Pasta de hidróxido de calcio/yodoformo en pulpectomías de dientes deciduos: Reporte de caso con seguimiento de seis meses

María Cristina Hinostroza-Izaguirre; Johanna Georgettee Pineda-García; Jocelyn G. Lugo-Varillas; María Solis-Espinoza; Catherine Sharlot Alarcón-Calle; Evelyn Alvarez-Vidigal

doi:10.59334/ROV.v2i33.403

Autores/as

María Cristina Hinostroza-Izaguirre Universidad Científica del Sur
Johanna Georgettee Pineda-García Universidad Científica del Sur
Jocelyn G. Lugo-Varillas Universidad Científica del Sur
María Solis-Espinoza Universidad Científica del Sur
Catherine Sharlot Alarcón-Calle Universidad Científica del Sur
Evelyn Alvarez-Vidigal Universidad Científica del Sur

DOI:

https://doi.org/10.59334/ROV.v2i33.403

Palabras clave:

Diente primario, pulpectomia, hidróxido de calcio, iodoformium, agentes de pulpectomía, materiales dentales, pulpa dental, conducto radicular

Resumen

Introducción: Las pastas de obturación a base de hidróxido de calcio/yodoformo han demostrado buenos resultados en pulpectomías de dientes primarios.

Objetivos: describir el desempeño de una pasta de hidróxido de calcio/yodoformo (Calplus®) mediante la evaluación clínica y radiográfica en pulpectomias durante 6 meses.

Metodología: Un paciente de sexo masculino de 2 años de edad acudió a la Clínica Odontológica de la Universidad Científica del Sur, Lima-Perú. Durante la evaluación clínica se diagnosticó caries de infancia temprana. Tratamientos preventivos y restauradores fueron realizados. Las pulpectomias fueron obturadas con (Calplus®). Para evaluar el desempeño, las pulpectomías fueron acompañadas durante 1, 3 y 6 meses mediante exámenes clínicos y radiográficos examinando dolor, movilidad patológica, alteraciones de tejido blando, rarefacción ósea, y reabsorción radicular patológica. Al tercer mes de seguimiento solo se observó contorno gingival alterado.

Conclusiones: La pasta a base de hidróxido de calcio/yodoformo (Calplus®) demostró buen desempeño en pulpectomías de dientes primarios considerando aspectos clínicos y radiográficos después de 6 meses de seguimiento.

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Citas

Al-Ostwani AO, Al-Monaqel BM, Al-Tinawi MK. A clinical and radiographic study of four different root canal fillings in primary molars. J Indian Soc Pedod Prev Dent. 2016;34(1):55–59. https://doi.org/10.4103/0970-4388.175515

American Academy of Pediatric Dentistry. Guideline on pulp therapy for primary and young permanent teeth. Pediatr Dent. 2017-2018;39:325-33.

Chen, X., Liu, X., & Zhong, J. (2017). Clinical and radiographic evaluation of pulpectomy in primary teeth: a 18-months clinical randomized controlled trial. Head & face medicine, 13(1), 12. https://doi.org/10.1186/s13005-017-0145-1

Chen, X. X., Lin, B. C., Zhong, J., & Ge, L. H. (2015). Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 47(3), 529–535.

Doneria, D., Thakur, S., Singhal, P., & Chauhan, D. (2017). Comparative evaluation of clinical and radiological success of zinc oxide-ozonated oil, modified 3mix-mp antibiotic paste, and vitapex as treatment options in primary molars requiring pulpectomy: An in vivo study. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 35(4), 346–352. https://doi.org/10.4103/JISPPD.JISPPD_359_16

dos Santos, A. P., Nadanovsky, P., & de Oliveira, B. H. (2013). A systematic review and meta-analysis of the effects of fluoride toothpastes on the prevention of dental caries in the primary dentition of preschool children. Community dentistry and oral epidemiology, 41(1), 1–12. https://doi.org/10.1111/j.1600-0528.2012.00708.x

