Ineffectiveness of Antibiotic-Based Pulpotomy for Primary Molars: a Survival Analysis

被引:11
作者
Daher, Anelise [1 ]
Viana, Karolline Alves [1 ]
Leles, Claudio Rodrigues [2 ]
Costa, Luciane Rezende [3 ]
机构
[1] Univ Fed Goias, Sch Dent, Grad Program, Goiania, Go, Brazil
[2] Univ Fed Goias, Sch Dent, Div Prevent & Oral Rehabil, Goiania, Go, Brazil
[3] Univ Fed Goias, Sch Dent, Div Pediat Dent, Goiania, Go, Brazil
来源
PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLINICA INTEGRADA | 2015年 / 15卷 / 01期
关键词
Anti-Bacterial Agents; Tooth; Deciduous; Root Canal Therapy; Pulpotomy;
D O I
10.4034/PBOCI.2015.151.22
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective: To investigate the two-year survival rate of primary molars treated with non-instrumentation endodontic treatment with mixed antibiotic paste containing chloramphenicol, tetracycline, zinc oxide and eugenol (CTZ pulpotomy), and compare it to the conventional root canal treatment with calcium hydroxide paste. Material and Methods: Thirty-six children, mean age 6.2 years old (standard deviation, SD=1.5), presenting at least one primary molar with irreversible pulpitis or necrotic pulp, were included in this prospective clinical study. Teeth were assigned to CTZ pulpotomy (Group I) or calcium hydroxide pulpectomy (Group II) and assessed clinically and radiographically for up to 26 months. Data were analyzed using descriptive statistics, Chi-square test, Kaplan-Meier survival analysis and Log-rank test. Results: Fifty-three primary molars were treated in Group I (n=37) or Group II (n=16). Children were followed up for 1 to 26 months (mean=12.0; SD=7.1). Treatment failure rates were 73.0% in Group I and 31.3% in Group II. Overall, mean survival time was 15.2 months (95% confidence interval, CI 12.6-17.9); Group I (mean 13.2; 95% CI 10.2-16.3) had a lower survival rate than Group II (mean 18.9; 95% CI 14.5-23.2) (p=0.02). Necrotic pulp treatments had significantly lower survival rates (p=0.01) than pulpitis treatments. Conclusion: Non-instrumentation endodontic treatment of primary molars with CTZ paste resulted in a low survival rate in a two-year follow-up; its radiographic ineffectiveness discourages its use instead of conventional root canal endodontic treatment.
引用
收藏
页码:205 / 215
页数:11
相关论文
共 29 条
[1]  
American Academy of Pediatric Dentistry, 2014, PEDIAT DENT
[2]  
American Academy on Pediatric Dentistry, 2013, POL ROL PED DENT BOT
[3]  
Amorim Lilian de Fátima Guedes de, 2006, Braz. Dent. J., V17, P317, DOI 10.1590/S0103-64402006000400010
[4]   Stainless steel crown versus modified open-sandwich restorations for primary molars: a 2-year randomized clinical trial [J].
Atieh, Momen .
INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, 2008, 18 (05) :325-332
[5]  
Brasil. Agencia Nacional de Vigilancia Sanitaria (ANVISA), PROD PAR SAUD
[6]  
Cappiello J., 1964, REV ASS ODONT ARGENT, V4, P139
[7]  
Casas Michael J, 2003, Pediatr Dent, V25, P97
[8]  
de Sousa DL, 2011, PEDIATR DENT, V33, P307
[9]   ANTIBACTERIAL EFFICACY OF INTRACANAL MEDICAMENTS ON BACTERIAL BIOFILM: A CRITICAL REVIEW [J].
Estrela, Carlos ;
Sydney, Gilson Blitzkow ;
Poli Figueiredo, Jose Antonio ;
de Araujo Estrela, Cyntia Rodrigues .
JOURNAL OF APPLIED ORAL SCIENCE, 2009, 17 (01) :1-7
[10]   Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial [J].
Huth, Karin Christine ;
Hajek-Al-Khatar, Niran ;
Wolf, Petra ;
Ilie, Nicoleta ;
Hickel, Reinhard ;
Paschos, Ekaterini .
CLINICAL ORAL INVESTIGATIONS, 2012, 16 (04) :1243-1250