Optimization of endodontic root canal treatment in pediatric dentistry (a systematic literature review)

Author:

Wolgin M. A.1ORCID,Berninger M. A.1ORCID,Mitronin A. V.2ORCID,Ostanina D. A.2ORCID,Kielbassa A. M.1ORCID,Mitronin Yu. A.2ORCID

Affiliation:

1. Danube Private University

2. A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Abstract

Early loss of primary teeth is an important problem in pediatric dentistry. One of the most difficult aspects during treatment of the complications of caries in primary teeth is the duration of treatment. The introduction of rotary nickel-titanium systems made endodontic treatment in primary teeth easier and faster. Thereby, the aim of the present work was to conduct a systematic review with elements of the network meta-analysis and an indirect comparison of different rotary endodontic systems in terms of the time spent for endodontic treatment in primary tooth canals using the common comparator «manual treatment with K-files». Seven articles were included in the final analysis, which revealed statistically significant heterogeneity of the included data from laboratory randomized controlled trials (ProTaper/K-file: I2 = 85; p = 0.00001 and Mtwo/K-file: I2 = 95; p = 0.00001). A systematic review of the articles revealed a trend toward designating the Mtwo (VDW) system as the least time-consuming mechanical root canal preparation in primary teeth.

Publisher

Khabadze ZS

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference23 articles.

1. Meyer F, Enax J. Early Childhood Caries: Epidemiology, Aetiology, and Prevention. International Journal of Dentistry. 2018;5:1-7. https://doi.org/10.1155/2018/1415873

2. Rodd H, Waterhouse P, Fuks A, Fayle S, Moffat M. Pulp therapy for primary molars. International Journal of Paediatric Dentistry. 2006;16(s1):15-23. https://doi.org/10.1111/j.1365-263x.2006.00774.x

3. Mitronin A, Wolgin M, Kielbassa A, Ostanina D, Mitronin V. Comparative evaluation of the effectiveness of pulp-preserving methods in the treatment of reversible pulpitis. Cathedra-Kafedra. Stomatologicheskoe obrazovanie. 2017;60-61:30-35. (In Russ.).

4. Asgary S, Fazlyab M. Endodontic Management of an Infected Primary Molar in a Child with Agenesis of the Permanent Premolar. Iran Endod J. 2017 Winter;12(1):119-122. https://doi.org/10.22037/iej.2017.25.

5. Tsarev V.N., Mitronin A.V., Podporin M.S., Ostanina D.A., Ippolitov E.V., Mitronin V.A. Combined endodontic treatment: microbiological aspects by using scanning electronical microscopy. Endodontics Today. 2021;19(1):11-17. (In Russ.). https://doi.org/10.36377/1726-7242-2021-19-1-11-17

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