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Primary Tooth Pulpectomy Material — NDEB AFK MCQ

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ModeratePaediatric DentistryPrimary Tooth Pulpectomy MaterialNDEB AFK

When performing a pulpectomy on a primary molar, which root canal filling material is recommended?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BZinc oxide eugenol paste

Zinc oxide eugenol (ZOE) paste is the recommended root canal filling material for pulpectomised primary teeth. It is resorbable (resorbs with the primary root), antimicrobial (eugenol), radiopaque, and easily placed. Non-resorbable materials (gutta percha, MTA) should NOT be used in primary teeth as they will persist after physiological root resorption and may interfere with permanent successor eruption. Iodoform-based pastes (e.g., Vitapex) are an alternative.

Reference: Dean – McDonald and Avery's Dentistry for the Child and Adolescent, 11th ed., 2021