TSA indicated lack of firm evidence for the results of the meta‐analytic outcomes on clinical and radiographic success .
Conclusion BD and MTA have similar clinical and radiographic success rates based on limited and low‐ quality evidence .
Objectives Pulpotomy is the favored treatment for pulp exposure in carious primary teeth .
This review aim ed to compare the success rates of biodentine ( BD ) and mineral trioxide aggregate ( MTA ) pulpotomies  in primary molars using meta‐ analysis ( MA ) and trial sequential analysis ( TSA ) and also to assess the quality of the results by Grading of Recommendations , Assessment , Development and Evaluation ( GRADE ) .
Mineral trioxide aggregate versus calcium hydroxide for pulpotomy in primary molars.
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
TSA indicated lack of firm evidence for the results of the meta‐analytic outcomes on clinical and radiographic success .
Conclusion BD and MTA have similar clinical and radiographic success rates based on limited and low‐ quality evidence .
Objectives Pulpotomy is the favored treatment for pulp exposure in carious primary teeth .
This review aim ed to compare the success rates of biodentine ( BD ) and mineral trioxide aggregate ( MTA ) pulpotomies  in primary molars using meta‐ analysis ( MA ) and trial sequential analysis ( TSA ) and also to assess the quality of the results by Grading of Recommendations , Assessment , Development and Evaluation ( GRADE ) .