Effectiveness of the non-instrumental technique with CTZ paste for endodontic treatment of primary teeth - A literature review
DOI:
https://doi.org/10.33448/rsd-v13i9.46868Keywords:
Deciduous tooth; Endodontic; Chloramphenicol.Abstract
Introduction: Preservation of deciduous teeth in the dental arch is essential for the development of the stomatognathic system. The use of chloramphenicol, tetracycline, and zinc oxide-eugenol (CTZ) paste for the treatment of deciduous teeth dispenses with the need for instrumentation of the canals and allows completion in a single session. Objectives: To evaluate the effectiveness of CTZ paste in the treatment of deciduous teeth with irreversible pulp damage. Methods: An integrative literature review of a qualitative and exploratory nature, searching electronic platforms according to the descriptors (DeCs): "deciduous tooth" and “endodontic” and “Chloramfenicol”, in English and Portuguese, from 2014 to 2024. Results and discussion: The authors summarize that CTZ paste is a viable option, considering the complex root anatomy, physiological root resorption, and lack of cooperation from the child. The technique of sterilization of pulp tissue lesions and repair – LSTR uses antibiotic paste in the mouth of the canals and on the floor of the pulp chamber of deciduous teeth without prior chemical-mechanical preparation and creates a sterile zone that is biocompatible with the exfoliative process. The combination of antimicrobial drugs in the paste is successful in clinical and radiographic monitoring. However, tetracycline causes staining of the crown, causing aesthetic damage, requiring caution in the rehabilitation of anterior teeth. Final considerations: CTZ paste is an alternative for the treatment of teeth with irreversible pulp damage in pediatric dentistry, with satisfactory clinical success rates and radiographic results, although additional studies with larger samples and long term results are needed to better elucidate the scientific evidence.
References
Barcelos, R., Santos, M. P., Primo, L. G., Luiz, R. R., & Maia, L. C. (2011). ZOE paste pulpectomies outcome in primary teeth: a systematic review. The Journal of clinical pediatric dentistry, 35(3), 241–248. https://doi.org/10.17796/jcpd.35.3.y777187463255n34.
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. p. 46. https://repositorio.unesp.br/items/ae86c413-de0c-44f6-b2bb-4ddcd516e488.
Cavalcante, L. T. C. & Oliveira, A. A. S. (2020). Métodos de revisão bibliográfica nos estudos científicos. Psicol. Rev. 26 (1). https://doi.org/10.5752/P.1678-9563.2020v26n1p82-100.
Costa, V. P., Goettems, M. L., Baldissera, E. Z., Bertoldi, A. D., & Torriani, D. D. (2016). Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study. Brazilian oral research, 30(1), S1806-83242016000100702. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0089.
Dias, G. F., Tramontin, J., Santos, P. P. dos., Rossi, F., & Rigoni, M.. (2021). Evaluation of pulping therapy in deciduous teeth using chlorhephenicol tetracycline and Zinc oxide. RGO - Revista Gaúcha De Odontologia, 69, e20210049. https://doi.org/10.1590/1981-863720210004920200008.
Luengo-Fereira, J., Ayala-Jiménez, S., Carlos-Medrano, L. E., Toscano-García, I., & Anaya-Álvarez, M. (2019). Clinical and Radiographic Evaluation of Formocresol and Chloramphenicol, Tetracycline and Zinc Oxide-Eugenol Antibiotic Paste in Primary Teeth Pulpotomies: 24 month follow up. The Journal of clinical pediatric dentistry, 43(1), 16–21. https://doi.org/10.17796/1053-4625-43.1.4.
Garrocho-Rangel, A., Jalomo-Ávila, C., Rosales-Berber, M. Á., & Pozos-Guillén, A. (2021). Lesion Sterilization Tissue Repair (LSTR) Approach Of Non-Vital Primary Molars With A Chloramphenicol-Tetracycline-ZOE Antibiotic Paste: A Scoping Review. The Journal of clinical pediatric dentistry, 45(6), 369–375. https://doi.org/10.17796/1053-4625-45.6.1.
