Success rate of using metronidazole paste in pulpal treatment of infected deciduous molars: 6-30 months follow up
Journal Title: Journal of Dental Specialities - Year 2018, Vol 6, Issue 2
Abstract
Introduction The aim of this retrospective study was to evaluate the long term success of using a ready to use metronidazole paste in the pulpal treatment of nonvital deciduous teeth The assessment was performed by clinical and radiographic records obtained from followups at 630 monthsMaterials and Methods Data of 166 children who had pulpal treatment on their deciduous teeth between April 2013 through June 2016 by a single pediatric dentist were reviewed for the present study A pretreatment history of fistula or swelling tenderness to percussion presence of abscess excessive tooth mobility radiolucency in the bifurcation andor periradicular andor periapical area cases were eligible for inclusion Finally a total of 42 children with 47 deciduous molars treated with metronidazole paste participated in the study To determine the success at 630 months after treatment the clinicalradiographic data were evaluated by the principal investigator and a coinvestigator Categorical data association was tested with Chi square test with significance levels at pResult Success rate of nonvital deciduous teeth was determined as 83 at 6 30 months after treatment and it was neither associated with gender p0445 first second molar p0692 nor maxillarymandibular molar p0853Conclusion Keeping a deciduous tooth in the arch is important to improve oral health of children Metronidazole paste can be suggested to use for the local treatment of pulpal infections following a dental pulp necrosis and their complications in deciduous teeth instead of performing extractions for themKeywords Dental caries Deciduous molar Lesion sterilization Metronidazole paste Pulpal treatment
Authors and Affiliations
Meltem Bakkal, Mustafa Sarp Kaya
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