Monika Allaudin Khoja,
Shantanu Choudhari,
- Dentist, Department of Pediatric and preventive dentistry, Gujarat university, Ahmadabad, Gujarat, India
- Professor and HOD, Department of Pediatric and preventive dentistry, Gujarat university, Ahmadabad, Gujarat, India
Abstract
The management of infected primary teeth is a vital aspect of pediatric dentistry, with the primary objective being the retention of the tooth in the oral cavity until its natural exfoliation. Preserving the health, structure, and appearance of primary teeth is essential for ensuring the correct eruption and alignment of permanent teeth. Pulpectomy has traditionally been the preferred treatment for primary teeth with irreversible pulp damage. Traditionally, Zinc Oxide Eugenol (ZOE) has been the most widely used obturating material due to its antimicrobial effects and satisfactory sealing ability. Despite these benefits, limitations such as slow resorption, potential irritation to periapical tissues, and incomplete adaptability to root canal morphology have been reported. In recent years, biologically oriented alternatives like the Lesion Sterilization and Tissue Repair (LSTR) approach have gained prominence. LSTR relies on root canal disinfection rather than complete mechanical instrumentation, commonly employing antibiotic combinations such as Double Antibiotic Paste (DAP). DAP has demonstrated promising results in eradicating resistant microbial flora and promoting healing of periapical tissues. This article aims to critically evaluate and compare the effectiveness, clinical outcomes, and advantages of DAP used in LSTR with conventional ZOE obturation in pulpectomy procedures, highlighting their potential roles in contemporary pediatric endodontics.
Keywords: Pulpectomy, Primary teeth, LSTR, ZOE, Obturating material, Double antibiotic paste
[This article belongs to Research and Reviews: A Journal of Dentistry ]
Monika Allaudin Khoja, Shantanu Choudhari. Comparative Evaluation of the Use of LSTR with Double Antibiotic Paste Versus Zinc Oxide Eugenol as Obturating Material in Primary Teeth Pulpectomy. Research and Reviews: A Journal of Dentistry. 2025; 16(03):1-5.
Monika Allaudin Khoja, Shantanu Choudhari. Comparative Evaluation of the Use of LSTR with Double Antibiotic Paste Versus Zinc Oxide Eugenol as Obturating Material in Primary Teeth Pulpectomy. Research and Reviews: A Journal of Dentistry. 2025; 16(03):1-5. Available from: https://journals.stmjournals.com/rrjod/article=2025/view=228195
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Research and Reviews: A Journal of Dentistry
| Volume | 16 |
| Issue | 03 |
| Received | 20/08/2025 |
| Accepted | 25/08/2025 |
| Published | 27/09/2025 |
| Publication Time | 38 Days |
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