Effect of mineral trioxide aggregate and formocresol pulpotomy on vital primary teeth: a clinical and radiographic study. Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol. Comparison of mineral trioxide aggregate and formocresol as pulp medicaments for pulpotomies in primary molars Success of mineral trioxide aggregate in pulpotomized primary molars. Comparative evaluation of formocresol and mineral trioxide aggregate in pulpotomized primary molars--2 year follow up. Randomized controlled trial of mineral trioxide aggregate and formocresol for pulpotomy in primary molar teeth. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Mineral trioxide aggregate vs. formocresol in pulpotomized primary molars: a preliminary report. Success rates of mineral trioxide aggregate, ferric sulfate, and formocresol pulpotomies: a 24-month study. Clinical and Radiographic Evaluation of Four Different Pulpotomy Agents in Primary Molars: A Longitudinal Study Dentin bridge formation after mineral trioxide aggregate (MTA) pulpotomies in primary teeth. Mineral Trioxide Aggregate vs. Calcium Hydroxide in Primary Molar Pulpotomy: A Systematic Review Mineral trioxide aggregate versus calcium hydroxide for pulpotomy in primary molars. Clinical and radiographic comparison of biodentine, mineral trioxide aggregate and formocresol as pulpotomy agents in primary molars Clinical Evaluation of Success of Primary Teeth Pulpotomy Using Mineral Trioxide Aggregate(®), Laser and Biodentine(TM)- an In Vivo Study. Clinical Pulpotomy Trial of Copaifera Langsdorffii Oil Resin Versus Formocresol and White Mineral Trioxide Aggregate in Primary Teeth. Short-term treatment outcome of pulpotomies in primary molars using mineral trioxide aggregate and Biodentine: a randomized clinical trial Mineral trioxide aggregate produces superior outcomes in vital primary molar pulpotomy. Randomized Controlled Trial of Pulpotomy in Primary Molars using MTA and Formocresol Compared to 3Mixtatin: A Novel Biomaterial. A comparative evaluation of clinical and radiographic success rate of pulpotomy in primary molars using antioxidant mix and mineral trioxide aggregate: An in vivo 1-year follow-up study A randomized trial of mineral trioxide aggregate cements in primary tooth pulpotomies. Comparative evaluation of formocresol and mineral trioxide aggregate as pulpotomy agents in deciduous teeth. Clinical Evaluation of Low Level Diode Laser Application For Primary Teeth Pulpotomy.
BACKGROUND Pulpotomy is the common therapy for cariously exposed pulps in symptom-free primary molar teeth .  Formocresol ( FC ) is considered the gold st and ard dressing agent for pulpotomy , but concerns have been raised over the years about its safety . Other alternative pulpotomy agents have been investigated and suggested . OBJECTIVE The objective was to evaluate and compare the clinical and radiographic response of FC and white mineral trioxide aggregate ( MTA ) as pulpotomy material s on primary molars . MATERIAL S AND METHODS Fifty primary molars , with deep carious lesion that exposed a vital but asymptomatic pulp , in 37 children aged 4 - 7 years were treated with conventional pulpotomy procedure .  The teeth were divided r and omly into two groups . Group I ( FC ) and group II ( MTA ) . The treated teeth were evaluated clinical ly and radiographically and were followed-up for 12 months . RESULTS At the end of the 12 months follow-up , the clinical success rates for FC and MTA were 81 % and 100 % , respectively . There was a statistically significant difference ( P = 0.04 ) between the clinical success rates of FC and MTA . While the radiographic success rates for FC and MTA were 81 % and 96 % , respectively , there was no statistically significant difference between the radiographic success of MTA and FC . CONCLUSION White MTA showed a higher clinical and radiographic success rate when compared to FC as a pulpotomy agent in vital primary molars , and it has a potential to become a replacement for FC in primary molars PURPOSE The objective of this study was to assess the effect of mineral trioxide aggregate ( MTA ) as pulp dressing material following pulpotomy in primary molars with carious pulp exposure and compare them to those of formocresol ( FC ) . METHODS Of 33 children , primary molars treated via a conventional pulpotomy technique  were r and omly assigned to the MTA  group ( 33 teeth ) or FC  group ( 29 teeth ) . Clinical and