Pulpectomy Treatment Using Vitapex®: A Case Report
Article Sidebar
Main Article Content
Abstract
Introduction: The pulpectomy procedure is indicated in primary teeth with irreversible pulpitis or necrosis. Pulp therapy aims to maintain primary teeth until they are replaced by permanent teeth. However, the complex morphology of root canal system makes it difficult to clean. So one factor that increase success rate is root canal filling material. Resorption of the material is considered one of the requirement of an ideal root filling material. Vitapex® can be considered to be a nearly ideal primary tooth filling material.
Objective: The aim of this case report is to present the pulpectomy treatment using Vitapex® in primary tooth.
Method: Case report.
Case report: A-5-year old Thai boy had severe early childhood caries. Mandibular primary first molar showed large carries, gingival swelling and tooth mobility. Mandibular first molar treated by pulpectomy with Vitapex® and ssc. This case report showed a clinical and radiographic follow up seven months. An immediate postoperative radiograph revealed that Vitapex® extruded from the apex. Seven months after treatment Vitapex® was partially resorbed and proved to be clinically and radiographically successful. Notable improvement function and nutritional status of the patient were obtained.
Conclusion: Vitapex® used as an effective root canal filling material for pulpectomy treatment in poor prognosis primary teeth.
Article Details
References
Fuks AB. Pulp therapy for primary dentition.In: Pinkham JR, Casamassimo PS, Fields HW Jr, McTigue DJ, Nowak AJ, eds. Pediatric dentistry: infancy through adolescence. 4th ed. St Louis, Mo: Elsevier Saunders; 2005: 387.
McDonald RE, Avery DR, Dean JA. Treatment of deep caries, vital pulp, exposure and pulpless teeth.In: Dentistry for the Child and Adolescent. 8th ed. St. Louis, Mo: Mosby Co; 2004: 401.
American Academy of Pediatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent 2009; 31: 181.
Tchaou WS, Turng BF, Minah GE, Coll JA. In vitro inhibition of bacteria from root canals of primary teeth by various dental materials. Pediatr Dent 1995; 17: 351-5.
Ozalp N, Saroglu I, Sonmez H. Evaluation of various root canal filling materials in primary molar pulpectomies: an in vivo study. Am J Dent 2005; 18:347-50.
Rifkin A. A simple, effective, safe technique for the root canal treatment of abscessed primary teeth. ASDC J Dent Child 1980; 47: 435-41.
Holan G, Fuks AB. A comparison of pulpectomies using ZOE and KRI paste in primary molars: a retrospective study. Pediatr Dent 1993;15:403-7.
Garcia-Godoy F. Evaluation of an iodoform paste in root canal therapy in infected primary teeth. J Dent Child 1987; 54: 30-4.
Ranly DM, Garcia-Godoy F. Reviewing pulp treatment for primary teeth. JADA 1991;122:83-5.
Ranly DM, Garcia-Godoy F. Current and potential pulp therapies for primary and young permanent teeth. J Dent 2000;28:153-61.
Goerig AC, Camp JH. Root canal treatment in primary teeth: a review. Pediatr Dent 1983; 5: 33-7.
Primosch RE. Primary tooth pulp therapy as taught in predoctoral pediatric dental programs in the United States. Pediatr Dent 1997; 19: 118-22.
Spedding RH. Incomplete resorption of resorbable zinc oxide root canal filling in primary teeth-report of two cases. AS DC J Dent Child 1985; 52: 214-6.
Erausquin J, Muruzabal M. Root canal fillings with zinc oxide-eugenol cement in the rat molar. Oral Surg Oral Med Oral Pathol 1967; 24: 547-58.
Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent 1996; 18: 57-63.
Mortazavi M, Mesbahi M. Comparison of zinc oxide and eugenol, and Vitapex for root canal treatment of necrotic primary teeth. Int J Paediatr Dent 2004; 14: 417-24.
Fuks AB. Pulp therapy for primary dentition. In : Pinkham JR, Casamassimo PS, Fields HW Jr, McTigue DJ, Nowak AJ, eds. Pediatric dentistry: infancy through adolescence. 4th ed. St. Louis, Mo: Elsevier Saunders; 2005: 389.
Nurko C, Ranly DM, Garcia-Godoy F. Resorption of a calcium hydroxide/ iodoform paste (Vitapex®) in root canal therapy for primary teeth: a case report. Pediatr Dent 2000; 22: 517-20.
Nurko C, Garcia-Godoy F. Evaluation of a calcium hydroxide/iodoform past (Vitapex) in root canal therapy for primary teeth. J of Clin Pediatr Dent 1999; 23: 289-94.
Kawakami TC, Nakamura SE. Effects of the penetration of a root canal filling material into the mandibular canal. I. Tissue reaction to the material. Endod Dent Traumatol 1991; 7: 36-41.
Mani SA, Chawla FIS, Tewari A, Goyal A. Evaluationof calcium hydroxide and zinc oxide eugenol as root canal filling materials in primary teeth. ASDC J Dent Child 2000; 67: 142-47.
Barr ES, Flaitz CM, Flicks JM. A retrospective radiographic evaluation of primary molar pulpectomies. Pediatr Dent 1991; 13: 4-9.
Gould JM. Root canal therapy for infected primary molar teeth: preliminary report. J Dent Child 1972; 39: 269-73.
Coll J A, Josell S and Casper JS. Evaluation of a one-appointment formocresol pulpectomy technique for primary molars. Pediatr Dent 1985; 7: 123-9.
Mass E, Zilberman LU. Endodontic treatment of infected primary teeth, using Maisto’s paste. J of Dent Child 1989; 56: 117-20.
Chawla HS, Mani SA, Tewari A. Calcium Hydroxide as a root canal filling material in primary teeth- a pilot study. J Indian Soc Pedo Prev Dent 1998; 16: 90-2.
Dominguez RA and Solano R. Root canal treatment in necrotic primary molars. J Pedodont 1989; 14: 36-40.
Mortazavi M and Mesbahi M. Comparison of zinc oxide and eugenol, and Vitapex for root canal treatment of necrotic primary teeth. Int J Paediatr Dent 2004; 14: 417-24.
Trairatvorakul C and Chunlasikaiwan S. Success of pulpectomy with zinc oxide- eugenol vs calcium hydroxide/iodoform paste in primary molars: a clinical study. Pediatr Dent 2008; 30: 303-8.
Nakornchai S, Banditsing P and Visetratana N. Clinical evaluation of 3Mix and Vitapex® as treatment options for pulpally involved primary molars. Int J Paediatr Dent 2010; 20: 214-21.
