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Volume 3 Issue 2 (April - June, 2015)

Review Articles

INTRACANAL MEDICAMENT IN PEDIATRIC ENDODONTICS- A LITERATURE REVIEW
Anshula Deshpande, Urvashi Sudani

The primary aim of endodontic treatment is to remove as many bacteria as possible from the root canal system and then create an environment in which remaining microorganisms cannot survive.Intracanal medicaments have been thought an crucial step in killing the bacteria in root canals; however, in modern pediatric endodontics, shaping and cleaning may be  greater importance than intracanal medicaments as a means of disinfecting root canals. Until recently, formocresol and its relatives were frequently used as intracanal medicaments, but it was pointed out that such bactericidal chemicals dressed in the canal distributed to the whole body from the root apex and so might induce various harmful effects including allergies. Furthermore, as these medicaments are potent carcinogenic agents, there is no indication for these chemicals in modern pediatric endodontic treatment. Today, biocompatibility and stability are essential properties for intracanal medicaments Calcium hydroxide has been determined as suitable for use as an intracanal medicament as it is stable for long periods, harmless to the body, and bactericidal in a limited area. Antibiotics form an important part of routine endodontic practice. As topical agents they have been used as an intra-canal pulpotomy/pulpectomy medicament and root canal irrigant. The most important decision in antibiotic therapy should not be about which antibiotic should be used but whether antibiotics should be used at all. This paper reviews the role of intracanal medicament in paediatric endodontics by highlighting their effects, methods, duration and other concerns in detail.
Key Words:  Iintracanal medicaments, Pediatric endodontics, Pulp therapy, Pulpotomy.

 
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