Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial
Introduction: Pulpectomy in primary teeth involves various steps, including tooth isolation, access opening, canal instrumentation, and obturation. Lubricants are commonly used in the biomechanical preparation of root canals to suspend and emulsify debris generated by the mechanical action...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/18298/65646_CE[Ra1]_F(IS)_QC(KK_RDW_IS)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdf |
| _version_ | 1797687628785516544 |
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| author | Janvi Manish Gandhi Ganesh Jeevanandan Lavanya Govindaraju |
| author_facet | Janvi Manish Gandhi Ganesh Jeevanandan Lavanya Govindaraju |
| author_sort | Janvi Manish Gandhi |
| collection | DOAJ |
| description | Introduction: Pulpectomy in primary teeth involves various
steps, including tooth isolation, access opening, canal
instrumentation, and obturation. Lubricants are commonly
used in the biomechanical preparation of root canals to
suspend and emulsify debris generated by the mechanical
action of hand and rotary files. While paste-type lubricants
(Prime Dental RC Help) and aqueous lubricants (17% aqueous
Ethylenediaminetetraacetic acid [EDTA]) are available for use,
there is a lack of studies in the literature documenting the
effects of these lubricants on file fracture, obturation quality,
and postoperative pain.
Aim: To compare the effects of paste-type lubricants with
aqueous lubricants on file breakage, quality of obturation,
and postoperative pain in children treated with pulpectomy in
primary teeth.
Materials and Methods: This randomised clinical trial involved
40 primary teeth, evenly distributed for instrumentation using
Kedo-S Plus pediatric rotary files. In Group 1 (n=20), paste-type
lubricant was used during canal preparation, while in Group
2 (n=20), aqueous lubricant was used. The clinician recorded
data on file fractures, evaluated the quality of obturation
using immediate postoperative radiographs, and measured
postoperative pain using the Four-point facial pain intensity
rating scale. Descriptive statistics were performed once the
data was tabulated.
Results: Total of 40 primary teeth were included, participants
aged 4-9 years, 22 girls and 18 boys. There was no incidence
of file fracture in the group-2 treated with aqueous lubricants.
Regarding the quality of obturation, the group-1 treated with
paste-type lubricant had a higher number of under-fill and
over-fill cases (p=0.002, 0.001), while no statistically significant
difference was observed between the groups in terms of
optimal fill (p=0.661). At 6, 12, 24, and 48 hours, there was
no difference in pain experienced by the participants in both
groups (p>0.05).
Conclusion: During rotary instrumentation in primary teeth,
aqueous lubricants were found to be more effective than pastetype lubricants in preventing file breakage, providing optimal
obturation quality, and reducing postoperative pain.
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| first_indexed | 2024-03-12T01:20:31Z |
| format | Article |
| id | doaj.art-711b5480229a4471b5809ffbfa07af94 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-12T01:20:31Z |
| publishDate | 2023-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-711b5480229a4471b5809ffbfa07af942023-09-13T06:28:31ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-08-01178101310.7860/JCDR/2023/65646.18298Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial Janvi Manish Gandhi0Ganesh Jeevanandan1Lavanya Govindaraju2Postgraduate Student, Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveeth, Chennai, Tamil Nadu, India.Reader, Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveeth, Chennai, Tamil Nadu, India.Senior Lecturer, Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveeth, Chennai, Tamil Nadu, India.Introduction: Pulpectomy in primary teeth involves various steps, including tooth isolation, access opening, canal instrumentation, and obturation. Lubricants are commonly used in the biomechanical preparation of root canals to suspend and emulsify debris generated by the mechanical action of hand and rotary files. While paste-type lubricants (Prime Dental RC Help) and aqueous lubricants (17% aqueous Ethylenediaminetetraacetic acid [EDTA]) are available for use, there is a lack of studies in the literature documenting the effects of these lubricants on file fracture, obturation quality, and postoperative pain. Aim: To compare the effects of paste-type lubricants with aqueous lubricants on file breakage, quality of obturation, and postoperative pain in children treated with pulpectomy in primary teeth. Materials and Methods: This randomised clinical trial involved 40 primary teeth, evenly distributed for instrumentation using Kedo-S Plus pediatric rotary files. In Group 1 (n=20), paste-type lubricant was used during canal preparation, while in Group 2 (n=20), aqueous lubricant was used. The clinician recorded data on file fractures, evaluated the quality of obturation using immediate postoperative radiographs, and measured postoperative pain using the Four-point facial pain intensity rating scale. Descriptive statistics were performed once the data was tabulated. Results: Total of 40 primary teeth were included, participants aged 4-9 years, 22 girls and 18 boys. There was no incidence of file fracture in the group-2 treated with aqueous lubricants. Regarding the quality of obturation, the group-1 treated with paste-type lubricant had a higher number of under-fill and over-fill cases (p=0.002, 0.001), while no statistically significant difference was observed between the groups in terms of optimal fill (p=0.661). At 6, 12, 24, and 48 hours, there was no difference in pain experienced by the participants in both groups (p>0.05). Conclusion: During rotary instrumentation in primary teeth, aqueous lubricants were found to be more effective than pastetype lubricants in preventing file breakage, providing optimal obturation quality, and reducing postoperative pain. https://jcdr.net/articles/PDF/18298/65646_CE[Ra1]_F(IS)_QC(KK_RDW_IS)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdfbiomechanical preparationdisinfectionroot canal lubricantssmear layer |
| spellingShingle | Janvi Manish Gandhi Ganesh Jeevanandan Lavanya Govindaraju Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial Journal of Clinical and Diagnostic Research biomechanical preparation disinfection root canal lubricants smear layer |
| title | Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial |
| title_full | Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial |
| title_fullStr | Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial |
| title_full_unstemmed | Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial |
| title_short | Evaluation of Paste and Aqueous Lubricants on the Incidence of File Breakage, Quality of Obturation and Postoperative Pain in Children after Pulpectomy in Primary Teeth: A Randomised Clinical Trial |
| title_sort | evaluation of paste and aqueous lubricants on the incidence of file breakage quality of obturation and postoperative pain in children after pulpectomy in primary teeth a randomised clinical trial |
| topic | biomechanical preparation disinfection root canal lubricants smear layer |
| url | https://jcdr.net/articles/PDF/18298/65646_CE[Ra1]_F(IS)_QC(KK_RDW_IS)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdf |
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