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Table 3 A summary of the descriptive characteristics of the included studies (N = 6)

From: Efficacy of non-instrumental Endodontic treatment in primary teeth: a systematic review of clinical randomized trials

Author,

year,

country

Study design

Subjects:

(participants/age/tooth type)

Restoration

Follow-up (month)

Intervention group

Control group

Conclusions

Type (ratio/placement)

Success rate

Type

Success rate

 

Nakornchai et al

Thailand 2010

[16]

RCT

37 children 3–8 years

50 primary molars

GIC

Stainless steel crowns

(same visit)

6

12

3 Mix-MP:

Ciprofloxacin

Metronidazole

Minocycline

1:1:1/root canal entrance

2.5% NaOCl

Overall

Clinical:

6 months: 100%

12 months: 96%

Radiographic:

6 months: 84%

12 months: 76%

Vitapex

K files

2.5% NaOCl

Clinical:

6 months: 100%

12 months:96%

Radiographic:

6 months: 80%

12 months: 56%

Clinical success at 12 months: no statistically significant difference between the two groups (P > 0.005). Radiographic success at 12 months: no statistically significant difference between the two groups (P > 0.005)

Agarwal et al

India 2011

[17]

RCT

34 children

4–9 years

40 primary molars

GIC

Stainless steel crowns (after 24 h)

1

3

6

12

3 Mix-MP: Ciprofloxacin

Metronidazole

Cefixime

1:1:1/root canal entrance

Normal saline

Overall: Nm

6 months:

38.89%

12 months: 33.33%

Zinc oxide eugenol cement

H files

5% NAOCl

Overall: 78.5%

6 months: 92.86%

12 months: 78.57%

A significant difference in the proportion of failure/success among the groups (p = 0.016)

Daher et al

Brazil 2015

[18]

RCT

36 children

3–10 (6.2 ± 1.5) years

53 primary molars

GIC + Composite restoration

1

3

6

12, 18, 24/until exfoliation

CTZ paste:

Chloramphenicol

Tetracycline,

Zinc oxide-eugenol

1:1:2/radicular pulp stumps

Overall: 27%

Calcium hydroxide paste (Calcium hydroxide, zinc oxide, propylene glycol)

K-files

1% NaOCL

Overall: 68.7%

Low survival rate of NIET in a 2-year follow-up (P = 0.02);

The radiographic ineffectiveness discourages its use instead of conventional root canal treatment

Doneria et al

India 2017

[19]

RCT

43 children

4–8 years

64 primary molars

GIC (same visit)

Stainless steel crowns (after 15 days)

6

12

3 Mix-MP:

Ornidazole

Ciprofloxacin

Cefaclor

1:1:1/medication cavity

1% NaOCL

Clinical:

6 months: 95.5%

12 months: 95.5%

Radiographic

6 months: 83.5%

12 months: 79.2%

ZnO–OO

H Files

1% NaOCL /saline

Clinical:

6 months: 100%

12 months: 100%

Radiographic

6 months: 100%

12 months: 100%

Clinical success at 12 months: no statistically significant difference between the two groups (P = 0.429). Radiographic success at 12 months: a statistically significant difference between the two groups (P = 0.011): Internal resorption was observed in three teeth treated with modified 3 Mix‑MP paste

Vitapex

H Files

1% NaOCL + saline

Clinical:

6 months: 100%

12 months: 100%

Radiographic

6 months: 100%

12 months:100%

Zacharczuk et al

Argentina 2019

[21]

RCT

46 children 6.15 ± 1.38 years

6.3 ± 1.49 years

46 primary molars

ZOE

Stainless steel (after 7 days)

1

3

6

12

18

3 Mix-MP:

Ciprofloxacin

Metronidazole

Minocycline

1:1:1/Nm

2.5% NaOCL

Clinical:

6 months: 90%

12 months: 83.3%

18 months: 82.3%

Overall: 87.5%

Radiographic:

6 months: 80%

12 months:77.7%

18 months:76.4%

Overall: 82%

Maisto-Capurro paste

K Files

1% NaOCL

Clinical

6 months: 89.4%

12 months: 88.8%

18 months: 88.8

Overall: 91.5%

Radiographic:

6 months 84.2%

12 months: 83.3%

18 months: 83.3%

Overall: 88.3%

No significant clinical or radiographic difference between groups (P = 0.48, 031)

Both treatments showed similar clinical and radiographic results during the study periods

Divya et al

India 2019

[20]

RCT

17 children

4–9 years

30 primary molars

GIC

Stainless steel crowns (Same visit)

3

6

12

3 Mix MP:

Ciprofloxacin

Metronidazole

Minocycline

1:3:3:/pulp chamber floor

3% NaOCL

Clinical:

6 months: 100%

12 months: 93%

Radiographic:

6 months: 20%

12 months: 60%

Overall: 60%

Propolis liquid-mixed Endoflas powder mixture (2:1)

K Files

3% NaOCL/Saline

Clinical:

6 months: 100%

12 months: 100%

Overall: 100%

Radiographic:

6 months: 40%

12 months: 100%

Overall: 100%

Propolis liquid mixed Endoflas powder combination showed better results than NIET

The difference in the radiograph success rate between the two groups was statistically significant (p < 0.05)

  1. RCT randomized controlled study, GIC glass ionomer cement, 3 Mix-MP 3 mixture and macrogol-propylene glycol, ZnO-OO zinc oxide-ozonated oil, H-files Hedstrom file, K-files Kerr file, NIET non-instrumental endodontic treatment, Nm not mentioned, NaOCL sodium hypochlorite