Success of Lesion Sterilization and Tissue Repair Therapy and Pulpectomy in the Management of Infected Primary Molars with Poor Prognosis

ORIGINAL ReseARchin nature.Successful sterilization and restoration of an intact tooth clinically is definitely superior to any other space maintainer. 7n cases where the prognosis is poor and indicated for extraction, an optional therapy was developed in 2004, that is noninstrumentation endodontic treatment (NIET) "lesion IntroductIonEarly childhood caries is a distinct type of widespread decay of the deciduous teeth, defined as a lesion with a rapid onset destroying the coronal tissue of many or all of the erupted with many showing signs of early involvement of the pulp. 1 Atypical anatomy of the primary teeth, such as increased permeability, reduced hardness, and decreased enamel and dentin thickness, further promote quick spread of infectious processes in the pulpal tissue, thereby initiating root resorption and inflammatory process. 2 Enhanced destruction of the coronal structure leading to infection of the pulp tissue which progresses to chronic abscesses can progress toward complete destruction of the primary dentition.4][5] However, premature loss of deciduous dentition may lead to various problems, such as drifting of erupted teeth, ectopic eruption, disturbed eruption sequence, loss of space for the succedaneous teeth, development of aberrant habits, speech alterations, and impaired function. 6ence, it becomes necessary to maintain primary dentition and make them disease-free and capable of normal functioning.Primary teeth with poor prognosis have been advocated for extraction followed by placement of space maintainers.However, there are some disadvantages of these appliances, like cost effectiveness, lack of oral hygiene care, and being nonfunctional