radiographic follow-up ranged between 4 and 74 months . The mean follow-up time was 38 months , with no difference between the groups . Twenty-nine teeth were followed until uneventful shedding ( mean=33 months ) . Failures were detected after a mean period of 16 months ( range=4 to 30 ) . RESULTS The success rate of pulpotomy was 97 % for MTA ( 1 failure ) and 83 % for FC ( 5 failures ) . Eight teeth presented internal resorption . In 4 of them ( 2 of each group ) , progress of the resorption process stopped and the pulp tissue was replaced by a radioopaque calcified tissue . Pulp canal obliteration was observed in 58 % of the MTA group and in 52 % of the FC group ( total=55 % ) . CONCLUSIONS MTA showed a higher ( though not statistically significant ) long-term clinical and radiographic success rate than formocresol , and can be recommended as its replacement as , unlike FC , MTA does not induce undesirable responses Purpose The aim of this study was to compare the effect of white mineral trioxide aggregate ( MTA ) to that of formocresol ( FC ) as pulp dressing agents in pulpotomised primary molars . Methods In this clinical trial study , 60 lower second primary molars of 46 children were treated by a conventional pulpotomy technique . The teeth were r and omly assigned to the MTA ( experimental ) and FC ( control ) groups by r and om numbered table . Following removal of the coronal pulp and haemostasis , the pulp stumps were covered with an MTA paste in the experimental group . In the control group , FC was placed with a cotton pellet over the pulp stumps . The teeth of both groups were restored with stainless steel crowns . Children arrived for clinical and radiographic follow-up evaluation after 6 , 12 and 24 months . Results The treated teeth in FC group ( n = 18 ) were clinical ly and radiographically successful after 24 months . The radiographic follow-up evaluation revealed one failure ( furcation involvement ) in 18 molars treated with MTA after 24 months . The treated teeth in MTA group were clinical ly successful 24 months postoperatively . Pulp canal obliteration was observed in one of the teeth treated with MTA and four of the teeth treated with FC . Conclusion MTA could be used as a safe medicament for pulpotomy in cariously exposed primary molars and could be a substitute for FC UNLABELLED The aim of the present study was to compare , clinical ly and radiographically , the mineral trioxide aggregate ( MTA ) to formocresol ( FC ) when used as medicaments in pulpotomized vital human primary molars . METHODS The sample consisted of 120 primary molars , all teeth were treated with the same conventional pulpotomy technique .  Sixty molars received FC and 60 received MTA throughout a r and om selection technique . RESULTS At the end of 24-month evaluation period , 74 molars ( 36 FC , 38 MTA ) were available for clinical and radiographic evaluation . None of the MTA treated teeth showed any clinical or radiographic pathology , while the FC group showed a success rate of 86.8 % radiographically and 98.6 % clinical ly . The difference between the two groups in the radiographic outcomes was statistically significant . It was concluded that MTA treated molars demonstrated significantly greater success .  MTA seems to be a suitable replacement for formocresol in pulpotomized primary teeth AIM The aim of the present study was to clinical ly and radiographically evaluate Mineral Trioxide Aggregate ( MTA ) as an agent for pulpotomy in primary teeth and to compare it with that of Formocresol ( FC ) pulpotomy . METHOD Seventy first and second primary m and ibular molars of children were chosen on patients who required minimum two pulpotomies in either arch or same arch . After the st and ardized technique of Pulpotomy with MTA and Formocresol , all molars were treated with a thick mix of Zinc oxide Eugenol cement into the coronal pulp chamber followed by preformed stainless steel crown . The children were followed up for clinical and radio graphical examination after 6 , 12 and 24 month for Pain , Swelling , Sinus/fistula , Periapical changes , Furcation radiolucency and internal resorption . RESULTS MTA represents 97 % clinical success rate in comparison to Formocresol with 85 % success . Radiographically also MTA showed more promising results with 88.6 % success in comparison to Formocresol with 54.3 % . CONCLUSIONS Thus , MTA pulpotomy has emerged as an easier