This review of endodontic treatments for immature teeth included 7 small RCTs at medium to high risk of bias. They suggest that mineral trioxide (MTA) may provide better clinical outcomes in relation to apical closure but the findings should be interpreted with caution.
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This review of pulp capping in primary and permanent teeth included 11 studies involving a total of 1196 teeth in 922 patients . Most materials did not show superiority compared with calcium hydroxide.
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This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.
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This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.
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This review of root perforation repair included 17 studies that were mainly retrospective and small. The overall success rates for all materials was = 72.5% (CI; 61.9%–81.0%) with a suggestion of better rates for MTA. However, the quality of the evidence was low.
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This review compared direct pulp capping in permanent teeth with MTA and calcium hydroxide including 13 studies, 10 of which were RCTs. The odds of success were higher with MTA, OR = 2.26; (95% CI, 1.33–3.85).
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This small study found good short term success rates for a new MTA derived pulp capping material in permanent teeth. Larger well-conducted longer-term studies are necessary to establish its clinical utility.
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This new Cochrane review update finds no evidence to clearly identify one superior pulpotomy medicament and technique for primary molars.
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The aim of this study was to evaluate and compare two different white MTA cements as pulpotomy medicaments in human primary teeth, Pro-Root MTA and MTA Angelus. Child patients with deep occlusal carious lesion, which presented potential risk of pulp exposure during complete removal of carious dentin, as determined by clinical and radiographic assessment were [read the full story…]
When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity. Consequently a range of other materials have been investigated, ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]
