Author | Study design | Patients, sex (age range) | Tooth type | Etiology of pulp necrosis | Groups of Study(n) | Teeth dropout (n) | Follow-up Time | Pretreatment signs and symptoms | Treatment of the root | Local | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(months) | Preoperative signs and symptoms (n) | Periapical radiolucid lesion (n) | Instrumentation | Irrigation | Intracanal medication | Anesthetics | |||||||
Jadhav et al. (2012)[12] | RCT, parallel | 12Â M/8 F | Incisors | NR | BC (10) | 0 | 12 | NR | Yes or No | Minimal | 2.5% NaOCl | TAP | Without adrenaline |
 |  | (15–28 years) |  |  | BC + PRP (10) | 0 |  |  |  |  |  | (MET, CF, MIN,) |  |
Bezgin et al. (2015)[14] | RCT, parallel | 10 M/8 F (7–12 years) | Premolars incisors | Caries Trauma | BC (10) | 0 | 18 | Physiologic (4) | No (4) | No | 2.5% NaOCl Saline 0.12% CHX 5% EDTA | TAP for 3 wk (CF, MET, CR) | Without adrenaline |
 |  |  |  |  | PRP (10) | 0 |  | Sensitive (16) | Yes (16) |  |  |  |  |
Narang et al. (2015)[15] | RCT, parallel | 15 patients (< 20 years) | NR | NR | BC (5) | 0 | 18 | NR | Yes (15) | Minimal | 2.5% NaOCl | TAP for 4 wk | NR |
 |  |  |  |  | PRP + Collagen (5) | 0 |  |  |  |  |  |  |  |
 |  |  |  |  | PRF (5) | 0 |  |  |  |  |  |  |  |
Sharma et al | RCT, parallel | 16 patients | Incisors | Trauma | BC (4) | 0 | 12 | Spontaneous pain (9) | No (3) | Minimal | 2.5% NaOCl | TAP for 4 wk | without adrenaline |
(2016)[32] |  | (10–25 years) |  |  | PRF (4) | 0 |  | Discoloration (7) | Yes (13) |  |  |  |  |
 |  |  |  |  | BC + Collagen (4) | 0 |  | Sinus (2) Percussion (2) |  |  |  |  |  |
 |  |  |  |  | BC + PLGA (4) | 0 |  |  |  |  |  |  |  |
Alagl et al. (2017)[16] | RCT, split mouth | 9Â M/6 F | Premolars | Caries | BC (15) | 0 | 12 | Physiologic (4) | No (5) | No | 1.5% NaOCl | TAP for 3 wk (MET, CF, MIN,) | NR |
 |  | (7–12 years) | incisors | Trauma | PRP (15) | 0 |  | Sensitive (26) | Yes (25) |  | 2.5% NaOCl |  |  |
 |  |  |  |  |  |  |  |  |  |  | 0.12% CHX |  |  |
Shivashanker et al. (2017)[33] | RCT, parallel | 60 patients (6–28 years) | NR | Caries | BC(20) | 5 | 12 | NR | NR | Minimal | 5.25% NaOCl | TAP for 3 wk (MET 400 mg, CF 200 mg, MIN 100 mg) | NR |
 |  |  |  | Trauma | PRP(20) | 1 |  |  |  |  |  |  |  |
 |  |  |  |  | PRF(20) | 0 |  |  |  |  |  |  |  |
Lv et al. (2018)[41] | Case–control | 5 M/5 F | Premolars | DE | BC (5) | 0 | 12 | NR | Yes (10) | No | 1% NaOCl | 4 wk (ciprofloxacin, metronidazole, cefaclor (1:1:1)) | 2% lidocaine without |
 |  | (9–14 years) | Incisors | Trauma | PRF (5) | 0 |  |  |  |  | Saline |  | adrenaline |
Mittal et al. (2019)[34] | RCT parallel | NR | Incisors | NR | BC(4) | 0 | 12 | NR | NR | Minimal | 2.5% NaOCl | 4 wk (Double Antibiotic Paste) | NR |