line of treatment to save the premature loss of primary teeth due to caries or trauma AIM To compare the outcome after 6 months of the application of formocresol ( FC ) or mineral trioxide aggregate ( MTA ) during pulpotomy in primary molar teeth . METHODOLOGY A maximum of 126 children ( aged 5 - 9 years ) with carious primary teeth that required pulpotomy were selected . Following r and omization , a st and ard pulpotomy preparation was undertaken , and the coronal pulp removed and bleeding arrested . In the FC group , cotton balls , soaked in FC , were placed for 5 min , and then the pulp chamber was filled with Zonalin , a pulpotomy agent . In the MTA group , a 1-mm-thick paste of MTA was used as a pulpotomy agent . The crowns in both groups were restored with amalgam or glass ionomer .  The teeth of 100 patients were evaluated and compared clinical ly and radiographically after 3 and 6 months . RESULTS No signs of clinical failure were observed at the 3- and 6-month follow-up appointments in either group . There were no significant differences in the radiographic findings of the teeth and surrounding tissue at the 3-month follow-up . However , at the 6-month follow-up , significantly more cases ( P = 0.036 ) with root resorption were seen in the FC group ; no cases of resorption occurred amongst the MTA cases . The surrounding tissue showed radiographic signs of post-treatment disease in four FC cases ; none was seen in the MTA cases . CONCLUSION After 6 months , pulpotomy with MTA was associated with fewer cases of root resorption and post-treatment disease .  MTA appears to be a reliable alternative material for pulpotomy in primary molar teeth AIM To compare the effectiveness of mineral trioxide aggregate ( MTA ) , calcium hydroxide ( CH ) and formocresol ( FC ) as pulp dressing agents in carious primary teeth . METHODOLOGY Forty-five primary m and ibular molars with dental caries in 23 children [ AUTHOR QUERY : How many children ? ] between 5 and 9 years old were treated by a conventional pulpotomy technique . The teeth were r and omly assigned to the experimental ( CH or MTA ) or control ( FC ) groups . After coronal pulp removal and haemostasis , remaining pulp tissue was covered with MTA paste or CH powder in the experimental groups . In the control group , diluted FC was placed with a cotton pellet over the pulp tissue for 5 min and removed ; the pulp tissue was then covered with zinc oxide-eugenol ( ZOE ) paste . All teeth were restored with reinforced ZOE base and resin modified glass-ionomer cement .  Clinical and radiographic successes and failures were recorded at 3 , 6 , 12 , 18 and 24 month follow-up . RESULTS Forty-three teeth were available for follow-up . In the FC and MTA groups , 100 % of the available teeth were clinical ly and radiographically successful at all follow-up appointments ; dentine bridge formation could be detected in 29 % of the teeth treated with MTA . In the CH group , 64 % of the teeth presented clinical and radiographic failures detected throughout the follow-up period , and internal resorption was a frequent radiographic finding . CONCLUSIONS Mineral trioxide aggregate was superior to CH and equally as effective as FC as a pulpotomy dressing in primary m and ibular molars . Internal resorption was the most common radiographic finding up to 24 month after pulpotomies performed with CH PURPOSE The aim of this study was to compare the effect of mineral trioxide aggregate ( MTA ) to that of formocresol ( FC ) as pulp dressing agents in pulpotomized primary molars with carious pulp exposure . METHODS Forty-five primary molars of 26 children were treated by a conventional pulpotomy technique . The teeth were r and omly assigned to the MTA ( experimental ) or FC ( control ) group by a toss of a coin . Following removal of the coronal pulp and hemostasis the pulp stumps were covered with an MTA paste in the experimental group . In the control group , FC was placed with a cotton pellet over the pulp stumps for 5 minutes and removed ; the pulp stumps were then covered by zinc oxide-eugenol ( ZOE ) paste . The teeth of both groups were restored with stainless steel crowns . Eighteen children with 32 teeth arrived for clinical and radiographic follow-up evaluation ranging from 6 to 30 months . RESULTS The follow-up evaluations revealed only one failure ( internal resorption detected at a 17 months postoperative evaluation ) in a molar