Perspectives of endodontic treatment of deciduous teeth using the CTZ antibiotic paste: a integrative review
DOI:
https://doi.org/10.33448/rsd-v11i12.34575Keywords:
Pediatric Dentistry; Endodontics; Pulpotomy.Abstract
Introduction: The main function of endodontic treatment in primary teeth is to obtain a correct conformation of the root canals, enabling an adequate disinfection, in order to avoid possible extractions, as it is also used to preserve masticatory, aesthetic and phonetic functions, which are still under development. Antibiotic-containing pastes have shown great clinical relevance and a high success rate. Objective: Evaluate the available scientific evidence on the use of anti-biotic toothpaste CTZ as filling material for primary teeth in order to draw attention to the risks and benefits of using this medication. Material and methods: Search strategies were developed for the following databases: PubMed, Scielo, Cochrane and Lilacs. The guiding question of the research was: What are the main clinical indications for the use of CTZ antibiotic paste in the endodontic treatment of deciduous teeth and what are the advantages and disadvantages of using this technique? Results: The results demonstrated significantly higher concentrations of better clinical results in techniques that made use of pulpotomy with the CTZ paste for the treatment of severe caries. Regarding the clinical success of the included clinical studies, about 66.7% had complete clinical success, with no postoperative changes. Regarding radiographic success, 55.7% of the studies had total radiographic success, and only 33.3% had a result below 95%. Conclusion: Despite the known clinical success of the endodontic technique, there is a need to develop studies in order to verify the clinical and radiographic results of treated primary teeth. Also, verify the influence of the treatment on the development of permanent successor teeth.
References
Andrade, F. B. F. S. (2008) Avaliação "in vitro" e "in vivo" de uma pasta antibiótica empregada no tratamento endodôntico de dentes decíduos (Dissertação de Mestrado). Universidade Estadual do Rio de Janeiro, Rio de Janeiro, Brasil.
Amorim L. F. G., Toledo, O. A., Estrela, C. R. A, Decurcio, D. A & Estrela C. (2006). Antimicrobial Analysis of Different Root Canal Filling Pastes Used in Pediatric Dentistry by Two Experimental Methods. Braz Dent J, 17(4), 317-322.
Botelho, L. L. R., Cunha, C. C. A., & Macedo, M. (2011). O método da revisão integrativa nos estudos organizacionais. Gestão e Sociedade, 5(11), 121-136.
Carloto M. M. M. (2020). Eficácia da pasta CTZ no tratamento endodôntico de dentes decíduos em crianças com deficiência: estudo clínico prospectivo (Dissertação de Mestrado). Universidade Estadual Paulista, São Paulo, Brasil.
Cunha, C. B. C. S., Barcelos, R & Primo, L. G. (2005). Soluções irrigadoras e Materiais Obturadores Utilizados na Terapia Endodôntica de Dentes Decíduos. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 5(1), 75- 83.
Dias, G. F., Tramontin, J., Santos, P. P., Rossi, F. & Rigoni, M. (2021). Evaluation of pulping therapy in deciduous teeth using chlorhephenicol tetracycline and Zinc oxide. RGO, Rev Gaúch Odontol, 69. Recuperado de: https://doi.org/10.1590/1981-863720210004920200008
Ern, A. B., Pinto, K. P., Moreira, E. J. L. & Silva, E. J. N. L. (2020). In vitro cytotoxic effects of different endodontic pastes used in pediatric dentistry. Revista Brasileira de Odontologia, 77, 1. Recuperado de: https://doi.org/10.18363/rbo.v77.2020.e1771
González-Núñez, D., Trejo-Quiroz, P., León-Torres, C. & Carmona-Ruiz. (2010). Técnica de endodoncia no instrumentada mediante el uso de la pasta CTZ. Rev. Estomat, pp. 27-32.
Guedes, C. N. C. S. (2012). Avaliação Clínica e Radiográfica de Intervenções Pulpares Realizadas com Pasta CTZ na Clínica Odontológica Infantil da UFPI (Monografia de Especialização). Universidade Federal do Piauí, Piauí, Brasil.
Hecksher F., Vidigal, B., Coelho, P. Otoni, D. Alvarenga, C. & Nunes, E. (2019). Endodontic Treatment in Artificial Deciduous Teeth through. Manual and Mechanical Instrumentation: A Pilot Study. International Journal of Clinical Pediatric Dentistry. 12(1), 15–17.
Junior, E. S. Oliveira, L. B., Abanto, J., Moura, A. C. V. M., Navarro, R. S. & Imparato, J. C. (2014). Evidências científicas atuais sobre a terapia pulpar de dentes decíduos. Revista da Associação Paulista de Cirurgioes Dentistas, 68(3), 259-262.
Lopes, H. P. & Siqueira Júnior, J. F. (2010). Endodontia: biologia e técnica. Guanabara Koogan.
Luengo-Fereira J., Medina, A. R, Montoya, M. E. H., Rosas, C. Y. D., Medrano, L. E. C & García, I. T. (2016). Efectividad Clínica y Radiográfica de la Pasta Antibiótica CTZ en Pulpotomías de Molares Primarios. Ensayo Clínico Aleatorio Controlado. Int. J. Odontostomat. 10(3),425-431.
