Comparative Study of Zinc Oxide Eugenol and Metapex in Primary Molar Root Canals

The study focuses on the importance of preserving primary teeth in children for proper chewing, speech development, and maintaining the arch structure. When these teeth get infected or damaged, a procedure called pulpectomy is often performed. This study compares two materials used in this procedure: Zinc Oxide Eugenol (ZOE) and Metapex, a mix of iodoform-calcium hydroxide. The goal is to find which material works better, considering factors like how well they fight bacteria, seal the tooth, and how quickly they break down naturally. This research is crucial as it aims to improve the effectiveness and safety of pulpectomy, ultimately enhancing children's oral health. In this study, 44 primary molars from children aged 5 to 8 will be divided into four groups. Each group will receive a different combination of treatment: either ZOE or Metapex, and either manual or rotary instrumentation for the procedure. The children's progress will be evaluated through clinical assessments like pain, tooth mobility, and sensitivity, and radiographic evaluations using CBCT scans at baseline, 6, and 12 months. The main outcome is to measure the success of the treatment through the resorption of the tooth root and bone healing. The results are expected to provide guidance on the best material and technique to use for pulpectomy in children, leading to more efficient and effective treatments.