treated with formocresol . None of the MTA-treated teeth showed any clinical or radiographic pathology . Pulp canal obliteration was observed in 9 of 32 ( 28 % ) evaluated molars . This finding was detected in 2 out of the 15 teeth treated with FC ( 13 % ) and in 7 out of the 17 treated with MTA ( 41 % ) . CONCLUSION MTA showed clinical and radiographic success as a dressing material following pulpotomy in primary teeth and seems to be a suitable replacement for formocresol in primary teeth PURPOSE The purpose of this study was to evaluate the total success rates of mineral trioxide aggregate ( MTA ) , ferric sulfate ( FS ) , and formocresol ( FC ) as pulpotomy agents in primary molars . METHODS A r and omized , split-mouth study design was used in 32 healthy 5- to 7-year-old children with 128 carious primary molars without clinical or radiographic evidence of pulp degeneration . The pulpotomy agents were assigned as follows : Group 1=MTA ; Group 2=FS ; Group 3=1:5 diluted Buckley 's FC ; and Group 4=zinc oxide eugenol ( ZOE ) base . Clinical and radiographic follow-up at 6 , 12 , and 24 months used the following criteria : pain ; swelling ; sinus tract ; mobility ; internal root resorption ; and furcation and /or periapical bone destruction . The data were analyzed using chi-square . RESULTS No significant differences in success rates were found among the groups at 6 and 12 months . Success rates in groups 1 to 4 at 24 months were 96 % , 88 % , 88 % , and 68 % respectively . There was a significant difference ( P<.001 ) between the MTA and ZOE groups at 24 months . CONCLUSIONS ZOE , as the only pulpotomy medicament , had a significantly lower success rate than MTA . No significant differences were observed , among the 3 experimental material s ( MTA , FC , and FS ) at 2 years follow-up Background The medicament formocresol ( FC ) used for pulpotomy in primary teeth has great concerns regarding its toxicity due to one of its constituent formaldehyde which acts by tissue fixation . Therefore , new medicaments were introduced which cl aim ed preservation and regeneration of pulp . Aim The present study is aim ed to compare and evaluate the clinical and radiographic success of FC , pulpotec , mineral trioxide aggregate ( MTA ) , and emdogain ( EMD ) as pulpotomy medicaments in human primary molars . Design A sample of 21 patients with 84 teeth were selected . All the patients have at least four teeth eligible for pulpotomy according to selection criteria . In each mouth , the teeth selected were r and omly allocated into four groups with 21 each . Results After 24 months of follow-up , the clinical success rates were  FC  ( 94 % ) , pulpotec ( 94 % ) , MTA ( 100 % ) , and EMD ( 83 % ) and radiographically FC  ( 88 % ) , pulpotec ( 83 % ) , MTA ( 94 % ) , and EMD ( 72 % ) , which were statistically not significant ( p > 0.05 ) . Conclusion The outcome of this study demonstrates MTA has a high success rate compared with FC , pulpotec , and EMD as pulpotomy agent . In addition , MTA , pulpotec , and EMD can be considered as alternatives to FC as pulpotomy agent . How to cite this article Sunitha B , Puppala R , Kethineni B , Mallela MK , Peddi R , Tarasingh P. Clinical and Radiographic Evaluation of Four Different Pulpotomy Agents in Primary Molars : A Longitudinal Study . Int J Clin Pediatr Dent 2017;10(3):240 - 244 PURPOSE To evaluate the results of using mineral trioxide aggregate ( MTA ) in pulpotomy procedures in primary teeth . METHODS Seven patients were selected and a total of 20 molars and two canines were treated with pulpotomy procedures using MTA instead of formocresol . RESULTS After 6 months , 55 % of the molars and 100 % of the canines treated showed radiographic signs of dentin bridge formation . Also , 6 months after treatment , 60 % of the molars showed root canal calcification ( obliteration ) . Color change of the crown of the canines treated was noticeable . No clinical or radiographic signs of pathology was observed Introduction : The aim of this quantitative systematic review /meta- analysis was to compare the treatment outcomes of mineral trioxide aggregate ( MTA ) and calcium hydroxide ( CH ) in pulpotomy of human primary molars . The focused PICO question was “ in case of pulp exposure in vital primary molars , how does MTA pulpotomy compare to CH in terms of clinical /radiographic success ? ” Methods and Material s : We retrieved published