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. 2018 May 31;2018(5):CD003220. doi: 10.1002/14651858.CD003220.pub3

Chandra 2014.

Methods RCT, parallel‐arm
Teeth randomly assigned
Conducted in India. Operator not mentioned.
Participants 52 children, 60 teeth, 3.8 to 7.6 years
Interventions Group 1:Pulpectomy (ozonated oil‐ZO); n = 30 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access

  • Pulpotomy amputation not mentioned

  • Instrumentation with barbed broaches and K‐files

  • Irrigation with 2.5 % sodium hypochlorite and normal saline

  • The root canals were filled 1 mm short of the apex with a mixture of ZO powder (0.2 g, arsenic free) and ozonated sesame oil using Lentulo spirals, before being restored with stainless steel crowns


Group 2:Pulpectomy (ZOE); n = 30 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access

  • Pulpotomy amputation not mentioned

  • Instrumentation with barbed broaches and K‐files

  • Irrigation with 2.5 % sodium hypochlorite and normal saline

  • The root canals were filled 1 mm short of the apex with ZOE using Lentulo spirals, before being restored with stainless steel crowns

Outcomes Clinical success (absence of pain, tenderness to percussion, absence or decrease in mobility and sinus opening), radiographic success (signs of resolution in the radiolucency, no new signs of post‐operative radiolucency and no signs of internal or external pathological root resorption), radiographic failure (increase in postoperative inter‐radicular radiolucency or development of new postoperative radiolucency): evaluation at 12 months
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to make a clear judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to make a clear judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Insufficient information to make a clear judgement
Blinding of clinical outcomes assessment Low risk Quote: "The teeth were evaluated for success or failure based on clinical and radiographic criteria by a blinded investigator"
Blinding of radiological outcomes assessment Low risk Quote: "The teeth were evaluated for success or failure based on clinical and radiographic criteria by a blinded investigator"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data
Selective reporting (reporting bias) Unclear risk Insufficient information to make a clear judgement