Lesion sterilization and tissue repair in primary teeth

Shetty, Amarshree; G, Geethanjali; Hegde, Amitha M

doi:10.4103/srmjrds.srmjrds_87_19

Cited by 5 publications

(14 citation statements)

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“…A standard mixture of minocycline, ciprofloxacin, and metronidazole has been used in numerous studies and has proven its efficacy (Takushige et al, 2004 ; Zacharczuk et al, 2019 ). However, recent studies have replaced minocycline with other antibiotics due to the black discoloration of dentin caused by it (Shetty et al, 2020 ).…”

Section: Disscussionmentioning

confidence: 99%

“…Primary teeth with infected root canals often present significant clinical challenges (Moura et al, 2021 ). The factors represent in the complex root canal morphology with accessory and secondary canals in primary molars, the behavioral issues in children, the unattainable complete chemo‐mechanical removal of necrotic pulp tissue and obturation the primary molars root canal system (Shetty et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…The alterations in the root tip position due to the gradual resorption of the roots of primary molars by the succedaneous tooth bud or periapical tissues inflammation pose a substantial challenge for both general practitioners and pediatric dentists when conducting conventional root canal therapy for primary molars with necrotic pulp (Arangannal et al, 2019 ; May, 2016 ; Moskovitz & Tickotsky, 2016 ). Additionally, the existing materials have yet to fulfill all of the suitable root canal system obturation materials criteria for primary teeth (Agarwal et al, 2019 ; Shetty et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, the existing materials have yet to fulfill all of the suitable root canal system obturation materials criteria for primary teeth (Agarwal et al, 2019;Shetty et al, 2020).…”

mentioning

confidence: 99%

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Evaluation of the modified 3Mix‐Simvastatin combination in non‐instrumental endodontic therapy of necrotic primary molars: A two‐arm randomized controlled trial

Almarji,

Laflouf,

Tolibah

2024

Clinical & Exp Dental Res

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ObjectiveThis study aimed to assess the clinical and radiographic outcomes of non‐instrumentation endodontic treatment (NIET) using a modified antibiotic mix of cefixime, ciprofloxacin and metronidazole with simvastatin (an anti‐inflammatory, bone regeneration drug) on necrotic primary molars compared to conventional pulpectomy to help preservation of necrotic primary teeth until its natural exfoliation.Materials and MethodsForty mandibular primary second molars with necrotic pulp tissue from 38 healthy patients aged between 4 and 8 years were randomly assigned to two groups with a 1:1 allocation ratio. Group A teeth underwent conventional root canal treatment. The procedure involved a two‐visit approach, employing k‐files and h‐files during the initial visit, followed by the application of calcium hydroxide paste as canal dressing between visits, while Group B teeth were treated with 3Mixtatin. All teeth were clinically evaluated after 1, 3, 6, and 12 months, and radiographically at 3, 6, and 12 months. Two external examiners assessed the results. Data analysis was conducted using a chi‐square test at a 0.05 significance level.ResultsAt the end of the follow‐up interval, 90% of teeth in each group exhibited no clinical signs or symptoms. Additionally, inter‐radicular radiolucency healing occurred in 75% of cases in the NIET group and 89.5% in the conventional pulpectomy group. However, no statistically significant difference was found between the two groups.ConclusionNIET using 3Mixtatin seems to be a good alternative choice to conventional pulpectomy, offering a less complex treatment approach that may help avoid the complications associated with traditional pulpectomy and could be suitable for teeth with shorter roots.

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Section: Disscussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Additionally, the existing materials have yet to fulfill all of the suitable root canal system obturation materials criteria for primary teeth (Agarwal et al, 2019;Shetty et al, 2020).…”

mentioning

confidence: 99%

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Evaluation of the modified 3Mix‐Simvastatin combination in non‐instrumental endodontic therapy of necrotic primary molars: A two‐arm randomized controlled trial

Almarji,

Laflouf,

Tolibah

2024

Clinical & Exp Dental Res

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“…For primary teeth where pulpectomy has been contraindicated, LSTR appears to be a suitable option. [ 1 ] The clinician should have a thorough awareness of the history of the idea and its justification before carrying out the procedure. The purpose of this review of literature is to discuss the various aspects of LSTR in detail.…”

Section: Introductionmentioning

confidence: 99%

Lesion Sterilization Tissue Repair: A Review

Singh,

Reddy,

Arya

et al. 2024

Journal of Pharmacy and Bioallied Sciences

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Lesion sterilization and tissue repair - A non-instrumental procedure: A systematic review

Kashyap,

Singh,

Mallick

et al. 2024

IJMI

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A primary tooth affected by dental caries involving the pulp tissues along with periradicular tissues need conventional endodontic treatment. Due to certain factors these treatments may be contraindicated. In that case Lesion Sterilization and Tissue Repair (LSTR) therapy is the better option to be preferred. The process of LSTR is to increase the longevity of the primary tooth. This procedure eliminates, sterilizes the canal system, repairs and regenerates the tissue. It needs minimal instrumentation and includes placement of an antibiotic mixture in the pulp chamber to disinfect the root canals. It is also known as Non-instrumental endodontic treatment (NIET).

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Lesion sterilization and tissue repair in primary teeth

Cited by 5 publications

References 1 publication

Evaluation of the modified 3Mix‐Simvastatin combination in non‐instrumental endodontic therapy of necrotic primary molars: A two‐arm randomized controlled trial

Evaluation of the modified 3Mix‐Simvastatin combination in non‐instrumental endodontic therapy of necrotic primary molars: A two‐arm randomized controlled trial

Lesion Sterilization Tissue Repair: A Review

Lesion sterilization and tissue repair - A non-instrumental procedure: A systematic review

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