r and omized clinical trials ( RCTs ) of at least 6-month duration ; our search included articles published up to March 2013 in five following data bases : PubMed ( Medline ) , Cochrane data base of systematic review s , Science Citation Index , EMBASE , and Google Scholar . Mantel Haenszel and Inverse Variance-weighted methods were applied by STATA ; the relative risk ( RR ) was calculated with 95 % confidence intervals ( CI ) . Results : A total of 282 English articles were collected . Two authors independently screened the articles and five RCTs were selected ; data extraction and quality assessment were then carried out . Four RCTs were appropriate for meta- analysis according to their follow-up times by Mantel Haenszel method . Statistically significant difference was found between success rate of MTA compared to CH , with RR=0.08 ( 95 % CI , 0.02 - 0.39 ) , RR=0.19 ( 95 % CI , 0.08 - 0.46 ) , and RR=0.38 ( 95 % CI , 0.21 - 0.68 ) for 6- , 12- , and 24-month follow-ups , respectively . A significant difference was also observed for all included RCTs after analyses using the Inverse Variance-weighted method ( RR=0.44 ; 95 % CI , 0.27 - 0.72 ) . Conclusions : Systematic review /meta- analysis of included RCTs revealed that for pulpotomy of vital primary molars , MTA has better treatment outcomes compared to CH OBJECTIVE To compare the effects of mineral trioxide aggregate ( MTA ) and calcium hydroxide ( CH ) for pulpotomy in primary molars . METHODS A r and omised , bilateral self-controlled clinical trial was design ed to compare the clinical effect of MTA and CH in pulpotomies in primary molars in 4- to 9-year-old children . Children with two similar-sized cavities on bilateral primary molar counterparts requiring pulpotomies were included . The two contralateral molars in each patient were r and omly assigned to MTA or CH treatment . Clinical and radiographic examinations were performed to evaluate the treatment results at post-treatment recall . RESULTS Seventeen pairs of self-controlled contralateral teeth were available for follow-up evaluations . The success rate of MTA was 94.1 % ( 16/17 ) , while the success rate of CH was 64.7 % ( 11/17 ) . Internal root resorption was the most frequent reason for failure in the CH group . Crown discolouration was common in the MTA-treated group . CONCLUSION MTA was more successful than CH for pulpotomies in primary molar teeth , and may be a suitable replacement for CH in primary molar pulpotomies Aim To compare the clinical and radiographic success rates of three different pulpotomy agents in primary molars after 18 months . Methods The study was carried out with 51 primary molars of children aged 5–9 years old . The teeth were r and omly assigned to the experimental or control groups . After coronal pulp removal and haemostasis , the remaining pulp tissue was covered with Biodentine ® or mineral trioxide aggregate in the experimental groups . In the control group , formocresol was placed with a cotton pellet over the pulp tissue for 5 min and after removal the pulp tissue was covered with zinc oxide – eugenol ( ZOE ) paste . All teeth were immediately restored with reinforced ZOE base and resin modified glass-ionomer cement , and later with pre-formed metal crowns . Follow-up assessment s were carried out after 3 , 6 , 12 and 18 months . Results Forty-five teeth were available for follow up at the end of 18 months . All of the available teeth for mineral trioxide aggregate and Biodentine ® were clinical ly successful , as were 73.3 % of the FC group . Radiographic success rate for the formocresol group at 18 months follow up was 73.3 , 100 % for mineral trioxide aggregate and 86.6 % for Biodentine ® group . Conclusion Mineral Trioxide aggregate and Biodentine ® showed more favourable results than formocresol INTRODUCTION Pulpotomy technique basically consists of removing the coronal pulp and fixing the radicular pulp with a medicament . It is the most widely accepted clinical procedure for treating primary teeth with coronal pulp inflammation caused by caries with no involvement of the radicular pulp . AIM To evaluate the success and efficacy of Mineral Trioxide Aggregate ( MTA ) , Lasers and Biodentine as pulpotomy agents both clinical ly and radiographically . MATERIAL S AND METHODS In the present study , 60 primary molars in children whose pulpal status warranted pulpotomy were selected and r and omly assigned