{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:24:55Z","timestamp":1772983495600,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Managing necrotic primary molars is challenging due to complex root anatomy and resorption. While pulpectomy is standard, less invasive techniques like lesion sterilization and tissue repair (LSTR) are gaining interest. However, their comparative effectiveness remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate and compare the clinical and radiographic success of conventional LSTR, modified LSTR (with radicular pulp removal), and pulpectomy with Metapex in necrotic primary molars. Postoperative pain was also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Sixty\u2010three necrotic primary molars in children aged 3\u20138\u2009years were randomly divided into three groups: (1) Group I: Conventional LSTR with triple antibiotic paste (3Mix MP). (2) Group II: Modified LSTR +3Mix MP. (3) Group III: Pulpectomy with Metapex. Clinical and radiographic assessments were done at 3, 6, 9, and 12\u2009months. Postoperative pain was recorded immediately and after 24\u2009h using a standard scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A significant difference was observed after 12 months, with pulpectomy demonstrating superior outcomes compared to traditional LSTR (Table\u00a04,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01). It also shows, radiographic success was lower in the LSTR group than the pulpectomy group when baseline radiolucency was present (\n                      <jats:italic>p<\/jats:italic>\n                      =0.047).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pulpectomy showed significantly better overall radiographic results than conventional LSTR and was significantly better when there was a pre\u2010treatment radiolucency. Pain outcomes were comparable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ipd.70046","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T03:58:57Z","timestamp":1762747137000},"page":"265-274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Evaluation of Clinical and Radiographic Success of Lesion Sterilization and Tissue Repair (\n                    <scp>LSTR<\/scp>\n                    ), Modified\n                    <scp>LSTR<\/scp>\n                    With Triple Antibiotic Paste and Metapex Pulpectomy in Primary Molars: A Randomized Controlled Clinical Study"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6747-1235","authenticated-orcid":false,"given":"T. P. Ayisha","family":"Beevi","sequence":"first","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences King George's Medical University  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afroz Alam","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences King George's Medical University  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajeev Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences King George's Medical University  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6830-8042","authenticated-orcid":false,"given":"Richa","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences King George's Medical University  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03111-x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12478"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2015.1104721"},{"issue":"5","key":"e_1_2_11_5_1","first-page":"337","article-title":"Use of Non\u2010Vital Pulp Therapies in Primary Teeth","volume":"42","author":"Coll J. 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