Comparative evaluation of a modified endodontic approach using Curcuma longa L. and conventional pulpectomy in primary molars: A randomized clinical trial.

Ayu Pub Date : 2021-07-01 Epub Date: 2023-04-12 DOI:10.4103/ayu.AYU_12_20
Putta Sai Sahiti, Rekhalakshmi Kamatham
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Abstract

Background: Turmeric (Curcuma longa) is known for its anti-inflammatory and anti-septic properties.

Aim: The aim is to compare a modified endodontic approach using turmeric and conventional Metapex® pulpectomy in primary molars.

Materials and methods: Thirty children, in the age range of 4-9 years, with at least one primary mandibular molar indicated for pulpectomy, were included. Teeth were randomly assigned to turmeric and Metapex® groups. For those that were assigned to turmeric, after coronal and radicular pulp extirpation, a freshly prepared paste of turmeric powder and methyl cellulose (2:1) with saline was packed in the coronal pulp chamber. In the Metapex® group, a conventional pulpectomy was performed. Clinical and radiographic success was recorded at 3-, 6-, and 12-month follow-up visits. The data was statistically analyzed using the Chi-square test.

Results: There were no clinical and radiographic failures at 3- and 6-month visits in both groups. The 12-month evaluation revealed clinical success rates of 92% (12 out of 13) and 100% (14 out of 14) for turmeric and Metapex®, respectively, whereas, the radiographic success rates were 85% (12 out of 13) for turmeric and 93% (13 out of 14) for Metapex®. No statistically significant differences were found between the groups at different follow-ups (P > 0.05).

Conclusions: A modified endodontic approach using turmeric and conventional Metapex® pulpectomy did not differ significantly in total success after 12 months.

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一项随机临床试验对使用姜黄和常规乳牙牙髓切除术的改良根管治疗方法的比较评价。
背景:姜黄(Curcuma longa)以其抗炎和抗败血症的特性而闻名。目的:比较使用姜黄和传统Metapex®乳牙牙髓切除术的改良牙髓治疗方法。材料和方法:纳入30名年龄在4-9岁之间的儿童,他们至少有一个下颌原发磨牙需要进行牙髓切除术。将牙齿随机分为姜黄组和Metapex®组。对于那些被分配给姜黄的患者,在冠髓和根髓摘除后,将新制备的姜黄粉末和甲基纤维素(2:1)与盐水的糊状物填充在冠髓室中。Metapex®组进行了传统的牙髓切除术。在3个月、6个月和12个月的随访中记录了临床和放射学的成功。使用卡方检验对数据进行统计分析。结果:两组在第3个月和第6个月就诊时均未出现临床和放射学失败。12个月的评估显示,姜黄和Metapex®的临床成功率分别为92%(12/13)和100%(14/14),而姜黄的放射学成功率为85%(12/13。在不同的随访中,两组之间没有发现统计学上的显著差异(P>0.05)。结论:使用姜黄和传统Metapex®牙髓切除术的改良牙髓治疗方法在12个月后的总成功率没有显著差异。
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