Advanced endodontic developments in pulpectomy of primary teeth.

ABSTRACT

INTRODUCTION: To appraise studies about pulpectomy in primary teeth with nickel-titanium rotary files and smear layer removal and to find out may these developments enhance pulpectomy outcomes in primary teeth. MATERIAL AND METHODS: A systematic search was implemented for PubMed, Google and Google Scholar between the years 1995-January 2016 to identify eligible studies. Studies design was established according to the CEBM recommendations. Evidence quality of studies was appraised by risk of bias. RESULTS: Six studies about pulpectomy met the inclusion criteria, of which five were randomized controlled trials. Only one research demonstrates the enhanced outcome of pulpectomy in primary teeth with smear layer removal. Chosen studies have low overall evidence quality. CONCLUSIONS: Given the paucity, high heterogeneity of high-quality articles and their level of bias, recommendation for the use of nickel-titanium rotary files and smear layer removal in pulpectomy in primary teeth can yet not be formulated.