A randomized controlled trial of various MTA materials for partial pulpotomy in permanent teeth

Kang, Chung-Min; Sun, Yeji; Song, Je Seon; Pang, nan sim; Roh, Byoung Duck; Lee, Chan Young; Shin, Young Goo

doi:10.1016/j.jdent.2016.07.015

Cited by 71 publications

(81 citation statements)

References 25 publications

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“…) and cariously exposed pulps (Kang et al . ). Clinical and radiographic evaluation of ProRoot MTA and Dycal for partial pulpotomy in young permanent teeth with carious exposures revealed no significant difference between the materials in terms of unsuitable clinical signs and symptoms (pain, swelling, sinus tract, tenderness to percussion) and radiographic outcome (evidence of periradicular or furcation pathosis, root resorption or a lack of continuation of root development in immature teeth) (Chailertvanitkul et al .…”

Section: Vital Pulp Therapiesmentioning

confidence: 97%

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy

2017

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Mineral trioxide aggregate (MTA) is a bioactive endodontic cement (BEC) mainly comprised of calcium and silicate elements. The cement was introduced by Torabinejad in the 1990s and has been approved by the Food and Drug Administration to be used in the United States in 1997. A number of new BECs have also been introduced to the market, including BioAggregate, Biodentine, BioRoot RCS, calcium-enriched mixture cement, Endo-CPM, Endocem, EndoSequence, EndoBinder, EndoSeal MTA, iRoot, MicroMega MTA, MTA Bio, MTA Fillapex, MTA Plus, NeoMTA Plus, OrthoMTA, Quick-Set, RetroMTA, Tech Biosealer and TheraCal LC. It has been claimed that these materials have properties similar to those of MTA without its drawbacks. In this article, the chemical composition and the application of MTA and other BECs for vital pulp therapy (VPT), including indirect pulp cap, direct pulp cap, partial pulpotomy, pulpotomy and partial pulpectomy, have been reviewed and compared. Based on selected keywords, all papers regarding chemical composition and VPT applications of BECs had been reviewed. Most of the materials had calcium and silicate in their composition. Instead of referring to the cements based on their chemical compositions, we suggest the term 'bioactive endodontic cements (BECs)', which seems more appropriate for these materials because, in spite of differences in their chemical compositions, bioactivity is a common property for all of them. Numerous articles were found regarding use of BECs as VPT agents for indirect and direct pulp capping, partial pulpotomy and cervical pulpotomy. Most of these investigations used MTA for VPT. In most studies, newly introduced materials have been compared to MTA. Some of the BECs have shown promising results; however, the number of their studies compared to investigations on MTA is limited. Most studies had several methodological shortcomings. Future investigations with rigorous methods and materials are needed.

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Section: Vital Pulp Therapiesmentioning

confidence: 97%

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy

2017

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“…, Kang et al . ), however, indicates a similar distribution of successes and failures irrespective of patient age albeit the data is heterogeneous and the quality of evidence sub‐optimal. Within a randomized trial, it was demonstrated that patient age was a more important variable after pulp exposure than it was when the pulp was not exposed during treatment (Bjørndal et al .…”

Section: Consensus‐based Recommendationsmentioning

confidence: 98%

European Society of Endodontology position statement: Management of deep caries and the exposed pulp

et al. 2019

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This position statement on the management of deep caries and the exposed pulp represents the consensus of an expert committee, convened by the European Society of Endodontology (ESE). Preserving the pulp in a healthy state with sustained vitality, preventing apical periodontitis and developing minimally invasive biologically based therapies are key themes within contemporary clinical endodontics. The aim of this statement was to summarize current best evidence on the diagnosis and classification of deep caries and caries‐induced pulpal disease, as well as indicating appropriate clinical management strategies for avoiding and treating pulp exposure in permanent teeth with deep or extremely deep caries. In presenting these findings, areas of controversy, low‐quality evidence and uncertainties are highlighted, prior to recommendations for each area of interest. A recently published review article provides more detailed information and was the basis for this position statement (Bjørndal et al. 2019, International Endodontic Journal, doi:). The intention of this position statement is to provide the practitioner with relevant clinical guidance in this rapidly developing area. An update will be provided within 5 years as further evidence emerges.

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“…Because of this it was not possible to analyze the outcomes by means of a meta-analysis. Most of the identified trials examined the influence of the capping material (23/27) on pulp vitality in VPT [17,23,25,[27][28][29][30][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46]48], one of them also randomized the method used for pulp wound lavage [41]. The use of NaOCl solutions for pulp wound lavage was reported in 11 of the 27 included trials [17,25,31,33,34,36,39,41,42,45,46].…”

Section: Resultsmentioning

confidence: 99%

Wound Lavage in Studies on Vital Pulp Therapy of Permanent Teeth with Carious Exposures: A Qualitative Systematic Review

Munir

Zehnder

Rechenberg

2020

JCM

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The aim of this study was to systematically review pulp wound lavage in vital pulp therapy (VPT). A search was conducted in six life science databases to identify clinical trials carried out on permanent teeth with a carious pulp exposure and a recall interval of at least six months. Twenty-seven trials of low to moderate risk of bias (RoB-2 and ROBINS-I) were included. Data was extracted and analyzed regarding study characteristics and methods used for pulp wound lavage. The agent used for pulp wound lavage was specified in all included trials. Most of the identified trials (23/27) randomized the pulp capping material. Many (14/27) reported the use of sodium hypochlorite (NaOCl); ten used only saline or water. One trial was identified that compared pulp wound lavage with 2.5% (NaOCl) to saline, another compared 5% glutaraldehyde to water, both in immature molar pulpotomies. Both studies were underpowered. Neither showed a significant difference between treatments. The use of NaOCl was positively correlated to recent year of publication and use of hydraulic calcium silicate cements for pulp capping (p < 0.05). In conclusion, despite a lack of well-designed trials on pulp wound lavage in VPT, a trend towards using NaOCl for this purpose was observed.

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A randomized controlled trial of various MTA materials for partial pulpotomy in permanent teeth

Cited by 71 publications

References 25 publications

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy

European Society of Endodontology position statement: Management of deep caries and the exposed pulp

Wound Lavage in Studies on Vital Pulp Therapy of Permanent Teeth with Carious Exposures: A Qualitative Systematic Review

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