Evidence map›Paper›PMID 34854987›Full record

Trial reportClinical oral investigations2022

Outcomes of root canal therapy or full pulpotomy using two endodontic biomaterials in mature permanent teeth: a randomized controlled trial.

Saeed Asgary, Mohammad Jafar Eghbal, Arash Shahravan, Eshaghali Saberi, Alireza Akbarzadeh Baghban, Ardavan Parhizkar

5 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 56 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 8 pooled it
11.5field-weighted citation impact, top 1% 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.

NCT05681494 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Assessment of Postoperative Pain and Treatment Success After Vital Pulp Therapy Versus Root Canal Treatment in Mature Permanent Mandibular Molars With Irreversible Pulpitis: A Randomized Controlled Trial

TypeinterventionalSponsorCairo UniversityRan2023 to 2024Enrolled44ConditionsSymptomatic Irreversible PulpitisArmsRoot canal treatment, Vital pulp therapy
NCT06437197 nacompletednot on this mapstarted 2023, after this paper: background citation

Clinical and Radiographic Evaluation of Platelets Rich Fibrin in Adult Pulpotomy: Randomized Clinical Trial

TypeinterventionalSponsorAl-Azhar UniversityRan2023 to 2024Enrolled20ConditionsIrreversible PulpitisArmsPulpotomy
NCT06488131 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

A Comparative Study Between MTA Pulpotomy and Root Canal Treatment in Management of First Permanent Molars With Irreversible Pulpitis in Children: A Randomized Controlled Trial

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2025Enrolled62ConditionsIrreversible PulpitisArmsMTA Pulpotomy, Root Canal Treatment
NCT06504108 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluation Of The Efficacy Of Using Calcium-Silicate Based Sealers As A Pulp Capping Material After Adult Pulpotomy: An In-vivo Study

TypeinterventionalSponsorAl-Azhar UniversityRan2024 to 2026Enrolled78ConditionsIrreversible PulpitisArmsCalcium silicate-based sealer full Pulpotomy, Calcium silicate-based premixed putty full Pulpotomy, Full Pulpotomy
NCT07375576 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of the Outcomes of Total Pulpotomy, Radicular Pulpotomy, and Root Canal Treatment in Teeth With Extremely Deep Caries and Symptomatic Irreversible Pulpitis

TypeinterventionalSponsorMustafa Kemal UniversityRan2025 to 2027Enrolled99ConditionsPost-operative Pain, Pulpitis - Irreversible, Success RateArmsTotal Pulpotomy, Radicular pulpotomy, Root canal treatment
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 8 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Preoperative Periapical Status and Outcomes of Vital Pulp Therapy: A Systematic Review and Meta-Analysis.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Management strategies for pulpitis in vital permanent teeth in children and adolescents: a systematic review and meta-analysis of randomized clinical trials.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Comparative evaluation of cervical pulpotomy and pulpectomy for primary molars with irreversible pulpitis: a multicentre randomised controlled trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024
    Trial
  14. Trial
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
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 4 institutions in 1 country.

Saeed AsgaryIranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, 1983963113, Tehran, Iran. saasgary@yahoo.com.ORCID http://orcid.org/0000-0001-6691-0478
Mohammad Jafar EghbalIranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, 1983963113, Tehran, Iran.
Arash ShahravanEndodontology Research Center, Endodontic Department, Dental School, Kerman University of Medical Sciences, 7618751689, Kerman, Iran.
Eshaghali SaberiEndodontic Department, Oral and Dental Diseases Research Center, Dental School, Zahedan University of Medical Sciences, 9816743463, Zahedan, Iran.
Alireza Akbarzadeh BaghbanProteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, 1971653313, Tehran, Iran.
Ardavan ParhizkarIranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, 1983963113, Tehran, Iran.
Shahid Beheshti University of Medical Sciences · IRKerman University of Medical Sciences · IRResearch Institute for Endocrine Sciences · IRZahedan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe concept of minimally invasive endodontics recommends less-invasive vital pulp therapy (VPT) modalities over more aggressive traditional endodontic approaches in mature permanent teeth with carious pulp exposure, including irreversible pulpitis (IP) cases. Consequently, VPT needs to be compared with root canal therapy (RCT) in terms of treatment outcomes. This randomized clinical trial compares the results of full pulpotomy using two calcium-silicate cements, i.e., mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cement, with RCT in mature permanent teeth. MATERIALS AND

methodsA total of 157 carious pulp exposure cases in two academic centers with/without established IP were selected/included/randomly appointed to three study arms; (i) RCT (n = 51) as the reference treatment, (ii) pulpotomy with ProRoot MTA (PMTA; n = 55), and (iii) pulpotomy with CEM cement (PCEM; n = 51) as two alternative VPT treatments. Two-year clinical/radiographic results were the outcomes of interest. Data were statistically analyzed through the analysis of variance, chi-square, Fisher exact test, and Kruskal-Wallis.

resultsAt 2-year recall, 147 teeth were examined (6.4% dropout). All molars, except for one, were clinically functional/symptom-free, and there was no statistical difference between the three study arms (p = 0.653). The radiographic success rates in RCT, PMTA, and PCEM arms were 98%, 100%, and 97.9%, respectively, without statistically significant differences (p = 0.544).

conclusionIn the management of mature permanent teeth with/without established IP, all experimental groups exhibited equivalent/comparable results. CLINICAL RELEVANCE: Simple VPT using MTA/CEM can be suggested/recommended as a viable advantageous alternative to RCT for the management of carious pulp exposures with/without sign/symptoms of IP.

Indexed as

PulpitisPulpotomyAluminum CompoundsBiocompatible MaterialsCalcium CompoundsDrug CombinationsHumansMolarOxidesRoot Canal TherapySilicatesAluminum CompoundsBiocompatible MaterialsCalcium CompoundsDrug CombinationsOxidesSilicatesCalcium-enriched mixtureCEM cementEndodonticIrreversible pulpitisMineral trioxide aggregatePulpotomyPulp regenerationTricalcium silicateVital pulp therapy

Identifiers

PMID34854987
PMCPMC8636579
OpenAlexW3216714807

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.