Clinical Evaluation and Comparison of Quality of Obturation and Instrumentation Time for Pulpectomy in Primary Molars With or Without a Magnifying Loupe: An Invivo Study

Authors : Dr. Anusree; Dr. Sowmya B Shetty; Dr. Anandhukrishnan E

Volume/Issue : Volume 6 - 2021, Issue 2 - February

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Use of magnification devices like a magnifying loupe has increased the proficiency and standard of dental care provided to a patient. There is not enough literature on use of magnifying loupes in pediatric dentistry despite of the number of advantages of using it. Its use in pedodontic treatment is often considered to evoke anxiety and non- corporation among the children which often limits its use in this field , which is not convincing . Thus this study aims to put forward the proper utilization of the benefits of magnification in endodontic procedures in children, with the help of suitable behavior management techniques. AIM :. To clinically evaluate and compare the treatment time and the quality of obturation for pulpectomy in primary molars with or without a magnifying loupe. MATERIALS AND METHODS : Children who require endodontic treatment in mandibular primary molars, with Frankel’s Behavioral Rating Scale of Positive [Rating 3] or Definitely Positive [Rating 4] were selected for the study after obtaining informed consent from their parents. 20 participants from the age group of 4-10 years were selected based on the selection criteria and were divided into 2 groups randomly; Group 1 : Pulpectomy with loupes and Group 2 : Pulpectomy without loupes. The pulpectomy procedure was performed in both the groups by a single operator. In Group 1 there was no magnifying devices used whereas in Group 2 the procedure was done using a Galilean magnifying loupe of 2.5 x . Pulpectomy was done using manual instrumentation techniques in two visits. In the second visit obturation was done with Metapex as obturating material. The total treatment time taken for the instrumentation of the canals was be recorded using a stop watch by an assistant. A post obturation radiograph was then taken to determine the quality of obturation. RESULTS: The data was analysed and inferential statistics like Chi square test and independent t test were used to compute the significant difference between the groups. A total of 20 children who met the inclusion criteria (11 girls and 9 boys ) were included in the study. The mean age was 7.10 + 1.8 years. The mean treatment time using a magnifying loupe was lesser compared to that done without loupes and was statistically significant. Whereas , the quality of obturation was better when the procedure was done with the loupes, but not statistically significant ( P value - 0.30 ) CONCLUSION : Taking into consideration the advantages of using loupes in endodontic treatment, pediatric dentists are recommended to utilize its benefits in daily clinical practice so as to render an effective and satisfactory treatment in shorter span of time, thereby gaining the confidence and cooperation of both the child and the parents.

Keywords : Component; Formatting; Style; Styling; Insert


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