Lacativa, A. M., Loyola, A. M., & Sousa, C. J. (2012). Histological evaluation of bone response to pediatric endodontic pastes: an experimental study in guinea pig. Brazilian dental journal, 23(6), 635–644. https://doi.org/10.1590/s0103-64402012000600003.
Lokade, A., Thakur, S., Singhal, P., Chauhan, D., & Jayam, C. (2019). Comparative evaluation of clinical and radiographic success of three different lesion sterilization and tissue repair techniques as treatment options in primary molars requiring pulpectomy: An in vivo study. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 37(2), 185–191. https://doi.org/10.4103/JISPPD.JISPPD_6_19.
Moreira, C. P., Siegl, R. M. C., Tedesco, T. K., Gimenez, T., Floriano, I., Imparato, J. C. (2022). Esterilização da lesão e reparação de tecidos de molar decíduo: relato de caso clínico até a erupção do permanente sucessor. Braz. dent. sci, 25(1),1-5. https://doi.org/10.4322/bds.2022.e2903.
Moura, J., Lima, M., Nogueira, N., Castro, M., Lima, C., Moura, M., & Moura, L. (2021). LSTR Antibiotic Paste Versus Zinc Oxide and Eugenol Pulpectomy for the Treatment of Primary Molars with Pulp Necrosis: A Randomized Controlled Trial. Pediatric dentistry, 43(6), 435–442.
Moura, L.de F. de D., Lima, M.de D. de., Lima, C. C., Machado, J. I., de Moura, M. S., & de 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. https://doi.org/10.17796/1053-4628-40.3.175.
Moura, L. F. A. D., Lima, M. D. M., Lima, C. C. B., Bandeira, A. V. L., Moura, M. S., Conde Júnior, A. M., & Rizzo, M. D. S. (2018). Cellular profile of primary molars with pulp necrosis after treatment with antibiotic paste. International journal of experimental pathology, 99(5), 264–268. https://doi.org/10.1111/iep.12292.
Rivera-Albarrán, C. A., Morales-Dorantes, V., Ayala-Herrera, J. L., Castillo-Aguillón, M., Soto-Barreras, U., Cabeza-Cabrera, C. V., & Domínguez-Pérez, R. A. (2021). Antibiotic Resistance Decreases the Efficacy of Endodontic Filling Pastes for Root Canal Treatment in Children's Teeth. Children (Basel, Switzerland), 8(8), 692. https://doi.org/10.3390/children8080692.
Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta paul. enferm. 20 (2). https://doi.org/10.1590/S0103-21002007000200001.
Santos, A. G. da C., Machado, C. de V., Telles, P. D. da S., Rocha, M. C. B. S. da. (2013). Perda precoce de molares decíduos em crianças atendidas na Faculdade de Odontologia da Universidade Federal da Bahia. Odontol. clín.-cient, 12(3): 189-193.
Silva, J. L. F., Lisboa, J. L. de, Fernandes, I. B., Zarzar, P. M. P. de A. (2022). Avaliação comparativa entre terapia endodôntica convencional e técnica não instrumental: um relato de caso. Arq. Odontol, 58(24), 227-235.
Siegl, R. M. C., Lenzi, T. L., Politano, G. T., Benedetto, M. de; Imparato, J. C. P., Pinheiro, S. L. (2015). Analysis of two endodontic techniques in deciduous molars with fistula. RGO (Porto Alegre), 63(2): 187-194.
Sobral, A. P. T., Santos, E. M., Leal Gonçalves, M. L., Ferri, E. P., Junior, W. S. B., Gimenez, T., Gallo, J. M. A. S., Horliana, A. C. R. T., Motta, L. J., & Kalil Bussadori, S. (2023). Efficacy of antibiotic and iodoform pastes in non-instrumental endodontic treatment of anterior primary teeth-Protocol for a randomized controlled clinical. PloS one, 18(9), e0291133. https://doi.org/10.1371/journal.pone.0291133.
Portes Zeno, A. P., Marañon-Vásquez, G. A., Guimarães Primo, L., Costa, M. de C. (2022). Pasta CTZ para abordaje endodóncico en dientes primarios: una revisión narrativa de la literatura. Revista Latino-Americana de Odontopediatria, 12(1): 321218.
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