After 18 - 24 months , in terms of treatment failure , the odds ratio for calcium hydroxide vs. formocresol was 1.94 [ 95 % credible interval ( CI ) : 1.11 , 3.25 ] ; 3.38 ( 95 % CI : 1.37 , 8.61 ) for lasers vs. formocresol ; 2.16 ( 95 % CI : 1.12 , 4.31 ) for calcium hydroxide vs. ferric sulfate ; 3.73 ( 95 % CI : 1.27 , 11.67 ) for lasers vs. ferric sulfate ; 0.47 ( 95 % CI : 0.26 , 0.83 ) for MTA vs. calcium hydroxide ; 3.76 ( 95 % CI : 1.39 , 10.08 ) for lasers vs. MTA CONCLUSIONS After 18 - 24 months , formocresol , ferric sulfate , and MTA showed significantly better clinical and radiographic outcomes than calcium hydroxide and laser therapies in primary molar pulpotomies .
CLINICAL SIGNIFICANCE The network meta-analyses showed that MTA is the first choice for primary molar pulpotomies .
However , if treatment cost is an issue , especially when the treated primary molars are going to be replaced by permanent teeth , ferric sulfate may be the choice
OBJECTIVE Pulpotomy is a common procedure to treat asymptomatic reversible pulpitis in primary molars .
The aim of this study is to undertake a systematic review and a network meta- analysis to compare the clinical and radiographic outcomes of different pulpotomy procedures in primary molars .
Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial
A pulpotomy is the therapy for management of pulp exposures due to caries in symptom-free primary molars . The aim was to longitudinally compare the relative effectiveness of the Er : YAG laser , calcium hydroxide and ferric sulphate techniques with dilute formocresol in retaining symptom-free molars . Two hundred primary molars in 107 healthy children were included and r and omly allocated to one technique . The treated teeth were blindly reevaluated after 6 , 12 , 18 , 24 and 36 months . Descriptive data analysis and logistic regression analysis accounting for multiple observations per patient by generalised estimating equation were used . Additionally , various influences including tooth type , upper and lower jaws , type of anaesthesia , operator and the final restoration on treatment success were evaluated ( Wald chi-square test ) . After 36 months , the following total ( considering clinical and clinical ly symptom-free radiographic failures ) and clinical success rates were determined ( in percent ) : Formocresol 72 ( 92 ) , laser 73 ( 89 ) , calcium hydroxide 46 ( 75 ) , ferric sulphate 76 ( 97 ) . No significant differences were detected between formocresol and any other technique after 36 months . However , the odds ratio of failure appeared to be three times higher for calcium hydroxide than for formocresol . No significant differences in total success rates were seen regarding the aforementioned influencing clinical parameters . The correct diagnosis of the pulpal status , bleeding control and the specific technique are highly important for long-term success of pulpotomies in primary molars . According to the presented long-term data , pulpotomies using ferric sulphate revealed the best treatment outcome among the used techniques , while calcium hydroxide result ed in the lowest success rates after 3 years . Therefore , we can recommend ferric sulphate for easy and successful treatment of primary molars with caries-exposed pulps
After 18 - 24 months , in terms of treatment failure , the odds ratio for calcium hydroxide vs. formocresol was 1.94 [ 95 % credible interval ( CI ) : 1.11 , 3.25 ] ; 3.38 ( 95 % CI : 1.37 , 8.61 ) for lasers vs. formocresol ; 2.16 ( 95 % CI : 1.12 , 4.31 ) for calcium hydroxide vs. ferric sulfate ; 3.73 ( 95 % CI : 1.27 , 11.67 ) for lasers vs. ferric sulfate ; 0.47 ( 95 % CI : 0.26 , 0.83 ) for MTA vs. calcium hydroxide ; 3.76 ( 95 % CI : 1.39 , 10.08 ) for lasers vs. MTA CONCLUSIONS After 18 - 24 months , formocresol , ferric sulfate , and MTA showed significantly better clinical and radiographic outcomes than calcium hydroxide and laser therapies in primary molar pulpotomies .
CLINICAL SIGNIFICANCE The network meta-analyses showed that MTA is the first choice for primary molar pulpotomies .
However , if treatment cost is an issue , especially when the treated primary molars are going to be replaced by permanent teeth , ferric sulfate may be the choice
OBJECTIVE Pulpotomy is a common procedure to treat asymptomatic reversible pulpitis in primary molars .
The aim of this study is to undertake a systematic review and a network meta- analysis to compare the clinical and radiographic outcomes of different pulpotomy procedures in primary molars .