The aim of this study is to evaluate the clinical and radiographic success of Lesion Sterilization And Tissue Repair \[ LSTR\] antibiotic paste versus Zinc Oxide and Eugenol pulpectomy in the treatment of non-vital primary molars.
Primary teeth with infected root canals are a common problem, particularly in patients where the infection has reached the peri radicular tissues . Among the pastes used in the pulp therapy of primary teeth with pulp necrosis, zinc oxide and eugenol paste has been a reference in dentistry since 1930. Endodontic treatment using zinc oxide and eugenol paste has shown satisfactory clinical and radiographic results, requires mechanical chemical preparation before filling root canals. The main difficulties of endodontic treatment of primary molars are related to the anatomical complexity of the root canals and the long time needed to carry out the treatment. The additional difficulty involved in diagnosing root resorption is a limiting condition for determining the actual working length and instrumentation. Other pastes have been studied, such as those containing antibiotics in their composition, thus dispensing with root canal instrumentation (such as lesion sterilization and tissue repair using triple antibiotic paste in treatment of non-vital primary molars. Lesion sterilization and tissue repair using triple antibiotic paste has relevant clinical and radiographic success rates in treatment of non-vital primary molars.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
Pulp therapy for necrotic primary molars
Pulp therapy for necrotic primary molars
Faculty of oral and dental medicine
Cairo, Egypt
Post oper3tive pain
Measured by verbal question to patient/parents
Time frame: 1 month
Post operative pain
Measured by verbal question to patient/parents
Time frame: 3 months
Post operative pain
Measured by verbal question to patient/parents
Time frame: 6 months
Tenderness
Percussion test using back of a dental mirror
Time frame: 1 month
Tenderness
Percussion test using back of a dental mirror
Time frame: 3 months
Tenderness
Percussion test using back of a dental mirror
Time frame: 6 months
Swelling /sinus tract or fistula
Visual examination
Time frame: 1 month
Swelling /sinus tract or fistula
Visual examination
Time frame: 3 months
Swelling /sinus tract or fistula
Visual examination
Time frame: 6 months
Tooth mobility
Mobility test
Time frame: 1 month
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Tooth mobility
Mobility test
Time frame: 3 months
Tooth mobility
Mobility test
Time frame: 6 months
Internal /External root resorption
Radiographic examination
Time frame: 6 months
Furcation involvement /radiolucency
Radiographic examination
Time frame: 6 months