World Journal of Dentistry

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VOLUME 15 , ISSUE 7 ( July, 2024 ) > List of Articles

REVIEW ARTICLE

Comparative Assessment of Success Rate of Lesion Sterilization and Tissue Repair and Vitapex in Necrosed Primary Teeth: A Systematic Review

Shreya S Shah, Pankaj Chavhan, Arun Sajjanar, Shabdali Waghmare, Shyam Chandak, Manali Khole

Keywords : Lesion sterilization and tissue repair, LSTR, Primary teeth, Pulpectomy, Vitapex

Citation Information : Shah SS, Chavhan P, Sajjanar A, Waghmare S, Chandak S, Khole M. Comparative Assessment of Success Rate of Lesion Sterilization and Tissue Repair and Vitapex in Necrosed Primary Teeth: A Systematic Review. World J Dent 2024; 15 (7):635-644.

DOI: 10.5005/jp-journals-10015-2469

License: CC BY-NC 4.0

Published Online: 04-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: This systematic review aimed to integrate all the research comparing Vitapex with lesion sterilization and tissue repair (LSTR) for pulpally involved primary teeth and to evaluate the clinical and radiographic success rate of the same. Materials and methods: This review is based on PRISMA guidelines. The electronic search on MEDLINE via PubMed database and Google Scholar, cross-referencing, and hand search of journals was carried out for articles from January 1, 2002 to December 31, 2022. Articles only in the English language were selected. Articles were assessed against inclusion criteria before data extraction. Based on the eligibility criteria, full-text articles were assessed by two authors. Studies involving children aged 3 to 9 years with primary molar indicated for pulpectomy, with the clinical and radiographic success rate for LSTR and Vitapex, were considered eligible. Master tables were prepared with study characteristics and success rates. Included studies were quality assessed. Results: A total of 190 articles were retrieved for the systematic review and of them four articles were included as per the inclusion criteria. It was found that LSTR and Vitapex had a high clinical success after 12 months. The radiographic success after 6 months was high, but it decreased after 12 months in both the groups. All the included articles were assessed for their quality. All four studies were considered high risk of bias. No article was at low risk or moderate risk. Conclusion: The success rates of LSTR and Vitapex are equivalent. LSTR is a viable therapeutic option for pulpally involved primary molars. Clinical significance: The simple and short procedures of 3Mix may be superior or equivalent to other materials used for root canal treatments in poor prognosis teeth. This can be useful in definitely negative and specially abled children.


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