Online ISSN: 2515-8260

Keywords : pulpectomy


Comparative evaluation of obturation quality between Hand K-files and Rotary Pedoflex files in primary mandibular molars

Dr. Milind Rajan; Dr. Rajeshkrishna Malge; Dr. Shimoli Shah; Dr Pratik Surana; Dr. Rucha Thakkar; Dr. Neha Kashav

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 6850-6853

To compare obturation quality between Hand K-files and Rotary Pedoflex files in primary mandibular molars. Materials and methods: A randomized controlled trial was designed, recruiting participants with pulpally involved primary mandibular molars requiring pulpectomy in the age group of 4-8 years. Forty primary mandibular molars were randomly allocated into two equal groups. Group I: 20 teeth were instrumented using hand K-files; Group II: 20 teeth were instrumented with rotary pedoflex files. A post obturation radiograph was taken to assess the quality of obturation. The obturation quality was graded as under fill, optimal fill, over fill. Result: In Group 1 (Hand K files): 55 % of the canals were optimally filled; 30% and 15% were under and over filled, respectively. In Group 2 (Rotary Pedoflex file): 85% of the canals were optimally filled; 10% were under and 5% were over filled each. Results of unpaired t-test comparing the obturation quality between the two groups reveal a statistically significant result of rotary pedoflex files showing better obturation quality as compared to K hand files (P < 0.001). Conclusion: Authors found that rotary pedoflex file was better in terms of obturation quality as compared to Hand K files.

Comparative evaluation of instrumentation time between Hand K-files and Rotary Pedoflex files in primary mandibular molars

Dr. Shimoli Shah; Dr. Bharath Vardhana S; Dr. Himani Janakbhai Patel; Dr. Nisarga Kansar; Dr. Neha Kashav; Dr. Prinka Shahi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7394-7397

To compare instrumentation time between Hand K-files and Rotary Pedoflex files in primary mandibular molars. Method: A randomized clinical trial was carried on 40 patient aged between of 4–8 years requiring pulpectomy in primary mandibular molars. Patients were equal distributed for instrumentation with Hand K files and Rotary Pedoflex files. During the canal preparation, the instrumentation time was recorded using a stopwatch by an assistant. Results: The mean instrumentation time for Rotary Pedoflex file was 8.41 ± 0.54 min. The mean instrumentation time observed for Hand K-file was 12.05 ± 0.82. Conclusion: The instrumentation time with Rotary Pedoflex files was significantly less as compared to Hand K-file instrumentation.

Irrigation in pediatric dentistry: A review

Dr. Susheel Kumar; Dr. Musaib Syed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7610-7616

Success in primary teeth is mainly achieved by complete removal of the debris and necrotic tissue. However, complete removal of the debris and necrotic tissue is done by the root canal irrigants along with mechanical instrumentation. Studies have shown that combination of two or more irrigating solutions in a specific sequence will help to achieve optimal irrigation. Present review of literature provides information of about intra canal irrigant used in pediatric dentistry.

Radicular Pulp Therapy for the Primary Dentition

Dr. Sanat Kumar Bhuyan; Dr. Ruchi Bhuyan; Akankshya Sahu; Abhisek pati; Sidhant Bhuyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 1183-1189

Objective: The aim of this research was to screening the radicular pulp therapy for the primary teeth. Materials and methods: There were two different clinical procedures were used in this study one was single visit and another one was multiple visits. Out of those two single visits was more preferable. Various methods were also used to determine the working length of the teeth. Results: We found normal and healthy soft tissue after the treatment. No pathologic resorption associated with bone rare fraction also seen. Radiographic treatment was successful without evidence of bone reabsorption and no periapical radiolucency formation postoperatively. Conclusions: Pulpectomy is meant to protect the main teeth that are missing. The pulpectomy technique consists of debridging and widening canals with graded files in advance of shuttering.

REQUIREMENTS OF BACK TO BACK CROWNS IN 2 TO 6 YEAR OLD CHILDREN IN MAXILLARY ARCH - AN OBSERVATIONAL STUDY

Ivan Obadiah; Deepa Gurunathan; Vignesh Ravindran

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1189-1196

Stainless steel crowns have been proved to be successful and efficient full coverage restoration in pediatric dentistry especially after pulp therapy and for restoring multi-surface carious lesions. These crowns are usually pre-formed and are selected according to the size of the tooth that requires the crown. The purpose of this study is to determine the common reasons for requirements of back to back stainless steel crowns in the maxillary arch of children aged 2 to 6 years. This cross sectional observational study was carried out retrospectively by analysis of the case sheets for the treatment done with back to back stainless steel crowns in the right and left quadrants of maxillary arch and thereby determining the requirements for the same. Out of 69 pairs of back to back crowns, 90.4% of the teeth required pulpal treatments; 8% of the teeth required Class II restorations; 11% of the teeth were given back to back crowns as an abutment for space maintainers in the upper arch. Back to back crowns in the maxillary arch were placed mostly for teeth treated by pulpectomy, followed by abutments for space maintainers.

EVALUATION OF PRIMARY TEETH WITH CARIES REQUIRING PULPECTOMY AND EXTRACTION IN CHILDREN BETWEEN 5-7 YEARS OLD VISITING A UNIVERSITY DENTAL HOSPITAL

Anupama Deepak; EMG Subramaniam; Ganesh Jeevanandan; M. Jeevitha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1302-1312

Dental caries in the form of early childhood caries is more prevalent in children. Severe form of caries extending throughout the coronal structure in the root can result in tooth pain. These kinds of teeth with caries extending to the pulp may require pulpectomy or extraction. Pulpectomy is a restorative treatment done in primary teeth which is used to extirpate the coronal and radicular pulp and seal the entire root canal using an obturating material. The obturating material is of different types. The commonly used material is the Metapex, which helps in the natural resorption of the roots, exfoliation and does not irritate the periapical region. Extraction in children can be due to trauma or grossly decayed teeth in children due to caries extending subgingivally or presence root stumps. Children presenting with class 2 caries have been exposed to caries involving the pulp. Early childhood caries is one of the most infectious diseases of childhood having a chronic progression rate resulting in the destruction of tooth structure. They are of different types and patterns being rampant caries, nursing bottle caries. This is generally associated with unusual dietary patterns and improper feeding patterns in children with prolonged use of baby bottles for milk feeding. Caries in children are mainly caused by the bacteria Streptococcus mutans. The aim of this study is to evaluate the primary teeth with caries requiring pulpectomy and extraction in children between 5-7 years old. A retrospective study was carried out using digital records of 903 subjects. These data were collected from DIAS and coded in MS Excel sheets. The collected data was analysed by computer software SPSS version 21 using Chi square test and graphical illustration was done. From the above study, it was found that extraction and pulpectomy was common in males, with prevalence of extraction in the maxillary arch among children of 7 years and pulpectomy in children of 5 years , and seen in the mandibular posterior region.