Clinical and Radiographic Evaluation of Zinc Oxide-ozonated Oil, Zinc Oxide-eugenol, Antioxidant Mix, and Probiotic Mix as Obturating Materials in Primary Teeth: An In Vivo Study

Int J Clin Pediatr Dent. 2024 Oct;17(10):1153-1162. doi: 10.5005/jp-journals-10005-2948.

Abstract

Background: The best space maintainer in both primary and mixed dentition is the primary tooth itself. This is not only because of the clinical crown but also due to the presence of the roots and periodontium that guide the eruption of the permanent tooth. Although over the years many materials have been tried for obturation of pulpectomized primary teeth, no material has been found to fulfill all requirements. The aim of the present study was to evaluate the clinical and radiographic efficiency of zinc oxide-eugenol (ZOE), zinc oxide-ozonated oil, antioxidant mix, and probiotic mix in root canal treatment of primary molars.

Materials and methods: One hundred twenty primary molars of children aged 4-9 years presenting to the department were randomly assigned to one of four groups: obturated with ZOE, zinc oxide-ozonated oil, probiotic mix, or antioxidant mix. All the pulpectomies were carried out by a single operator. Follow-up was done at 3, 6, 9, and 12 months, and treatment success or failure was determined by the evaluation of clinical and radiographic findings.

Results: There was a statistically significant difference with respect to postoperative pain and swelling among the four groups at the end of the 12-month follow-up period (p < 0.05).

Conclusion: The study concludes that among the four different obturating materials, zinc oxide-ozonated oil has shown the most promising results in primary endodontically treated teeth, whereas antioxidant mix was comparable to ZOE with fewer disadvantages and side effects.

How to cite this article: Arora P, Mathur S, Arora P. Clinical and Radiographic Evaluation of Zinc Oxide-ozonated Oil, Zinc Oxide-eugenol, Antioxidant Mix, and Probiotic Mix as Obturating Materials in Primary Teeth: An In Vivo Study. Int J Clin Pediatr Dent 2024;17(10):1153-1162.

Keywords: Endodontic management; Endodontic treatment; Obturating material; Ozonated olive oil; Primary molars; Zinc oxide-eugenol.