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Background: The ideal root canal filling for endodontic treatment of primary teeth with necrotic pulp must have antimicrobial activity, not cause tooth discoloration or interfere with the eruption of permanent successor teeth. This study aimed to evaluate physiochemical properties of a novel paste (CZ Paste) for endodontic treatment of primary teeth with necrotic pulp and compare its antimicrobial activity to Chloramphenicol, Tetracycline, Zinc oxide (CTZ) and Zinc Oxide eugenol (ZOE) pastes. Methods: CZ, CTZ and ZOE pastes were homogenized with eugenol at the time of testing. Fourier Transform Infrared spectroscopy (FTIR) and Differential Scanning Calorimetry (DSC) tests were performed. Antimicrobial activity was assessed using agar diffusion test (ADT), direct contact test (DCT) and bactericidal effect assessment against Staphylococcus aureus, Enterococcus faecalis and Pseudomonas aeruginosa. Results: FTIR showed that CZ paste has a similar profile to chloramphenicol spectrum and in DSC thermograms it demonstrated a slight change in endothermic transition temperature. In the ADT, CTZ paste and CZ paste presented similar inhibition zone diameters and were higher than ZOE paste (P Key words: Primary tooth, Pulpectomy, Root canal filling materials, Antibiotic paste, Bacteria.

Objective: To determine the prevalence and factors associated with malocclusion in the primary dentition of preschool children in a city of Brazilian Northeast. Material and Methods: A cross-sectional study was conducted with 566 five-years-old preschool children who were enrolled in public and private preschools in the city of Teresina, Piaui, Brazil. Data were collected using a sociodemographic questionnaire administrated to parents/caregivers and clinical oral examination of the children was performed. Foster and Hamilton Index for primary teeth was used for the diagnosis of malocclusions. Descriptive analysis was carried out and Poisson regression was used to assesses the association with independent variables. Results: The prevalence of malocclusion was 51.2%. The most frequent types were Class II canines (17% and 16.8%), increased overjet (15.2%) and reduced overbite (14%). Anterior crossbite was present in 3.5% of the preschool children evaluated. There was an association between malocclusion and low family income (PR = 1.22; 95% CI = 1.01-1.47). Conclusion: The prevalence of malocclusion in the primary dentition was high and associated with a low family income.

Objective: This study presents 38 cases of primary molars with necrotic pulps treated with antibiotics-based paste. Case report: The technique consisted of necrotic tissue removal of the pulp chamber, using spoons excavators and low speed drills. Pulp cavity was washed with saline solution and dried with sterile cotton balls. Then an antibiotic paste composed of chloramphenicol, tetracycline, zinc oxide and eugenol – CTZ paste – was inserted at the entrance of root canals. Patients were evaluated clinically and radiographically at different times. The criteria that defined clinical success were the lack of periapical abscess and mobility compatible with chronological age. Radiographic assessments consisted in absence of radiolucency in the region of root bifurcation and pathological bone resorption. Conclusion: There were 100% and 93% of clinical and radiographic success, respectively. The results suggest that the CTZ paste is an optional therapy for pulp of primary molars.