This presentation features all the dental materials which can be used for obturation of root canal in primary tooth.

1. ROOT CANAL
OBTURATING MATERIALS
FOR
PRIMARY TEETH
Dept. Of Pedodontics
Govt. College of Dentistry, indore
Made by :-
Bhumika Sharma
Pallavi Sehgal
B.D.S. Final year (2015-16)

2. WHAT IS OBTURATION ?
• The purpose of obturation phase of endodontic
treatment is to prevent the re-infection of root
canals that has been biomechanically cleaned,
shaped and disinfected by instrumentation,
irrigation and medication procedure.
• It is essential that endodontic therapy must
include sealing of the root canal system to
prevent tissue fluids from percolating in the root
canal and prevent toxic by – products from both
necrotic tissue and microorganism regressing
into the peri-radicular tissues.

3. FILLING OF THE PRIMARY ROOT
CANALS
• Developmental , anatomic and physiologic differences
between the primary and permanent teeth call for
differences in the criteria for root canal filling material.

4. IDEAL REQUIREMENTS
• It should resorb at a similar rate as the primary root.
• It should be harmless to the periapical tissues and to
the permanent tooth germ, if pressed beyond the apex it
should resorb readily.
• It should have a stable disinfecting power.
• It should not be soluble in water.

5. • It should be inserted easily into the root canal and be
removed easily if necessary.
• It should adhere to the walls of the canal and should not
shrink.
• It should be radio opaque.
• It should not cause discoloration of the tooth.
• It should not coagulate any organic remnants in the canal.

7. SOME OBTURATING MATERIALS
FOR PRIMARY TEETH
• Camphorated parachlorophenol (CPC) mixed with
calcium hydroxide.
• CPC mixed with zinc oxide.
• Formocresol mixed with zinc oxide eugenol (ZOE).
• Chlorhexidine mixed with ZOE.
• KRI paste.
• ZOE paste.

8. • ZOE mixed with sterile water.
• Calcium hydroxide with sterile water.
• Vitapex
• Frank’s paste
• Maisto’s paste
• Leonardo’s paste iodoform
• Walkhoff paste

9. MOST COMMONLY USED
MATERIALS…
• Zinc oxide eugenol paste
• Calcium hydroxide
• Iodoform paste

10. ZINC OXIDE EUGENOL PASTE
• It is the most commonly used root canal filling material for
primary teeth.

11. • Advantages
- it has bactericidal effect.
- It decreases tooth pain.
• Disadvantages
- It’s rate of resorption is slower than that of the
primary tooth root.
- Overfilling causes a mild foreign body reaction.
• Success rate is about 65%.

12. IODOFORM PASTE
• It is used as a component in :-
-KRI paste
-Maisto’s paste
-Vitapex
-Endoflas
• Advantages :-
- It resorbs rapidly.
-It has no undesirable effect on successor teeth.

13. • If material is extruded into periapical tissue, it is rapidly
replaced by normal tissue.
• It has superior antimicrobial action.
• It does not set into hard mass and can be removed if re
treatment is required.
• Success rate is about 84% .

14. CALCIUM HYDROXIDE
• It is generally not used in pulp treatment for primary
teeth.
• It is used in the form of calcium hydroxide and
iodoform mixture due to the following reasons:-
• It is found to be easy to apply.
• It resorbs at a slightly faster rate than that of the root.

15. • It has no toxic effects on permanent successor tooth.
• It is radio opaque.
• This mixture is a nearly ideal material for obturation of
primary teeth.

16. KRI PASTE
Composition :-
- Iodoform 80.8 %
- Camphor 4.86%
- Parachlorophenol 2.025 %
- Menthol 1.215 %

17. VITAPEX
Composition :-
- Calcium hydroxide
- Iodoform
- Oily additives

18. WALKHOFF’S PASTE
Composition :-
- Parachlorophenol
- Camphor
- Menthol

19. MAISTO’S PASTE
Composition :-
- Zinc oxide 14 g
- Iodoform 42 g
- Thymol 2g
- Chlorophenol
- Camphor 3cc
- Lanolin 0.5 g

20. ENDOFLAS
• It is a root canal sealer material.
• It prevents micro leakage.
• Success rate is 70%.
Composition
- Zinc oxide 56.5%
- Barium sulphate 1.63%
- Iodoform 40.6%
- Calcium hydroxide 1.07 %
- Eugenol
- Pentachlorophenol

21. COLLA COTE
• It is a soft, white, pliable, biocompatible
sponge obtained from bovine collagen.
• It can be applied to moist or bleeding
canals.
• It is an absorbable collagen barrier which
prevents or diminish extravasations of root
canal filling material during primary molar
pulpectomies.
• Apart from endodontic therapy, it provides
scaffold for bone growth.
• It can also be applied on wounds.

22. GUEDES-PINTO PASTE
Composition :-
- Iodoform 0.30 g
- Calcium hydroxide 0.25 g
- Camphorated paramonochlorophenol 0.1 ml

23. FRANK’S PASTE
• Composition
- Calcium hydroxide
- Camphorated parachlorophenol ( CPC )
• Is well tolerated by the adjacent periapical tissue
without any inflammation & with deposition of
osteodentin.

24. GUTTA PERCHA
• It is not indicated for primary teeth because it is not a
resorbable material.

25. PROPERTIES ZOE VITAPEX KRI PASTE
Rate of
resorption
Slower than
that of tooth
root
Slightly faster
than that of tooth
root
Faster than
that of tooth
root
Toxicity None None None
Overfill
resorption
Occurs Occurs Occurs
Antiseptic
action
Present Present Present
Application Easy
Adherence to
canal wall
Good Good Good
Removal Easy Easy
Radio opacity
Radio
opaque
Radio opaque Radio opaque