (CBCT).
Materials and Methods: Twenty extracted primary teeth were randomly divided into two groups: Group 1 (Metapex) and Group 2 (ZOE). Obturation volumes were varied (0.03-0.8 ml) and measured using pre-calibrated syringes. CBCT imaging was employed to evaluate obturation quality based on grading criteria from Grade A (suboptimal) to Grade D (extrusion). Statistical analysis using ANOVA was conducted to assess differences in material performance.
Results: Optimal obturation (Grade C) was achieved with 0.12 ml of Metapex at 12mm and 0.05 ml of ZOE at 10mm. Excess volumes resulted in overfilling (Grade D). CBCT analyses confirmed that material standardization and precise volume control significantly influenced outcomes.
Conclusion: Standardized obturation material volumes are essential for achieving optimal fillings and minimizing complications in pediatric endodontics. Advanced imaging techniques enhance treatment precision and patient outcomes.
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References
Kim S. Modern endodontic practice: Instruments and techniques. Dent Clin North Am. 2004;48:1-9.
Ak G, Sepet E, Pinar A, Aren G, Turan N. Reasons for early loss of primary molars. Oral Health Prev Dent. 2005;3:113-7.
Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J. 1995;28:12-8.
Grieve AR. Scaling properties of cements used in root fillings. Br Dent J. 1972;132:19-22.
Grossman LI, Oliet S, Del Rio CE. Obturation of the Radicular Space. In: Textbook of Endodontics. 14th ed. Philadelphia: Lea & Febiger; 2004.
Nagaveni NB, Yadav S, Poornima P, Subba Reddy VV, Roshan NM. Volumetric evaluation of different obturation techniques in primary teeth using spiral computed tomography. J Clin Pediatr Dent. 2017;41(1):27-31.
Revtee B, et al. Comparative assessment of obturation quality using conventional lateral condensation, thermoplasticized obturation, and GuttaCore systems in root canal fillings. Int J Dent Sci Innov Res. 2020;3(2):373-377.
Darshini CS, Peethambar P, Konde S, Agarwal M. Volumetric analysis of root canal filling in deciduous teeth after using different canal-drying methods: An in vitro study. Contemp Clin Dent. 2019;10(4):622-6.
Sneha Y, et al. Volumetric analysis of root canal fillings using spiral CT in pediatric dentistry. J Indian Soc Pedod Prev Dent. 2020;38(1):45-51.
Barr ES, Kleier DJ, Barr NV. Use of nickel-titanium rotary files for obturation in primary teeth: A systematic review. Eur J Paediatr Dent. 2020;21(4):298-303.
Pinkham JR, Casamassimo PS, McTigue DJ, Fields HW, Nowak AJ. Pediatric Dentistry: Infancy Through Adolescence. 4th ed. Philadelphia, Pa: WB Saunders Co; 2005.