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Dentistry: Case Report Euro Dentistry 2017
September 20-21, 2017
25th Euro Dentistry Congress
September 20-21, 2017 Dublin, Ireland
Rahaf S Najjar, Dentistry: Case Report
Calcium hydroxide and iodoform compared to zinc oxide and eugenol containing materials pulpectomy in
primary teeth: a systematic review and meta-analysis
Rahaf S Najjar
King Abdulaziz University, Saudi Arabia
Aim: This systematic review andmeta-analysis aimed to evaluate whether primary teeth calciumhydroxide and iodoform pulpectomy
is more successful clinically and radiographically compared to ZOE containing materials.
Methods: A systematic search was performed through electronic databases to find relevant studies. The titles of all studies were
reviewed by two authors independently. Duplicate articles were excluded. After titles selection, the abstracts then full text was
reviewed. Finally, a meta-analysis was performed.
Results: The searches yielded 3,492 potentially related titles, 25 were selected and reviewed in full text. The 15 studies included in
the presented systematic review have included 1,649 primary teeth (337 anterior teeth and 1332 posterior teeth) from children aged
between 3-13 years were pulpectomized and have follow-up period ranged from 2–30 months. The included studies reported different
inclusion, exclusion criteria and different interventions in their methodology. A total number of 10 studies were included in the meta-
analysis showed no statistical significant difference in the overall clinical and radiographic success rate in primary teeth pulpectomy
when using calcium hydroxide and iodoform compared to zinc oxide and eugenol containing materials. However, the high-quality
studies reported statistical significant difference in the radiographic success rate in zinc oxide and eugenol containing materials group
compared to calcium hydroxide and iodoform.
Conclusion : This study represents no statistical significant differences between the overall clinical and radiographic success rate
of calcium hydroxide and iodoform compared to zinc oxide and eugenol containing materials used in primary teeth pulpectomy.
However, the high- quality studies reported statistical significant difference in the radiographic success rate in zinc oxide and eugenol
containing materials group compared to calcium hydroxide and iodoform. The results of this study recommended more high quality
randomized clinical trials with long follow up period to determine the clinical and radiographic success rate of zinc oxide and eugenol
containing material groups compared to calcium hydroxide and iodoform.