Ferreira, J. L., Ayala-Jimenéz, S., Medrano, L. E. C., Garcia, I. T. & Alvarez, M. A. (2019). Clinical and Radiographic Evaluation of Formocresol and Chloramphenicol, Tetracycline and Zinc Oxide-Eugenol Antibiotic Paste in Primary Teeth Pulpotomies: 24 month follow up. Journal Of Clinical Pediatric Dentistry, 43(1), 16-21.
Moura, L.F.A.D., Lima, M. D. M., Lima, C. C. B., Bandeira, A. V. L., Moura, M. S., Junior, A. M. C. & Rizzo, M. S. (2018). Cellular profile of primary molars with pulp necrosis after treatment with antibiotic paste. International Journal Of Experimental Pathology, 99(5), 264-268.
Moura, L.F.A.D., Lima, M. D. M., Lima, C. C. B., Machado, J. I. A. G., Moura, M. S. & Carvalho P. V. (2016). Endodontic Treatment of Primary Molars with Antibiotic Paste: A Report of 38 Cases. The Journal of Clinical Pediatric Dentistry, 40(3), 175-177.
Neto, N. L, Fernandes, A. P., Marques, N. C. T., Sakai, V. T., Moretti, A. B. S., Machado, M. A. A. M., Abdo, R. C. C. & Oliveiram, T. M. (2013). Terapia pulpar em dentes decíduos: possibilidades terapêuticas baseadas em evidências. Rev Odontol UNESP, 41(2), 130-137.
Oliveira, S. C. M., Omena, A. L. C. S., Lucena, G. A., Ferreira, I. A. Imparato, J. C. & Calvo, A. F. B. (2019). Do Different Proportions of Antibiotics in the CTZ Paste Interfere with the Antimicrobial Action? In Vitro Study. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 19(1), 1-8.
Passos, I. A., Melo, J. M. & Moreira, P. V. L. (2008) Utilização da pasta CTZ em dente decíduo com necrose pulpar - relato de caso. Odontologia. Clín.-Científ., 7(1), 63-65.
Pinheiro, H. H. C., Assunção, L. R. S., Torres, D. K. B., Miyahara, L. A. N. & Arantes, D. C. (2013). Terapia Endodôntica em Dentes Decíduos por Odontopediatras. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 13(4), 351-360.
Pink, C., Shashibhushan, K. K. & Subbareddy, V.V. (2011). Endodontic treatment of necrosed primary teeth using two different combinations of antibacterial drugs: An in vivo stud. J Indian Soc Pedod Prev Dent, 29(2), 121-127.
Piva, F., Junior, I. M. F. & Estrela, C. (2008). Antimicrobial Activity of Different Root Canal Filling Pastes Used in Deciduous Teeth. Materials Research, 11(2), 171-173.
Reis, B. D. S., Barbosa, C. C. N., Soares, L. C., Brum, S. C., Cecilio, O. L. & Marques, M. M. (2016). Análise “in vitro” da atividade antimicrobiana da pasta ctz utilizada como material obturador na terapia pulpar de dentes decíduos. Revista Pró-universus, 7(3), 39-42.
Ribeiro, M. N., Ramos, M. E. F. & Peixoto, K. S. (2011). Saúde bucal em crianças na idade escolar em nova xavantina - MT1. Interdisciplinar: Revista da Univar, 6(1), 12-16.
Sakai, V. T., Moretti, A .B., Oliveira, T. M.; Fornetti, A. P., Santos, C. F. & Machado, M. A. (2009). Pulpotomy of human primary molars with MTA and Portland cement: a randomised controlled trial. Br Dent J, 207(3), 128-9.
Sancas, M. C., Souza, A. C. L., Monteiro, A. S. N., Pintor, A. V. B., Duarte, L. & Primo, L. S. S. G. (2020). Antimicrobial Activity of Antibiotic Pastes used in Pulp Therapy Through Direct Contact with a Multispecies Biofilm: A Pilot Study. Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal), 5(1), 17-23.
Siqueria, J. R., J. F. & Rôças, I. N. (2011). Microbiologia e tratamento de infecções endodônticas. In: Cohen, S. & Hargreaves, M. Caminhos da polpa. (10a ed., Cap. 14, pp. 598-620). Rio de Janeiro, RJ: Elsevier.
Sousa, H. C. S., Lima, M. D. M., Lima, C. C. B. & Moura M. S. (2020). Prevalence of Enamel Defects in Premolars Whose Predecessors Were Treated with Extractions or Antibiotic Paste. Oral Health Prev Dent, 18(1), 793-798.
Souza, S. A.; Souza, P. M. & Duarte, R. C. (2014). Acompanhamento clínico e radiográfico de dentes decíduos submetidos à terapia pulpar com a pasta CTZ. Brazilian Research in Pediatric Dentistry and Integrated Clinic, 14(3), 56-68.
Vendramini, R. L. (2016). A Efetividade da Pasta CTZ no Tratamento Pulpar de Dentes Decíduos (Monografia de Especialização). Faculdade Sete Lagoas – FACSETE, Campo Grande, Brasil.
Vargas-Ferreira, F., Argonese, M. P., Friedrich, H. C., Weiss, R. D. N., Friedrich, R. S. & Praetzel, J. R. (2010). Ação antimicrobiana de pastas de preenchimento de canais radiculares utilizadas em dentes decíduos. Rev. odonto ciênc, 25(1), 65-68.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 João Vitor do Nascimento Santos; Marcos Andre Batista da Silva; Juan Vitor Costa Leite; Jamyle Moura de Medeiros; Rafaella Bastos Leite; Andressa Cavalcanti Pires
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.