Lesion Sterilization and Tissue Repair-Current Concepts and Practices

Area of Science:

• Pediatric Dentistry
• Endodontics
• Cariology

Background:

• Dental caries in deciduous teeth can lead to pulp and periradicular pathosis, complicating conventional endodontic treatment.
• Conventional endodontic procedures present challenges in managing pulp involvement in primary teeth.

Purpose of the Study:

• To review the rationale, indications, contraindications, and procedural details of Lesion Sterilization and Tissue Repair (LSTR).
• To highlight LSTR as a viable option for increasing the longevity of deciduous teeth with pulp involvement.

Main Methods:

• Review of current literature on Lesion Sterilization and Tissue Repair (LSTR) in pediatric endodontics.
• Detailed examination of the principles behind bacterial elimination and host tissue response stimulation.

Main Results:

• LSTR effectively eliminates bacteria from root canals, sterilizing the affected lesion.
• The therapy promotes natural tissue repair and regeneration, enhancing tooth longevity.

Conclusions:

• Lesion Sterilization and Tissue Repair (LSTR) is a crucial therapeutic option for managing deciduous teeth with pulp involvement and periradicular pathosis.
• This minimally invasive approach offers a promising alternative to conventional endodontics, improving outcomes in pediatric dental patients.