Evidence map›Paper›PMID 30238414›Full record

SynthesisClinical oral investigations2019

MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials.

Emyr Stringhini Junior, Manuela Gouvêa Campêlo Dos Santos, Luciana Butini Oliveira, Montse Mercadé

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06398327 (Efficacy Of Proinflammatory Cytokines in the Clinical And Radiographic Outcomes of Different Primary Molar Pulpotomy Agents), which is not on this map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
6.8field-weighted citation impact, top 3% 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.

NCT06398327 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy Of Proinflammatory Cytokines in the Clinical And Radiographic Outcomes of Different Primary Molar Pulpotomy Agents: A Comparative Study Featuring A Novel Biomarker For Pulpal Diagnosis

TypeinterventionalSponsorAtaturk UniversityRan2021 to 2023Enrolled75ConditionsPulp Disease, DentalArmsPULPOTOMY TREATMENT
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  4. Retrograde filling material in periapical surgery: a systematic review.Medicina oral, patologia oral y cirugia bucal · 2021
    Pooled it
  5. Pooled it
  6. Trial
  7. Long-term evaluation of primary teeth molar pulpotomies with Biodentine and MTA: a CONSORT randomized clinical trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Trial
  8. A randomised controlled clinical trial comparing pure Portland cement and formocresol pulpotomies followed from 2 to 4 years.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Trial
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  10. Review
  11. Article
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  15. Article
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  17. Article
  18. Evaluation of Cytotoxicity ofInternational journal of clinical pediatric dentistry · 2024
    Article
  19. 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

4 authors at 2 institutions in 2 countries.

Emyr Stringhini JuniorSão Leopoldo Mandic Institute and Research Center, Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, São Paulo, 13045-755, Brazil.
Manuela Gouvêa Campêlo Dos SantosSão Leopoldo Mandic Institute and Research Center, Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, São Paulo, 13045-755, Brazil.
Luciana Butini OliveiraSão Leopoldo Mandic Institute and Research Center, Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, São Paulo, 13045-755, Brazil. lubutini@uol.com.br.ORCID http://orcid.org/0000-0002-8755-6540
Montse MercadéDepartment of Dentistry, Universitat de Barcelona, Feixa Llarga s/n, L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
Faculdade São Leopoldo Mandic · BRAjuntament de L’Hospitalet · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to perform a systematic review and meta-analysis of clinical trials in order to evaluate the clinical and radiographic success rates of primary teeth pulpotomy performed with biodentine, when compared to MTA.

methodsSearch strategies were conducted in nine databases on August 5th, 2017, update on February 14th, 2018. Clinical articles were selected, which were in accordance with the inclusion and exclusion criteria and the research objective. They were analyzed by meta-analysis at three time points (6, 12, and 18 months).

resultsOut of the 233 publications initially identified, only 9 studies that fulfilled the inclusion criteria were included in the review. The 6-month overall clinical (RR = 0.99; 95% CI = 0.96-1.02, p = 0.92) and radiographic success rates (RR = 0.96; 95% CI = 0.92-1.00, p = 0.28) showed that biodentine vs. MTA did not differ statistically. The 12 and 18-month overall clinical success rates, respectively (RR = 1.01; 95% CI = 0.97-1.04, p = 0.77; RR = 0.98; 95% CI = 0.92-1.05, p = 0.74) and radiographic success rates, respectively (RR = 0.97; 95% CI = 0.92-1.02, p = 0.11; RR = 1.00; 95% CI = 0.91-1.10, p = 0.56) also showed that biodentine vs. MTA did not differ statistically.

conclusionThere is no superiority of one material over the other, MTA versus biodentine. CLINICAL RELEVANCE: This systematic review comparing the performance of biodentine in relation to the MTA when used in the pulpotomy technique in primary teeth. Although MTA is considered the gold standard material for pulpotomy procedures, it has some drawbacks (poor handling, staining potential, long setting time); thus, it is important to evaluate the clinical performance of other calcium silicate-based cements like biodentine that overcome this drawbacks.

Indexed as

PulpotomyTooth, DeciduousCalcium CompoundsChildChild, PreschoolDrug CombinationsHumansPemetrexedSilicatesCalcium CompoundsDrug CombinationsPemetrexedSilicatestricalcium silicateCalcium silicate materialsEndodontic treatmentPrimary teethPulpotomy

Identifiers

PMID30238414
OpenAlexW2890172888

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.