Evidence map›Paper›PMID 21842145›Full record

Trial reportClinical oral investigations2012

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial.

Karin Christine Huth, Niran Hajek-Al-Khatar, Petra Wolf, Nicoleta Ilie, Reinhard Hickel, Ekaterini Paschos

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05792748 (A Clinical Trial Comparing Reinforced Zinc Oxide Eugenol to Ferric Sulphate as a Pulpotomy Agent in Primary Teeth), which is not on this map. Cited by 28 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 6 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05792748 nacompletednot on this mapstarted 2013, after this paper: background citation

A Clinical Trial Comparing Reinforced Zinc Oxide Eugenol to Ferric Sulphate as a Pulpotomy Agent in Primary Teeth

TypeinterventionalSponsorKing Abdullah University HospitalRan2013 to 2014Enrolled65ConditionsPulpotomyArmsPulp hemostasis with a dry cotton pellet, Pulp hemostasis with a wet cotton pellet impregnated with FS, Stainless steel crown
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Contemporary management of deep caries in primary teeth: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Pooled it
  3. Efficacy of ferric sulphate as a pulpotomy medicament in primary molars: an evidence based approach.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2018
    Pooled it
  4. Pooled it
  5. Clinical and radiographic outcomes of laser pulpotomy in vital primary teeth: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2018
    Pooled it
  6. Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2015
    Pooled it
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  10. Clinical decision-making in pulp therapy of primary teeth among Tunisian dental practitioners: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Karin Christine HuthDepartment of Restorative Dentistry, Periodontology & Pedodontics, Dental School, Ludwig-Maximilians University, Goethestrasse 70, 80336 Munich, Germany. khuth@dent.med.uni-muenchen.de
Niran Hajek-Al-Khatar
Petra Wolf
Nicoleta Ilie
Reinhard Hickel
Ekaterini Paschos
Ludwig-Maximilians-Universität München · DEKlinikum rechts der Isar · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A pulpotomy is the therapy for management of pulp exposures due to caries in symptom-free primary molars. The aim was to longitudinally compare the relative effectiveness of the Er:YAG laser, calcium hydroxide and ferric sulphate techniques with dilute formocresol in retaining symptom-free molars. Two hundred primary molars in 107 healthy children were included and randomly allocated to one technique. The treated teeth were blindly reevaluated after 6, 12, 18, 24 and 36 months. Descriptive data analysis and logistic regression analysis accounting for multiple observations per patient by generalised estimating equation were used. Additionally, various influences including tooth type, upper and lower jaws, type of anaesthesia, operator and the final restoration on treatment success were evaluated (Wald chi-square test). After 36 months, the following total (considering clinical and clinically symptom-free radiographic failures) and clinical success rates were determined (in percent): Formocresol 72 (92), laser 73 (89), calcium hydroxide 46 (75), ferric sulphate 76 (97). No significant differences were detected between formocresol and any other technique after 36 months. However, the odds ratio of failure appeared to be three times higher for calcium hydroxide than for formocresol. No significant differences in total success rates were seen regarding the aforementioned influencing clinical parameters. The correct diagnosis of the pulpal status, bleeding control and the specific technique are highly important for long-term success of pulpotomies in primary molars. According to the presented long-term data, pulpotomies using ferric sulphate revealed the best treatment outcome among the used techniques, while calcium hydroxide resulted in the lowest success rates after 3 years. Therefore, we can recommend ferric sulphate for easy and successful treatment of primary molars with caries-exposed pulps.

Indexed as

Anesthesia, DentalCalcium HydroxideChildChild, PreschoolComposite ResinsCrownsDental CariesDental Cavity LiningDental MaterialsDental Pulp ExposureDental Restoration FailureDental Restoration, PermanentFerric CompoundsFollow-Up StudiesFormocresolsGlass Ionomer CementsCalcium HydroxideComposite ResinsDental MaterialsFerric Compoundsferric sulfateformocresolFormocresolsGlass Ionomer CementsIRM cementKetac-BondMethylmethacrylatesPulp Capping and Pulpectomy AgentsTetric ceramZinc Oxide-Eugenol Cement

Identifiers

PMID21842145
OpenAlexW2044345424

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.