The clinical and radiographic success of Endoflas compared with other root canal obturating materials in primary teeth: A systematic review

Abstract

Pulpectomy aims at retaining the tooth in the asymptomatic state until exfoliation. Root canal
obturating materials should resorb in synchronization with the primary root and get eliminated
rapidly upon accidental extrusion. This systematic review aims at appraising the clinical and
radiographic outcomes of Endoflas as an obturating material for primary teeth. An extensive
literature search on obturating materials used for primary teeth using MeSH terms in PubMed,
Cochrane library, and Ovid® from September 2002 to March 2020. Studies evaluating the clinical
and radiographic success of Endoflas as an obturating material in children were included. From
45 retrieved articles, eight qualified for the systematic review. Moderate quality of evidence was
elicited in this review. There was a dramatic reduction of inter radicular radiolucency in Endoflas
obturated teeth compared to other root canal filling materials. Even for resorption of the
extruded material beyond the apex too, Endoflas has depicted a faster clearance rate. Hence,it
was concluded that, Endoflas can be a potential root canal obturating material for treating the
primary teeth, even with furcal radiolucency. We recommend randomized clinical trials satisfying
all the norms of CONSORT guidelines to provide a high quality of evidence.
Key Words: Clinical outcomes, Endoflas, Obturating material, Primary teeth, Pulpectomy