Elicherla Sainath Reddy, Bandi Sujatha, Venkata Saikiran Kanamarlapudi, Nunna Mahesh, Sai Sahiti Putta, Nuvvula Sivakumar
Department of Paediatric and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
Pedodontist, The Dental Specialists, Hyderabad, Telangana, India.
Dent Res J (Isfahan). 2022 Sep 26;19:72. eCollection 2022.
Pulpectomy aims at retaining the tooth in the asymptomatic state until exfoliation. Root canal obturating materials should resorb in synchronization with the primary root and get eliminated rapidly upon accidental extrusion. This systematic review aims at appraising the clinical and radiographic outcomes of Endoflas as an obturating material for primary teeth. An extensive literature search on obturating materials used for primary teeth using MeSH terms in PubMed, Cochrane library, and Ovid® from September 2002 to March 2020. Studies evaluating the clinical and radiographic success of Endoflas as an obturating material in children were included. From 45 retrieved articles, eight qualified for the systematic review. Moderate quality of evidence was elicited in this review. There was a dramatic reduction of inter radicular radiolucency in Endoflas obturated teeth compared to other root canal filling materials. Even for resorption of the extruded material beyond the apex too, Endoflas has depicted a faster clearance rate. Hence,it was concluded that, Endoflas can be a potential root canal obturating material for treating the primary teeth, even with furcal radiolucency. We recommend randomized clinical trials satisfying all the norms of CONSORT guidelines to provide a high quality of evidence.
牙髓摘除术旨在使患牙在无症状状态下保留至脱落。根管充填材料应与乳牙牙根同步吸收，并在意外挤出时迅速排出。本系统评价旨在评估Endoflas作为乳牙根管充填材料的临床和影像学效果。2002年9月至2020年3月，在PubMed、Cochrane图书馆和Ovid®中使用医学主题词对乳牙根管充填材料进行了广泛的文献检索。纳入评估Endoflas作为儿童根管充填材料的临床和影像学成功率的研究。从检索到的45篇文章中，有8篇符合系统评价的标准。本评价得出的证据质量为中等。与其他根管充填材料相比，Endoflas充填的牙齿根间透影区显著减少。即使对于根尖外挤出材料的吸收，Endoflas也显示出更快的清除率。因此，得出结论，即使存在根分叉透影区，Endoflas也可能是治疗乳牙的一种潜在根管充填材料。我们建议进行符合CONSORT指南所有规范的随机临床试验，以提供高质量的证据。