into three groups that included MTA , Laser and Biodentine allocating 20 teeth to each group . The pulpotomy procedure was then performed on all selected teeth followed by restoration with stainless steel crowns . Later the patients were recalled for 3 months and 6 months for clinical and radiographic evaluation . RESULTS Statistical analysis was done using Fisher exact test to determine pair wise comparison of three agents with respect to clinical and radiographic criteria . Kruskal-Wallis ANOVA , Mc Nemars test was applied to evaluate the efficacy of each agent between 3 months and 6 months . The results showed that maximum success rate was found in MTA group . However , the comparison between three groups was statistically not significant ( p<0.05 ) . CONCLUSION Pulpotomies performed with either MTA , Laser or Biodentine are equally efficient with similar clinical /radiographic success and hence can be considered as alternatives to Formocresol PURPOSE This study 's purpose was to assess clinical and radiographic outcomes of Copaifera langsdorffii oil resin ( CLOR ) as a pulpotomy medicament compared with one-minute full-strength formocresol ( FC ) and white mineral trioxide aggregate ( WMTA ) . METHODS Determined by a power analysis , 152 primary molars of 64 four- to eight-year-olds with at least two asymptomatic molars requiring vital pulpotomies were recruited , r and omly assigned to receive CLOR , WMTA , or FC , and restored with prefabricated metal crowns . At the 12-month follow-up , recordings of 59 children with 142 treated teeth were taken for clinical and radiographic symptoms . Clinical evaluation was performed by a blinded calibrated evaluator , whereas four evaluators scored each radiograph for pathologies based upon a modified scale previously proposed . The data were statistically analyzed . RESULTS At 12 months , 100 percent clinical success was observed with all groups . CLOR had the highest frequency of pathologic radiolucencies at 12 months . The radiographic success at 12 months was 76 percent , 90.91 percent , and 88.23 percent for the CLOR , FC , and WMTA groups , respectively ( P=0.10 ) . CONCLUSION Copaifera langsdorffii oil resin can be suggested as a pulpotomy agent for primary teeth up to one year . However , further clinical studies with long-term follow-ups are needed to test its efficacy as a pulpotomy medicament Introduction An ideal pulpotomy agent for primary molars has been sought for many years . Recently , new material s that allow regeneration of residual pulp tissue have been developed . In this study , we compared the preliminary clinical results obtained using Biodentine and mineral trioxide aggregate ( MTA ) as pulp-dressing agents in pulpotomies of primary molars . Methods A r and omized clinical study was performed in children aged 4–9 years with at least one primary tooth with decay or caries requiring pulp treatment . A total of 90 primary molars requiring pulpotomy were r and omly allocated to the MTA or Biodentine group , and 84 pulpotomies were performed . Clinical and radiographic evaluations were undertaken 6 and 12 months after treatment . All teeth were restored with a reinforced zinc oxide – eugenol base and stainless steel crowns . Statistical analysis using Fisher ’s exact test was performed to determine the significant differences between the groups . Results A total of four clinical failures were observed ; all involved gingival inflammation . The clinical success rate in the MTA Group after 12 months was 92 % ( 36/39 ) , whereas the Biodentine Group obtained 97 % ( 38/39 ) ( p = 0.346 ) . All radiographic failures were observed at the 12-month follow-up evaluation . One molar from MTA Group showed internal resorption obtaining a radiographic success rate of 97 % ( 38/39 ) . Two molars from the Biodentine Group showed radiographic failure ( 1 internal resorption and 1 periradicular radiolucency ) obtaining a radiographic success rate of 95 % ( 37/39 ) . Conclusions Biodentine showed similar clinical results as MTA with comparable success rates when used for pulpotomies of primary molars . However , longer follow-up studies are required to confirm our findings . Clinical relevance This article demonstrates the effectiveness of Biodentine as a primary teeth pulpotomy material , performing similar results as MTA at 12-months evaluation PURPOSE The purpose of this study was to investigate the outcomes of vital