Evidence map›Paper›PMID 39733128›Full record

Trial reportScientific reports2024

Analysis of pulp histological response to pulpotomy performed with white mineral trioxide aggregate mixed with 2.25% sodium hypochlorite gel in humans: a randomized controlled clinical trial.

Mawia Karkoutly, Amirah Alnour, Jamal Alabdullah, Amjad Abu Hasna, Ok Hyung Nam, Darin Jalloul, Saleh Al Kurdi, Nada Bshara

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

8 authors.

Mawia KarkoutlyDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syrian Arab Republic. mawiamaherkarkoutly@hotmail.com.
Amirah AlnourDepartment of Oral and Maxillofacial Pathology, Faculty of Dentistry, Damascus University, Damascus, Syrian Arab Republic.
Jamal AlabdullahDepartment of Protection and Safety, Atomic Energy Commission, P.O. Box 6091, Damascus, Syrian Arab Republic.
Amjad Abu HasnaDepartment of Restorative Dentistry, Endodontics Division, Institute of Science and Technology, São Paulo State University (ICT-UNESP), Eng. Francisco José Longo Avenue 777, São José Dos Campos, São Paulo, 12245-000, Brazil.
Ok Hyung NamDepartment of Pediatric Dentistry, School of Dentistry, Kyung Hee University, Seoul, Korea.
Darin JalloulDepartment of Operative Dentistry and Endodontics, Faculty of Dentistry, Damascus University, Damascus, Syrian Arab Republic.
Saleh Al KurdiDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syrian Arab Republic.
Nada BsharaDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syrian Arab Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the histological success of pulpotomy in primary molars using white mineral trioxide aggregate (WMTA) mixed with 2.25% sodium hypochlorite (NaOCl) gel and to evaluate in vitro its physical and chemical properties. The study had a clinical stage and an in-vitro stage. The clinical study was conducted with 24 patients aged 8-10 years. It was a randomized controlled trial to perform a histologic evaluation of pulp response following pulpotomy. Primary first molars were randomly assigned in split mouth model to control group-WMTA + distilled water (DW) or experimental group - WMTA + NaOCl gel. Teeth were extracted after 7, 30 or 90 days and submitted to histological analysis. The second stage was an in-vitro study to evaluate the physical and chemical properties of the two materials tested. SEM and EDX analyses and pH level evaluations were performed after 24 h and 28 days. The histological findings revealed that while WMTA + NaOCl gel group showed better odontoblastic integrity (P < 0.05), WMTA + DW group had more favorable outcomes in dentin bridge formation and pulp calcification (P < 0.05). Pulp tissue hemorrhage and pulp fibrosis were similar between them (P > 0.05). Regarding materials' in vitro evaluation, the pH level indicated a higher initial pH for the WMTA + NaOCl gel group, which equalized after 28 days. SEM analysis initially showed a less homogeneous surface for WMTA + NaOCl gel, but it became similar after 28 days. EDX analysis indicated higher calcium and silicon percentages in the WMTA + NaOCl gel group initially, which increased in both groups after 28 days. Adding 2.25% NaOCl gel to WMTA enhanced odontoblastic integrity in both the short and medium term. In addition, it had a similar chemical composition, surface morphology, and alkalinity when compared to WMTA + DW mixture.

Indexed as

Aluminum CompoundsCalcium CompoundsDental PulpDrug CombinationsOxidesPulpotomySilicatesSodium HypochloriteChildFemaleGelsHumansMaleMolarOdontoblastsAluminum CompoundsCalcium CompoundsDrug CombinationsGelsmineral trioxide aggregateOxidesSilicatesSodium HypochloriteMineral trioxide aggregatePulpotomySodium hypochlorite gel

Identifiers

PMID39733128
PMCPMC11682085

What OpenQuestion holds

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Registered trials

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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.