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

Rewal 2014.

Methods RCT, parallel‐arm
Teeth randomly assigned
Conducted in the Department of Pedodontics and Preventive Dentistry, India. Operator was an investigator.
Participants 50 children, 50 teeth, age range 4 to 9 years
Interventions Group 1:Pulpectomy (ZOE); n = 24 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with no precision

  • Pulpotomy amputation with excavator

  • Instrumentation with H‐files

  • Irrigation with 2.5% sodium hypochlorite alternatively with saline

  • Instrumentation with barbed broaches

  • A Lentulo spiral mounted on a slow speed hand piece was employed to introduce ZOE, followed by ZOE the stainless steel crown


Group 2:Pulpectomy (Endoflas); n = 26 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with no precision

  • Pulpotomy amputation with excavator

  • Instrumentation with H‐files

  • Irrigation with 2.5% sodium hypochlorite alternatively with saline

  • Instrumentation with barbed broaches

  • A Lentulo spiral mounted on a slow‐speed handpiece was employed to introduce Enfodlas, followed by ZOE the stainless steel crown

Outcomes Clinical success (absence of pain, redness, swelling, tenderness on percussion, and sinus or fistula), radiographic success (reduction in the size of interradicular radiolucency or the size remaining the same): evaluation at 3, 6 and 9 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 Unclear risk Insufficient information to make a clear judgement
Blinding of radiological outcomes assessment Unclear risk Insufficient information to make a clear judgement
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