title: ZOE paste pulpectomies outcome in primary teeth: a systematic review.
abstract: OBJECTIVE
  To perform a systematic review in which the clinical research question for primary teeth with irreversible pulpal pathosis was "how pulpectomies with zinc oxide eugenol (ZOE) paste performed compared to other materials in their clinical and radiographic outcomes after twelve months or more follow-up period.
  
  
  METHODS
  A literature survey of the electronic database (1950-2010) used the Medical Subject Headings and free text terms. Forty three references were retrieved and inclusion criteria were applied; 15 articles remained for full-text evaluation. From these, two were selected for data extraction regarding quality characteristics and results.
  
  
  RESULTS
  Selected studies showed moderate or high risk of bias. The overall success of pulpectomy was 80.0% (Calcicur), 60.0% (Sealapex) and varied from 85.0% to 100.0% (ZOE) and 89.0% to 100.0% (Vitapex). Solely Calcicur presented success rate significantly lower when compared to ZOE and Vitapex. These pastes lead to overfilled canals and particles of extruded ZOE were still evident even after the evaluation period. Resorption of Vitapex, Calcicur and Sealapex within the root canal was also reported.
  
  
  CONCLUSIONS
  In primary teeth with irreversible pulpal changes ZOE pulpectomies yielded similar outcome than Vitapex and Sealapex, although there was no agreement with regard to filling materials' resorption.
authors.affiliation: School of Dentistry, Federal Fluminense University (UFF), Pólo Universitário de Nova Friburgo (PUNF), Rio de Janeiro, Brazil. rbarcelos@vm.uff.br
authors.forename: R
authors.initials: R
authors.lastname: Barcelos
authors.forename: M P A
authors.initials: MP
authors.lastname: Santos
authors.forename: L G
authors.initials: LG
authors.lastname: Primo
authors.forename: R R
authors.initials: RR
authors.lastname: Luiz
authors.forename: L C
authors.initials: LC
authors.lastname: Maia
mesh_terms: D000293:Adolescent; D002126:Calcium Hydroxide / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D055094:Evidence-Based Dentistry; D006801:Humans; D011670:Pulpectomy / Q000379:methods*; D011671:Pulpitis / Q000473:pathology / Q000628:therapy*; D012387:Root Canal Filling Materials / Q000627:therapeutic use*; D012459:Salicylates / Q000627:therapeutic use; D012828:Silicones / Q000627:therapeutic use; D014094:Tooth, Deciduous / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D015035:Zinc Oxide-Eugenol Cement / Q000627:therapeutic use*
chemical_list: C559663:Calcicur; D012387:Root Canal Filling Materials; D012459:Salicylates; D012828:Silicones; D015035:Zinc Oxide-Eugenol Cement; C029584:calcium hydroxide, iodoform, silicone oil drug combination; C055601:Sealapex; D002126:Calcium Hydroxide