 |  |  |  |  | BC + PRF (4) | 0 |  |  |  |  |  |  |  |
Ragab et al. (2019)[35] | RCT, parallel | 15Â M/7 F | Incisors | Trauma | BC(11) | 0 | 12 | abscess | Yes (22) | No | 5% NaOCl | 3 wk (metronidazole ciprofloxacin 1: 1) | 3% |
 |  | (7–12 years) |  |  | BC + PRF (11) | 0 |  | fistula discoloration |  |  | saline |  | mepivacaine |
Ulusoy et al. (2019)[39] | RCT, parallel | 44Â M/33 F | Incisors | Trauma | BC (22) | 1 | Until complete | NR | Yes or No | No | 1.25% NaOCl | TAP for 4 wk | 2% mepivacaine |
 |  | (8–11 years) |  |  | PRP (22) | 4 | healing 10–49 |  |  |  | 2% CHX |  |  |
 |  |  |  |  | PRF (22) | 5 |  |  |  |  | 17% EDTA |  |  |
 |  |  |  |  | PP(22) | 5 |  |  |  |  |  |  |  |
ElSheshtawy et al. (2020)[36] | RCT, parallel | 15 M/11 F (> 7;12.66 ± 4.77) | Incisors | DE | PRP (14) | 1 | 12 | Sensitive (14) | No (13) | Minimal | 5.25% NaOCl | TAP until resolution of clinical signs and symptoms of infection | without vasoconstrictor |
 |  |  |  | Trauma | BC (17) | 0 |  | Physiologic(17) | Yes (18) |  | 17% EDTA |  |  |
Uppala et al. (2020)[38] | RCT, parallel | 10Â M/14 F | Incisors | NR | PRF(8) | 0 | 12 | NR | Yes (24) | Minimal | NR | TAP for 4 wk | NR |
 |  | (13–24 years) |  |  | BC(8) | 0 |  |  |  |  |  |  |  |
 |  |  |  |  | BC + collagen (8) | 0 |  |  |  |  |  |  |  |
Rizk et al. (2020)[40] | RCT, split mouth | 7Â M/6 F | Incisors | Caries | PRP (13) | 0 | 12 | NR | Yes or No | Minimal | 2% NaOCl | TAP for 3wk | NR |
 |  | (8–14 years) |  | Trauma | BC + collagen (13) | 0 |  |  |  |  | 17% EDTA |  |  |
Ramachandran et al. (2020)[37] | RCT, parallel | 27 M/13F | NR | NR | BC + PRP + collagen (20) | 16 | 12 | NR | Yes (40) | Removal of necrotic tissue | 5.25% NaOCl | TAP for 3 wk | NR |
 |  | (15–54 years) |  |  | BC (20) |  |  |  |  |  | 1% NaOCl |  |  |
 |  |  |  |  |  |  |  |  |  |  | sterile water |  |  |
 |  |  |  |  |  |  |  |  |  |  | 17% EDTA |  |  |
Meschi et al. (2021)[43] | Cohort study | 27 patients | Premolars | DE, DI | BC (18) | 4 | 36 | No (5) | No (9) | NR | 1.5% NaOCl | Double antibiotic paste (metronid ciprofloxacin) | local anesthesia with adrenaline |
 |  | (6–25 years) | Incisors | Trauma Caries | BC + L-PRF (11) | 2 |  | Yes (24) | Yes (20) |  | Saline | calcium hydroxide |  |
 |  |  |  |  |  |  |  | (Swelling, |  |  | 17% EDTA |  |  |
 |  |  |  |  |  |  |  | sinus tract, |  |  |  |  |  |
 |  |  |  |  |  |  |  | percussion, pain, |  |  |  |  |  |
 |  |  |  |  |  |  |  | discoloration) |  |  |  |  |  |
Cheng et al. (2022)[42] | Case–control | 34 M/ 28F | Incisors | Trauma | BC (32) | 0 | Jun-69 | Swelling or sinus tract (21) | Yes or No | No or minimal | 0.5–1.5% NaOCl saline | TAP or calcium hydroxide for 2 wk | NR |
 |  | (8.6 ± 1.4 years) |  |  | CGF (30) | 0 |  | Mobility (31) |  |  | 17% EDTA |  |  |