Estrela, C., Estrela, C. R. A., Hollanda, A. C. B., Decurcio, D. A., & Pécora, J. D. (2006). Influence of iodoform on antimicrobial potential of calcium hydroxide. Journal of Applied Oral Science, 14, 33–37. https://doi.org/10.1590/S1678-77572006000100007

Gupta S, Das G. Clinical and radiographic evaluation of zinc oxide eugenol and metapex in root canal treatment of primary teeth. J Indian Soc Pedod Prev Dent. 2011;29(3):222–228. https://doi.org/10.4103/0970-4388.85829

Mohammadi, Z., & Dummer, P. M. (2011). Properties and applications of calcium hydroxide in endodontics and dental traumatology. International endodontic journal, 44(8), 697–730. https://doi.org/10.1111/j.1365-2591.2011.01886.x

Mortazavi, M., & Mesbahi, M. (2004). Comparison of zinc oxide and eugenol, and Vitapex for root canal treatment of necrotic primary teeth. International journal of paediatric dentistry, 14(6), 417–424. https://doi.org/10.1111/j.1365-263X.2004.00544.x

Najjar, R. S., Alamoudi, N. M., El-Housseiny, A. A., Al Tuwirqi, A. A., & Sabbagh, H. J. (2019). A comparison of calcium hydroxide/iodoform paste and zinc oxide eugenol as root filling materials for pulpectomy in primary teeth: A systematic review and meta-analysis. Clinical and experimental dental research, 5(3), 294–310. https://doi.org/10.1002/cre2.173

Nurko, C., Ranly, D. M., GarciaŞGodoy, F.,&Lakshmyya, K. N. (2000). Resorption of a calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth:Acase report. Pediatric Dentistry, 22, 517–520

Petersen P. E. (2003). The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community dentistry and oral epidemiology, 31 Suppl 1, 3–23. https://doi.org/10.1046/j..2003.com122.x

PingŞping, N. (2011). Comparison of effects of two root canal sealers on deciduous tooth root absorption in mixed dentition. Mod Med and Health., 18, 023.

Pramila, R., Muthu, M. S., Deepa, G., Farzan, J. M., & Rodrigues, S. J. (2016). Pulpectomies in primary mandibular molars: a comparison of outcomes using three root filling materials. International Endodontic Journal, 49, 413–421. https://doi.org/10.1111/iej.12478

Prevest Denpro Limited. Calplus. Accesado (3 Junio 2019). Recuperadp de: http://www.prevestdenpro.com/info.aspx?id=68

Ramar K, Mungara J. Clinical and radiographic evaluation of pulpectomies using three root canal filling materials: an in-vivo study. J Indian Soc Pedod Prev Dent. 2010;28(1):25–29. https://doi.org/10.4103/0970-4388.60481

Reddy, V. V., & Fernandes (1996). Clinical and radiological evaluation of zinc oxide-eugenol and Maisto’s paste as obturating materials in infected primary teeth--nine months study. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 14(2), 39–44.

Silva, L. A., Leonardo, M. R., Oliveira, D. S., Silva, R. A., Queiroz, A. M., Hernández, P. G., & Nelson-Filho, P. (2010). Histopathological evaluation of root canal filling materials for primary teeth. Brazilian dental journal, 21(1), 38–45. https://doi.org/10.1590/S0103-64402010000100006

Smaïl-Faugeron, V., Glenny, A. M., Courson, F., Durieux, P., Muller-Bolla, M., & Fron Chabouis, H. (2018). Pulp treatment for extensive decay in primary teeth. The Cochrane database of systematic reviews, 5(5), CD003220. https://doi.org/10.1002/14651858.CD003220.pub3

Subramaniam, P., & Gilhotra, K. (2011). Endoflas, zinc oxide eugenol and metapex as root canal filling materials in primary molars--a comparative clinical study. The Journal of clinical pediatric dentistry, 35(4), 365–369. https://doi.org/10.17796/jcpd.35.4.1377v06621143233

Trairatvorakul C, Chunlasikaiwan S. Success of pulpectomy with zinc oxide-eugenol vs calcium hydroxide/iodoform paste in primary molars: a clinical study. Pediatr Dent. 2008;30(4):303–308.