Article Data

  • Views 1075
  • Dowloads 329

Original Research

Open Access

Endoflas, Zinc Oxide Eugenol and Metapex as Root Canal Filling Materials in Primary Molars—A Comparative Clinical Study

  • Priya Subramaniam1,*,
  • Kanupriya Gilhotra1

1Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre, Bommanahalli, Hosur Road, Bangalore-560068, Karnataka, India.

DOI: 10.17796/jcpd.35.4.1377v06621143233 Vol.35,Issue 4,July 2011 pp.365-370

Published: 01 July 2011

*Corresponding Author(s): Priya Subramaniam E-mail: drpriyapedo@yahoo.com

Abstract

Several materials have been used to fill root canals of primary teeth. Traditionally, zinc oxide eugenol was used for the purpose, until the introduction of calcium hydroxide and iodoform based materials. Another root canal filling material that contains zinc oxide eugenol, calcium hydroxide and iodoform is commercially available as Endoflas. The aim of the study was to evaluate and compare the efficacy of Endoflas, zinc oxide eugenol and Metapex as root canal filling materials. Method: A total of forty-five primary molars from children aged 5-9 years were selected for a one stage pulpectomy procedure. Teeth were randomly divided into three groups of fifteen teeth each based on the type of root canal filling material used. All the molars were evaluated clinically and radiographically at regular intervals of 3, 6, 12 and 18 months. The observations were tabulated and statistically analyzed. Results: Endoflas and zinc oxide eugenol showed 93.3% success, whereas a higher percentage of success was observed with Metapex (100%). Overfilling and voids were more commonly seen in teeth filled with Metapex. Conclusion: There was no significant difference between the three root canal filling materials.

Keywords

Root canal filling, Endoflas, Metapex, zinc oxide eugenol, children.


Cite and Share

Priya Subramaniam,Kanupriya Gilhotra. Endoflas, Zinc Oxide Eugenol and Metapex as Root Canal Filling Materials in Primary Molars—A Comparative Clinical Study. Journal of Clinical Pediatric Dentistry. 2011. 35(4);365-370.

References

1. American Academy of Pediatric Dentistry: Guidelines for pulp therapy for primary and young permanent teeth-Reference Manual, 31(6): 179–186, 2009–2010.

2. Kopel HM. Root canal therapy for primary teeth. J Mich State Dent Assoc, 52(2): 28–33, 1970.

3. Rifkin A. A simple, effective, safe technique for the root canal treatment of abscessed primary teeth. ASDC J Dent Child, 47(6): 435–441, 1980.

4. Fuks AB. Pulp therapy for the primary and young permanent dentitions. Dent Clin North Am, 44: 571–596, 2000.

5. Mass E, Zilberman UL. Endodontic treatment of infected primary teeth, using Maisto’s paste. ASDC J Dent Child, 56: 117–120, 1989.

6. Kubota K, Golden BE, Penugonda B. Root canal filling materials for primary teeth: a review of the literature. ASDC J Dent Child, 58: 225–227, 1992.

7. Coll JA, Josell S, Nassof S, Shelton P, Richards MA. An evaluation of pulpal therapy in primary incisors. Pediatr Dent, 10: 178–184, 1988.

8. Holan G, Fuks AB. A comparison of pulpectomies using Zinc oxide eugenol and KRI paste in primary molars: A retrospective study. Pediatr Dent, 15: 403–7, 1993.

9. Gould JM. Root canal therapy for infected primary molar teeth-A preliminary report. J Dent Child, 39: 269–273, 1972.

10. Flaitz CM, Barr ES, Hicks MJ. Radiographic evaluation of pulpal therapy for primary anterior teeth. J Dent Child, 56: 182–185, 1989.

11. Rifkin A. The root canal treatment of abscessed primary teeth. A three to four year follow-up. J Dent Child, 49(6): 428–431, 1982.

12. Erausquin J, Muruzabal M. Root canal fillings with zinc oxide eugenol cements in the rat molar. Oral Surg Oral Med Oral Pathol, 24(4): 547–558, 1967.

13. Holland R, Souza V, Filho SA. Root canal treatment with calcium hydroxide. Effects of overfilling and refilling. Oral Surg Oral Med Oral Pathol, 47: 87–92, 1979.

