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European Archives of Paediatric Dentistry

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01-08-2015 | Systematic Review

Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol

Authors: E. Stringhini Junior, M. E. B. Vitcel, L. B. Oliveira

Published in: European Archives of Paediatric Dentistry | Issue 4/2015

Abstract

Aim

The aim of this study was to evaluate the scientific evidence of pulpotomy in primary teeth comparing mineral troxide aggregate (MTA), calcium hydroxide, ferric sulphate, and electrosurgery with formocresol.

Methods

A systematic search using key words was conducted using seven databases up to December 10, 2013. Clinical articles in English, Portuguese and Spanish were selected, which were in accordance with the inclusion and exclusion criteria and the research objective of comparing whether pulpotomy performed with formocresol in primary teeth is more effective than other medicaments or techniques.

Results

Out of the 12,515 publication initially identified, 30 clinical articles were included in the systematic review and analysed by four meta-analyses. The success rate of MTA (94.6 %) was higher than that of formocresol (87.4 %), with a statistically significant difference (OR = 0.39; 95 % CI = 0.25–0.62). Formocresol pulpotomy success was not statistically different from ferric sulphate or electrosurgery.

Conclusion

MTA was clinically and radiographically superior to formocresol for pulpotomy of primary teeth. The other alternatives to formocresol such as electrosurgery and ferric sulphate can be used instead of formocresol since they showed success similar to formocresol. In addition, there is no evidence to support calcium hydroxide for pulpotomies in primary teeth.

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Title: Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol
Authors: E. Stringhini Junior
M. E. B. Vitcel
L. B. Oliveira
Publication date: 01-08-2015
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Paediatric Dentistry / Issue 4/2015
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-015-0174-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol

Abstract

Aim

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Methods

Results

Conclusion

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