Root fillings with Endoflas in primary teeth: a retrospective study

Abstract

The aim of this retrospective study is to report the success rate of root canal treatments (RCT) using Endoflas as a filling material in primary teeth. Fifty-five (55 teeth, 27 maxillary incisors and 28 molars) of 47 children fulfilled the criteria to be included in the study. The immediate post-operative radiograph was evaluated and the root filling was rated overfilled, flush or underfilled. Thirty-one (31) teeth were overfilled; of these 9 (29%) were normal pre-operatively and the remaining 22 (71%) presented with bone pathology. Twenty-four (24) teeth were flush or underfilled; of these, 50% had preoperative bone pathology. The children were examined clinically and radiographically at follow-up visits ranging from 6 to 52 months. Approximately 70% of the cases were successful at the last followup examination. The remaining 30% presented with pathology (Po); however, only one tooth had to be extracted (Pi). Overfilling led to a success rate of 58%, while in the combined flush and underfilled the success rate was 83%.

Success rate of root canal treatment in primary molars

“…The advantages of preserving the natural tooth over extraction have been previously discussed in several publications. [1][2][3][4] According to the Guidelines of the American Academy of Pediatric Dentistry pulpectomy is indicated in primary teeth with carious pulp exposures in which, following coronal pulp amputation, the radicular pulp exhibits clinical signs of hyperaemia, or evidence of necrosis of the radicular pulp with or without caries involvement. 5 Reluctance to carry out root canal treatment (RCT) is based on the difficulty to clean and shape the curved root canals of the primary molars.…”

“…Indications and contraindications for the RCT in primary teeth are discussed lengthily in the literature. 3,4 Root canal filling in primary molars is contraindicated in teeth with: (1) non-restorable crowns (2) perforation to the pulpal floor (3) reduced bone support and/or extreme tooth mobility (4) radiographic indication of extensive internal or external root resorption (5) periradicular radiolucency involving the follicle of the permanent tooth (6) underlying dentigerous or follicular cysts, and (7) in medically compromised children. 6,7 The characteristics of the ideal root filling material were described earlier.…”

“…8 Several root canal filling materials for primary teeth have been introduced. They include: Zinc oxide-eugenol (ZOE), (the most frequently used in the US); 3,4,7,9,10 A mixture of ZOE with formocresol and glycerine, 2 Kri paste (pharmachemie AG, Swaziland); 8,11 Maisto paste (Buenos Aires, Argentina) 12 and Vitapex (New Dental Chemical Products Co. Ltd, Tokyo, Japan). 13 All, except ZOE, contain iodoform and all demonstrated good clinical results.…”

“…13 All, except ZOE, contain iodoform and all demonstrated good clinical results. 4,8,[11][12][13][14][15] The teeth examined in this study were filled with Endoflas F.S. that is manufactured by Sanlor and cfa.…”

Root Canal Treatment for Deciduous Teeth: A Review

“…Calcium hydroxide-iodoform-zinc oxide eugenol paste is not resorbed as long as it is found in the canal (50). Due to its hydrophilic feature, it is appropriate to use in wet canal surfaces.…”