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Comparative Evaluation of Quality of Obturation using Endoflas and Endoflas Powder with Aloevera Gel as Obturating Materials in Primary Mandibular Molars: A Double Blinded Randomized Controlled Trial

Pragyna Priyadarshini, Deepa Gurunathan.

Abstract
Paediatric endodontics is an evolving stream in paediatric dentistry and so is the materials used as obturating agents in primary teeth. A paradigm-shift change has been witnessed in the genre of obturating agents where more of natural plant products are preferred to be used as obturating materials in primary teeth due to its enriched biological and biocompatible properties.The aim of the present study is to comparatively evaluate the quality of obturation using Endoflas and Endoflas powder with Aloevera gel as an obturating material in primary mandibular molars.A double-blinded randomized clinical trial was conducted for recruiting participants in an age group of 4-9 years old requiring endodontic treatment (i.e; pulpectomy) in primary mandibular molars. Post-treatment, an immediate intra-oral periapical radiograph (IOPAR) was taken for assessment of the quality of obturation. Obturation quality was assessed using the modified Coll and Sadrianís criteria. Highest percentage of optimal fillings were observed in endoflas group (15/75%) followed by endoflas powder with aloe vera gel group (10/50%) while increased percentage of overfilling was found in endoflas powder mixed with aloe vera gel (7/35%) followed by endoflas group (4/20%). In case of underfilling quality of obturation, more of underfilled cases were found in endoflas powder mixed with aloe vera gel (3/15%) while only one underfilled case was seen in endoflas group. The difference in the quality of obturation was found to be statistically significant (p= 0.019). Endoflas powder with aloe vera gel can be used as an alternative and suitable obturating agent in primary teeth due to its wide repertoire of medicinal properties which are highly beneficial in alleviating the persistent periapical infection in primary teeth.

Key words: Aloevera gel, obturation, IOPAR, molar



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