Evidence map›Paper›PMID 41756790›Full record

ReviewJournal of conservative dentistry and endodontics2026

Comparative evaluation of calcium-enriched mixture and mineral trioxide aggregate in vital pulp therapy of molars: A systematic review.

Aarti Ravishankar Lamb, Sheetal Ghivari, Rishikesh Meshram, Ambar Raut, Maithilee Sapkal, Saniya Rege

Abstract readReview
In one paragraph

Review in Journal of conservative dentistry and endodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Aarti Ravishankar LambDepartment of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Sheetal GhivariDepartment of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Rishikesh MeshramDepartment of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Ambar RautDepartment of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Maithilee SapkalDepartment of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Saniya RegeDepartment of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vital pulp therapy (VPT) promotes pulp healing and prevents bacterial contamination. Mineral trioxide aggregate (MTA) improves outcomes but has drawbacks such as difficult handling, long setting time, discoloration, and cost. Calcium enriched mixture (CEM) cement, introduced as an alternative, offers easier handling, faster setting, and comparable biological properties. This systematic review evaluated the effectiveness of CEM versus MTA in VPT of primary and permanent molars. The review protocol was registered in the PROSPERO database (Registration Number: CRD420251030455). A systematic search of PubMed/MEDLINE, Scopus, Web of Science, and Cochrane Library was performed for randomized controlled trials (RCTs) published between January 2005 and December 2024. Eligible studies compared CEM with MTA or calcium hydroxide in VPT. Of 522 studies screened, 8 RCTs met the inclusion criteria. Risk of bias (RoB) was assessed using the Cochrane RoB 2.0 tool. Clinical outcomes were evaluated by postoperative pain (Visual Analog Scale and Numeric Rating Scale), and radiographic outcomes by periapical index. Both CEM and MTA significantly reduced postoperative pain and showed high success rates in direct pulp capping, pulpotomy, and pulpectomy. No significant difference was observed between the two biomaterials. CEM and MTA both demonstrated favorable results in preserving pulp vitality and achieving long term success. While MTA remains widely used due to its proven biocompatibility, CEM offers comparable efficacy with advantages such as easier handling, faster setting, and reduced discoloration. Further long term multicenter RCTs are needed to establish standardized protocols.

Indexed as

Calcium enriched mixturemineral trioxide aggregaterestorative dentistrysystematic reviewvital pulp therapy

Identifiers

PMID41756790
PMCPMC12935437

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.