Evidence map›Paper›PMID 24452827›Full record

SynthesisClinical oral investigations2014

Mineral trioxide aggregate versus formocresol pulpotomy: a systematic review and meta-analysis of randomized clinical trials.

Armin Shirvani, Saeed Asgary

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pulp treatment for extensive decay in primary teeth.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. 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
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. 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
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Dental research journal · 2022
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. A review on vital pulp therapy in primary teeth.Iranian endodontic journal · 2015
    Review
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

2 authors at 1 institution in 1 country.

Armin ShirvaniIranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saeed AsgaryIranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran. saasgary@yahoo.com.
Shahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study systematically reviewed randomized clinical trials (RCTs) investigating the effectiveness of primary molar pulpotomies with mineral trioxide aggregate (MTA) and formocresol. The study also aimed to assess the possible association of reported prognostic factors on the success rate and relative risk using meta-regression analysis. MATERIALS AND

methodsA comprehensive literature search using Medline, EMBASE, and Cochrane Central databases up to March 2013 was conducted. After scoring and data extraction of qualified trials (n = 19, representing 1,585 patients), meta-analyses were performed using Mantel-Haenszel model and inverse variance-weighted method.

resultsThe results revealed that MTA is more effective than formocresol in primary molars pulpotomy, resulting in a lower failure rate with a relative risk of 0.26 (CI, 0.13-0.49), 0.37 (CI, 0.19-0.70), and 0.41 (CI, 0.25-0.68) for 6-, 12-, and 24-month follow-ups (test for statistical heterogeneity: p = 0.99, p = 0.98, and p = 0.23), respectively. Compared to amalgam restoration, success rate was significantly greater with SS crown (P < 0.05); however, no evidence for association between other reported prognostic factors such as selection of first/second molar, upper/lower jaw, gender, and various follow-up times with treatment success was observed.

conclusionsBased on the quality, homogeneity, and sufficient number of included RCTs, primary molar pulpotomy with MTA can produce a higher success rate in comparison with formocresol. CLINICAL RELEVANCE: When compared with formocresol, MTA pulpotomy is superior in treating primary molars.

Indexed as

Aluminum CompoundsCalcium CompoundsFormocresolsOxidesRandomized Controlled Trials as TopicSilicatesDrug CombinationsHumansPulpotomyAluminum CompoundsCalcium CompoundsDrug CombinationsformocresolFormocresolsmineral trioxide aggregateOxidesSilicates

Identifiers

PMID24452827
OpenAlexW2056742460

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.