A randomized controlled trial of ProRoot <scp>MTA</scp>, Ortho<scp>MTA</scp> and Retro<scp>MTA</scp> for pulpotomy in primary molars

Kang, Chung-Min; Sh, Kim; Shin, Young Goo; Hs, Lee; Jh, Lee; Gt, Kim; Song, Je Seon

doi:10.1111/odi.12348

Cited by 32 publications

(27 citation statements)

References 38 publications

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“…Although we cannot provide a rational explanation on the origin of the pulp disorganization in our work, which may be caused by interspecies differences, the discontinuous mineralization may not be sufficient to provide the marginal sealing of the pulp under the definitive restorative material. When RetroMTA was evaluated in a clinical trial in primary teeth pulpotomy, radiographic and clinical success similar to that obtained with ProRoot MTA was reported (4). The absence of inflammation after 8 weeks in our investigation may explain the observed absence of radiographic and clinical signs in this clinical trial.…”

Section: Discussionsupporting

confidence: 79%

“…A single clinical trial was performed with RetroMTA in 3to 10-year-old children undergoing primary teeth pulpotomy. After 12 months, the clinical and radiographic results with RetroMTA were similar to those of MTA, indicating a very high success rate (4).…”

mentioning

confidence: 60%

“…ProRoot MTA (Dentsply Tulsa Dental, Tulsa, OK) sets in moisture and significantly reduces bacterial invasion with a high sealing ability. Additionally, several studies have shown its biocompatibility (4,5) and its capacity to stimulate dentin bridge formation faster than calcium hydroxide (1,(6)(7)(8)(9). This explains why ProRoot application for treating pulp wounds (1,7) leads to high success rates in clinical procedures (6,7,9,10).…”

mentioning

confidence: 99%

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Dental Pulp Response to RetroMTA after Partial Pulpotomy in Permanent Human Teeth

Bakhtiar

Aminishakib

Ellini

et al. 2018

Journal of Endodontics

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Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 60%

mentioning

confidence: 99%

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Dental Pulp Response to RetroMTA after Partial Pulpotomy in Permanent Human Teeth

Bakhtiar

Aminishakib

Ellini

et al. 2018

Journal of Endodontics

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“…Biodentine and MTA resulted in the highest volumes after the cone beam radiography. According to Kang et al, 28 RetroMTA, Ortho MTA, and ProRoot MTA success rates did not differ and are indistinguishable, and these results indicate that pulpotomy could be performed with a high success rate with all the evaluated biomaterials. Bonte et al 29 showed how there is no statistical difference between Ca (OH) 2 and MTA, but MTA produced a better dentin healing, apexification using MTA could give better results than Ca (OH) 2 .…”

Section: Discussionmentioning

confidence: 84%

Mineral Trioxide Aggregate Applications in Endodontics: A Review

et al. 2020

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A current topic in dentistry concerns the biocompatibility of the materials, and in particular, conservative dentistry and endodontics ones. The mineral trioxide aggregate (MTA) is a dental material with biocompatibility properties to oral and dental tissues. MTA was developed for dental root repair in endodontic treatment and it is formulated from commercial Portland cement, combined with bismuth oxide powder for radiopacity. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, treating internal root resorption, and pulp capping. The objective of this article is to investigate MTA features from a clinical point of view, even compared with other biomaterials. All the clinical data regarding this dental material will be evaluated in this review article. Data obtained from the analysis of the past 10 years’ literature highlighted 19 articles in which the MTA clinical aspects could be recorded. The results obtained in this article are an important step to demonstrate the safety and predictability of oral rehabilitations with these biomaterials and to promote a line to improve their properties in the future.

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“…Pratima et al 2018 [20] Pulpotomy was performed by diode laser prior to MTA. Kang et al 2015 [21] Authors compared the same pulpotomy dressing material. Akcay et al 2014 [22] Sodium hypochlorite was applied prior to MTA and might act as a variable.…”

Section: Author Year Reason Of Exclusionmentioning

confidence: 99%

Different Pulp Dressing Materials for the Pulpotomy of Primary Teeth: A Systematic Review of the Literature

Bossù

Iaculli

Giorgio

et al. 2020

JCM

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Background: Pulpotomy of primary teeth provides favorable clinical results over time; however, to date, there is still not a consensus on an ideal pulp dressing material. Therefore, the aim of the present systematic review was to compare pulpotomy agents to establish a preferred material to use. Methods: After raising a PICO question, the PRISMA guideline was adopted to carry out an electronic search through the MEDLINE database to identify comparative studies on several pulp dressing agents, published up to October 2019. Results: The search resulted in 4274 records; after exclusion, a total of 41 papers were included in the present review. Mineral trioxide aggregate (MTA), Biodentine and ferric sulphate yielded good clinical results over time and might be safely used in the pulpotomies of primary molars. Among agents, MTA seemed to be the material of choice. On the contrary, calcium hydroxide showed the worst clinical performance. Although clinically successful, formocreosol should be replaced by other materials, due to its potential cytotoxicity and carcinogenicity. Conclusion: MTA seemed to be the gold standard material in the pulpotomy of primary teeth. Promising results were also provided by calcium silicate-based cements. Further randomized clinical trials (RCTs) with adequate sample sizes and long follow-ups are encouraged to support these outcomes. deciduous or young permanent teeth with immature roots affected by caries and without evidence of radicular pathology [7,8]. Nowadays, treatment options of VPT are represented by indirect pulp treatment (namely indirect pulp capping), direct pulp capping and pulpotomy [7]. Although clinically successful in primary molars, direct capping is mainly recommended in the VPT of permanent young teeth [9,10] and indirect capping seems to possess a relative effectiveness when compared to pulpotomy procedures [11]. The latter provides favorable clinical survival rates over time and allows the vitality of primary teeth until their natural exfoliation, avoiding pulpectomy procedures [2]. Pulpotomy consists of elimination of the bacterial infection by the removal of the pulp in the pulp chamber; then, the decontaminated tooth is filled with a medicament [11]. The most frequently used agents are mineral trioxide aggregate (MTA), Biodentine (BD), formocresol (FC), ferric sulphate (FS) and calcium hydroxide (CH). When compared, FC, FS and MTA seemed to provide significantly better clinical and radiographic results as pulpotomy agents than CH after two years of follow-up; moreover, MTA showed the best performance in respect to FC and FS over time [12]. Accordingly, Stringhini et al. [13] reported that MTA yielded superior clinical and radiographical results in comparison to FC. On the other hand, electrosurgery and FS showed similar success to FC, whereas CH did not show positive evidence as medicament in pulpotomies of primary teeth [13]. In the same way, Asgary et al. [14] further stressed that MTA demonstrated better long-term outcomes in pulpotomy of primary molars when com...

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A randomized controlled trial of ProRoot MTA, OrthoMTA and RetroMTA for pulpotomy in primary molars

Abstract: The success rates of RetroMTA, OrthoMTA and ProRoot MTA are indistinguishable, indicating that pulpotomy can be carried out successfully in primary molars with the newly developed materials.

Cited by 32 publications

References 38 publications

Dental Pulp Response to RetroMTA after Partial Pulpotomy in Permanent Human Teeth

Dental Pulp Response to RetroMTA after Partial Pulpotomy in Permanent Human Teeth

Mineral Trioxide Aggregate Applications in Endodontics: A Review

Different Pulp Dressing Materials for the Pulpotomy of Primary Teeth: A Systematic Review of the Literature

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