primary molar pulpotomy  when there is no direct contact between eugenol and the vital pulp . Four pulpotomy techniques were compared : ( 1 ) ferric sulfate ( FS ) pulpotomy ; ( 2 ) eugenol-free FS pulpotomy ; ( 3 ) mineral trioxide aggregate ( MTA ) pulpotomy ; and ( 4 ) FS/MTA pulpotomy . METHODS The pulpotomy technique assigned to each molar was determined by r and om selection . Two blinded , disinterested raters classified each molar into 1 of 3 radiographic outcomes : ( 1 ) N = normal molar without pathologic change ; ( 2 ) Po = pathologic change present , follow-up recommended ; ( 3 ) Px = pathologic change present , extract . RESULTS A total of 92 patients with 227 pulpotomy-treated molars returned for at least 1 recall examination . Median follow-up for molars was 24 months ( range=12 - 38 months ) . MTA molars demonstrated significantly fewer Px radiographic outcomes than FS molars ( P=.002 , chi-square test ) . Eugenol-free FS molars demonstrated significantly more Px radiographic outcomes than MTA ( P<.001 , chi-square test ) or FS/MTA ( P=.002 , chi-square test ) molars . Significantly lower survival was demonstrated for eugenol-free FS molars compared to MTA molars ( P=.02 , log-rank test ) over 6 to 38 months . CONCLUSIONS Outcomes for mineral trioxide aggregate pulpotomy were superior to ferric sulfate and eugenol-free ferric sulfate pulpotomy after a median follow-up of 2 years OBJECTIVE This study was conducted to compare the efficacy of 3Mixtatin ( a combination of simvastatin and 3Mix antibiotic ) with MTA and Formocresol for the pulpotomy of primary molars . STUDY DESIGN 114 children aged 3 - 6 years old with 150 primary molars were r and omly allocated to three groups . MTA , Formocresol or 3Mixtatin were used for Pulpotomies . Hard setting zinc oxide eugenol was used to cover these material s. The teeth were restored with amalgam . Blinded radiographic and clinical examinations were conducted at 6 , 12 and 24 months after treatment for the presence of pain , tenderness to palpation and percussion , sinus tract , swelling , presence of internal or external root resorption , inter-radicular radiolucency , and periapical lesion . RESULTS 122 teeth were available for 24-month follow-up study . The overall success rate was 78.9 % for FC , 90.5 % for 3Mixtatin and 88.1 % for MTA group . There was no significant difference in overall success rate among the groups after 24-month follow-up ( X2=2.43 , df = 2 , P = 0.27 ) . CONCLUSION Our findings demonstrated remarkable results of 3Mixtatin in pulpotomy of primary teeth at the 24-month follow-up . Therefore , 3Mixtatin may be considered as an effective material in pulpotomy of primary teeth because of its successful results Introduction : Pulpotomy technique is most widely accepted clinical procedure for treating primary teeth with coronal pulp inflammation caused by caries with no involvement of the radicular pulp . Aim and Objective : The aim of the study was to evaluate the success and efficacy of mineral trioxide aggregate ( MTA ) and antioxidant mix as pulpotomy agents both clinical ly and radiographically . Material s and Methods : A total of forty primary molars in children aged between 6 and 9 years , requiring for pulpotomy procedures , were selected . R and om sample s distribution was done , antioxidant mix ( n = 20 ) and MTA ( n = 20 ) both were used as pulpotomy agent . Under rubber dam isolation , pulpotomy procedure was performed in all sample s followed by restoration with stainless steel crowns . Later , the patients were recalled after 6 and 12 months for clinical and radiographic evaluation . The data were evaluated using Fisher 's exact test . Results : Statistically analysis shows no significant difference between the two groups ( P > 0.05 ) with respect to clinical and radiographic success rate , but antioxidant mix showed more efficient result than MTA . Conclusion : Antioxidant mix pulpotomy is more biocompatible and cost effective than any other commercially available medicament PURPOSE The purpose of this study was to compare the outcome of primary tooth pulpotomies  using two different white mineral trioxide aggregate ( MTA ) cements and calcium hydroxide ( CH ) . METHODS Primary molars ( N=139 ) from three- to nine-year-old children were r and omly assigned to be treated using either ProRoot MTA ( N=46 ) , MTA Angelus ( N=45 ) , or CH paste ( N=48 ) as pulpotomy medicaments . All pulpotomized teeth received a Class I amalgam as a final restoration . Recall examinations were carried out at one , three , six , 12 , 18 , and 24 months . RESULTS The 24-month cumulative clinical success rates for ProRoot MTA , MTA Angelus , and CH were approximately 98 percent , 96 percent , and 77 percent , respectively . The cumulative radiographic success rates for ProRoot MTA , MTA Angelus , and CH were approximately 98 percent , 91 percent , and 45 percent , respectively . For all parameters evaluated , the MTA cements showed similar clinical and radiographic outcomes ( P>.05 ) , which were significantly better than those of CH ( P<.05 ) . The two-year clinical and radiographic survival probabilities for ProRoot MTA and MTA Angelus were comparable ( P=.62 and P=.20 , respectively ) and superior to calcium hydroxide ( all P>.05 ) . CONCLUSIONS ProRoot MTA and MTA Angelus showed similar and favorable success rates as pulpotomy material s in primary molars AIM To evaluate and compare mineral trioxide aggregate ( MTA ) and formocresol as pulpotomy medicaments by clinical and radiographic assessment s and to assess the histological features of both pulpotomy medicaments in deciduous teeth . MATERIAL S AND METHODS This study was performed on 100 m and ibular deciduous molar teeth requiring pulpotomy treatment . Children between age four and six years were r and omly selected and divided into formocresol or MTA group . The patients were recalled after 3 , 6 , 9 , 12 months respectively and evaluated clinical ly and radiographically . Histological assessment was done on lower deciduous canine teeth , which were undergoing serial extraction for interceptive orthodontic purpose . Pulpotomy was done on four teeth with formocresol and another four teeth with MTA . The teeth were extracted after six months following pulpotomy procedure and histologically evaluated . Two freshly extracted carious teeth were taken as controls . RESULTS Clinical and radiographic criteria were laid and Chi analysis revealed significant difference in mobility ( P≤0.05 ) , periodontal ligament widening ( P≤0.01 level ) and inter - radicular radiolucency ( P≤0.02 level ) between two groups at the end of 12 months . Histologically , in MTA group , a layer of new dentine formation with less dentinal tubules at the pulpotomized site was found . In formocresol group , increased inflammatory cells , a zone of atrophy , were noted in radicular portion of pulp . CONCLUSION MTA is superior to formocresol clinical ly , radiographically . Histological analysis showed better reparative ability with hard tissue barrier formation with MTA compared to formocresol INTRODUCTION Inspite of latest advances in the material s and techniques practice d for the treatment of pulpally infected teeth with better reported success rate , still the question arises for safety and effectiveness of these medicaments . AIM The objective of the present study was to compare the effectiveness of the Low Level Laser Therapy to Mineral Trioxide Aggregate ( MTA ) when used for pulpotomy in vital human primary molars . MATERIAL S AND METHODS The sample consisted of 40 primary molars from 29 children aged four to seven years . The teeth were selected based on clinical , radiographic criteria and r and omly allocated to two groups . All the 40 primary molars were subjected to st and ard pulpotomy procedure , where in 20 molars received MTA ( Group I ) and 20 molars received LLLT ( Group II ) pulpotomy .  Children were recalled at 3 , 6 and 12 months intervals and pulpotomised molars were examined clinical ly and radiographically . Data was analysed using chi-square test . RESULTS MTA showed 94.7 % success rate at all the three intervals , where as LLLT showed a success of 95 % at three months , which decreased gradually to 85 % at six months and 80 % at 12 months . Intergroup comparisons were not significant . CONCLUSION Low level laser therapy can be considered for primary teeth pulpotomy and its success is comparable to MTA pulpotomy technique
Conclusion : Primary molars pulpotomy with MTA have better clinical and radiographic success rates than FC . (
Introduction : There are various studies looking at the effects of formocresol ( FC ) and mineral trioxide aggregate ( MTA ) on pulpotomy of primary molars .
This is a systematic review of literature comparing the success rates of MTA and FC in pulpotomy of primary molars .