Evidence map›Paper›PMID 42891840›Full record

Trial reportClinical oral investigations2026

Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.

Ulrike Urmann, Isabelle M Schenke, Karl-Anton Hiller, Wolfgang Buchalla, Katrin Bekes, Matthias Widbiller, Frederike Schenke, Fabian Cieplik, Konstantin J Scholz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Ulrike UrmannDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Isabelle M SchenkeDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Karl-Anton HillerDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Wolfgang BuchallaDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Katrin BekesDepartment of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090, Vienna, Austria.
Matthias WidbillerDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Frederike SchenkeDie Kinderzahnärzte Praxis Dr. Schenke & Kolleginnen, Regensburg, Germany.
Fabian CieplikDepartment of Operative Dentistry and Periodontology, Faculty of Medicine & Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Konstantin J ScholzDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany. Konstantin.scholz@uniklinik-freiburg.de.ORCID https://orcid.org/0000-0003-4450-4238

Funding

Medizinische Fakultät der Albert-Ludwigs-Universität Freiburg Berta-Ottenstein Advanced Clinician Scientist
6 · The paper itself

Abstract

objectivesThis randomized, controlled split-mouth study evaluated the short-term clinical survival of three hydraulic calcium silicate cements for pulp capping after pulpotomy in primary molars under general anesthesia. MATERIALS AND

methodsThirty-three children aged 2 to 6 years, each with three carious primary molars (ICDAS 4-6), were recruited for treatment under general anesthesia. Following pulpotomy, the pulp was randomly covered with one of the materials: ProRoot MTA (Dentsply Sirona), Biodentine (Septodont), or TotalFill BC RRM Putty (FKG). The teeth were restored with steel crowns. Clinical survival rate at 5 and 10 months, application time, treatment costs and oral health-related quality of life (OHRQoL) were evaluated using the ECOHIS-G questionnaire. Data analysis was performed using non-parametric methods (α = 0.05).

resultsAll 84 treated teeth remained in situ for up to 10 months without clinical symptoms. TotalFill BC RRM Putty had the significantly shortest application time (median 75.5 s; p ≤ 0.001) compared to Biodentine (259 s) and ProRoot MTA (200.5 s). Biodentine resulted in the significantly lowest treatment cost (median €42.45; p ≤ 0.001), ProRoot MTA in the highest (€74.37; TotalFill BC RRM Putty: €60.01). The treatments generally led to improved OHRQoL (Median ECOHIS-G score: initial 5, after 5 months 4, after 10 months 2.5).

conclusionsAll investigated hydraulic calcium silicate cements showed no differences in short-term clinical outcomes after pulpotomy in primary molars. CLINICAL RELEVANCE: Material selection may therefore be guided by practical factors such as handling time and treatment costs, while long-term outcomes, which require further investigations, should be considered. German Clinical Trials Registry: Ref. DRKS00030041.

Indexed as

Calcium CompoundsDental CementsMolarPulp Capping and Pulpectomy AgentsPulpotomySilicatesTooth, DeciduousAluminum CompoundsChildChild, PreschoolCrownsDental CariesDental Pulp CappingDrug CombinationsFemaleHumansAluminum CompoundsCalcium Compoundscalcium silicateDental CementsDrug Combinationsmineral trioxide aggregateOxidesProRoot MTAPulp Capping and Pulpectomy AgentsRoot Canal Filling MaterialsSilicatestricalcium silicateCalcium silicate-based capping materialsClinical studyDeciduous molarsGeneral anesthesiaOHRQoLPulpotomy

Identifiers

PMID42891840
PMCPMC13676555

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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.