14. Mortazavi M, Mesbahi M. Comparison of zinc oxide and eugenol, and Vitapex for root canal treatment of necrotic primary teeth. Int J Paed Dent, 14: 417–424, 2004.

15. Fuks AB, Eidelman E, Pauker N. Root fillings with Endoflas in primary teeth; a retrospective study. J Clin Pediatr Dent, 27(1): 41–46, 2002.

16. Nadkarni, Damle S.G. Comparative evaluation of calcium hydroxide and zinc oxide eugenol as root canal filling materials for primary molars; A clinical and radiographic study. J Ind Soc Pedo Prev Dent, 18(1): 1–10, 2000.

17. Trairatvorakul C, Chunlasikaiwan S. Success of pulpectomy with zinc oxide eugenol vs calcium hydroxide/iodoform paste in primary molars; A clinical study. Pediatr Dent, 30: 303–8, 2008

18. Reddy V.V.S, Fernandes. Clinical and radiological evaluation of zinc oxide eugenol and Maisto’s paste as obturating materials in infected primary teeth—nine months study. J Indian Soc Pedod Prev Dent, 14: 39–44, 1996.

19. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. British Society of Pediatric Dentistry. Pulp therapy for primary molars. Int J Paediatr Dent, 16(Suppl 1): 15–23, 2006.

20. Moskovitz M, Sammara E, Holan G. Success rate of root canal treatment in primary molars. J of Dent, 33: 41–47, 2005.

21. Coll JA, Sadrain R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent, 18(1): 57–63, 1996

22. Allen KR. Endodontic treatment of primary teeth. Aust Dent J, 24: 347–351, 1979.

23. Chawla HS, Mathur VP, Gauba K, Goyal A. A mixture of calcium hydroxide paste and zinc oxide powder as a root canal filling material for primary teeth. J Indian Soc Pedod Prevent Dent, 19(3): 107–109, 2001.

24. Chawla HS, Setia S, Gupta N, Gauba K, Goyal A. Evaluation of a mixture of zinc oxide, calcium hydroxide, and sodium fluoride as a new root canal filling material for primary teeth. J Indian Soc Pedod Prevent Dent, 26(2): 53–58, 2008.

25. Nurko C, Garcia-Godoy F. Evaluation of a calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth. J Clin Pediatr Dent, 23(4): 289–294, 1999.

26. Mathewson RJ, Primosch RE. Fundamentals of Paediatric Dentistry, 3rd edn. Chicago IL: Quintessence Publishing, 257-280, 1995.

27. Speeding RH. Root canal treatment for primary teeth. Dent Clin North Am, 17: 105–124, 1973.

28. Andlaw RJ, Rock WP. A Manual of Paediatric Dentistry, 4th edn, Edinburgh: Churchill Livingstone, 107–116, 1996.

29. Barker BCW, Parsons KC, William GL, Mills PR. Anatomy of root canals in deciduous teeth. Aust Dent J, 20: 101–106, 1975.

30. Payne RG, Kenny DJ, Johnston DH, Judd PL. Two-year outcome study of zinc-oxide eugenol root canal treatment for vital primary teeth. J Can Dent Assoc, 59: 528–536, 1993.

31. Rifkin AJ. Techniques and materials used in endodontics for primary teeth. J Dent Assoc S Afr, 37: 379–381, 1982.

32. Nedley MP. The pulpectomy in primary teeth. J Mich Dent Assoc, 84(8): 38–42, 2002.

33. Moskovitz M, Yahav D, Tickotsky N, Holan G. Int J Pediatr Dent, 20(3): 207–213, 2010.

34. Chawla HS, Mani SA, Tewari A et al. Calcium hydroxide as a root canal filling material in primary teeth- a pilot study. J Indian Soc Pedo Prev Dent, 16: 3–5, 1998.

35. Nurko C, Ranly DM, Garcia-Godoy F, Lakshmyya KN. Resorption of a calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth: A case report. Pediatr Dent, 22: 517–520, 2000.

36. Goldman M, Pearson AH. A preliminary investigation of the “Hollow Tube” theory in endodontics. J Oral Therap Pharmacol, 6: 618–26, 1965.

37. Barker BCW, Lockett BC. Endodontics experiments with resorbable pastes. Aust Dent J, 16: 364–372, 1971.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top