Evidence map›Paper›PMID 39709405›Full record

SynthesisBMC oral health2024

Evaluation of various root canal irrigation methods in primary teeth: a systematic review.

Maryam Valizadeh, Ali Gheidari, Naeemeh Daghestani, Zahra Mohammadzadeh, Fatemeh Khorakian

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. How do clinicians treat irreversibly inflamed and necrotic primary molars? A worldwide survey of decision-making and practice.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Maryam ValizadehDental Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0003-4656-8497
Ali GheidariDepartment of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0003-0814-0350
Naeemeh DaghestaniDepartment of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0002-3907-1346
Zahra MohammadzadehDepartment of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0002-4437-6398
Fatemeh KhorakianDepartment of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran. khorakianf@mums.ac.ir.ORCID http://orcid.org/0000-0003-1436-9899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough effective irrigation methods are crucial for pulpectomy in primary teeth (PT), no consensus exists on the best technique. This study guides clinicians in making evidence-based choices for irrigation techniques in PT.

designThis study reviewed in vitro and in vivo research on PT using an extensive electronic search up to April 2024. The QUIN and RoB 2 tools were used to assess bias, and no meta-analysis was conducted in this study.

resultsEleven in vitro studies evaluated outcomes such as microorganism reduction, smear layer (SL) removal, and apical extrusion of debris. Some methods significantly reduced bacteria and improved SL removal compared to conventional techniques. Six in vivo studies on primary root canal treatment reported that certain methods reduced postoperative pain (PP), improved obturation quality, and enhanced antibacterial effects. The risk assessment tools identified most studies with low risk of bias.

conclusionIn vitro studies suggest that activating irrigants in PT canals, especially with laser activation, effectively reduces Enterococcus faecalis and removes SLs, particularly in the apical third. Endovac caused less debris extrusion. Clinical studies indicated that sonic activation and side-vent syringes reduce PP, but more data is needed on the antibacterial effects of these techniques.

Indexed as

Root Canal IrrigantsTherapeutic IrrigationTooth, DeciduousEnterococcus faecalisHumansPostoperative PainPulpectomyRoot Canal PreparationSmear LayerRoot Canal IrrigantsIrrigationPrimary teethRoot canal

Identifiers

PMID39709405
PMCPMC11662475

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.