Evidence map›Paper›PMID 29073902›Full record

Trial reportHead & face medicine2017

Clinical and radiographic evaluation of pulpectomy in primary teeth: a 18-months clinical randomized controlled trial.

Xiaoxian Chen, Xinggang Liu, Jie Zhong

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Head & face medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05448937 (Clinical And Radiographic Evaluation Of Lesion Sterilization And Tissue Repair Versus Zinc Oxide And Eugenol For Treatment of Necrotic Primary Molars), which is not on this map. Cited by 38 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 6 pooled it
2.5field-weighted citation impact, top 13% 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.

NCT05448937 phase2 / phase3completednot on this mapstarted 2022, after this paper: background citation

Clinical And Radiographic Evaluation Of Lesion Sterilization And Tissue Repair Versus Zinc Oxide And Eugenol For Treatment of Necrotic Primary Molars

TypeinterventionalSponsorCairo UniversityRan2022 to 2025Enrolled60ConditionsNecrotic Primary MolarsArmsLesion sterilization and tissue repair, zinc oxide and eugenol pulpectomy
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 6 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Evaluation of oral health-related quality of life following pulp therapy or extraction in paediatric patients: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  2. Different outcomes of rotary and manual instrumentation in primary teeth pulpectomy: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  3. Pooled it
  4. Alternative root canal filling materials to zinc oxide eugenol in primary teeth: a systematic review of the literature.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023
    Pooled it
  5. Pooled it
  6. The Clinical Effectiveness of Calcium Hydroxide in Root Canal Disinfection of Primary Teeth: A Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Pooled it
  7. Trial
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  9. Article
  10. Review
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  12. Article
  13. Article
  14. Factors Affecting Success and Failure of Pulpectomy in Primary Teeth: A Systematic Review.International journal of clinical pediatric dentistry · 2025
    Article
  15. [Antibacterial properties, biocompatibility, and clinical selection strategies of root canal filling materials for primary teeth].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  16. Article
  17. Article
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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

3 authors at 2 institutions in 1 country.

Xiaoxian ChenDepartment of Pediatric Dentistry, First clinical Division, Peking University School and Hospital of Stomatology, Beijing, China.
Xinggang LiuDepartment of Prosthodontics, Beijing Stomatological Hospital&School of Stomatology, Capital Medical University, 4 Tian Tan Xi Li, Beijing, 100050, People's Republic of China. iceworlds0033@126.com.
Jie ZhongDepartment of Pediatric Dentistry, First clinical Division, Peking University School and Hospital of Stomatology, Beijing, China.
Peking University · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo avoid untoward changes when primary teeth are replaced by permanent teeth, resorption of the material used in primary teeth root canal filling should occur at the same rate as root resorption. The Aim of this study was to compare the success rates of a mixed primary root canal filling (MPRCF, ingredients: zinc oxide-eugenol [ZOE], iodoform, calcium hydroxide) to those of ZOE and Vitapex in pulpectomised primary molars.

methodsOne hundred and sixty primary molars from 155 children (average age 5.88 ± 1.27 years) underwent two-visit pulpectomy using one of the three materials. The clinical and radiographic findings at 6, 12 and 18 months were assessed.

resultsAt 6 and 12 months, the MPRCF and ZOE success rates were 100%. The Vitapex group showed clinical success rate and radiographic success rate of 100 and 94.5% at 6 months, and 80.4 and 60.7% at 12 months. The 18-month clinical success rates of the MPRCF, ZOE and Vitapex were 96.2, 92.2 and 71.4% and radiographic success rates were 92.5, 88.2 and 53.6%, respectively. There was a statistically significant difference in the success rates between MPRCF and Vitapex and no significant differences between MPRCF and ZOE. More MPRCF were resorbed at same rate with roots than ZOE and Vitapex. Early resorption of root filling resulted in more failure.

conclusionsThe mixture of ZOE, iodoform and calcium hydroxide can be considered an effective root canal filling material in pulp involved primary teeth and had no adverse effect on tooth replacement.

trial registrationChiCTR-TRC-14004938 . Registered 13 July 2014.

Indexed as

Calcium HydroxideChildChild, PreschoolChinaDental Pulp CavityDouble-Blind MethodFemaleFollow-Up StudiesHumansMalePulpectomyRadiography, DentalRisk AssessmentRoot Canal Filling MaterialsSiliconesTime FactorsCalcium Hydroxidecalcium hydroxide, iodoform, silicone oil drug combinationRoot Canal Filling MaterialsSiliconesZinc Oxide-Eugenol CementCalcium hydroxideIodoformPrimary teethPulpectomyZinc Oxide-Eugenol

Identifiers

PMID29073902
PMCPMC5658955
OpenAlexW2625858428

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.