COMPARING THE CLINICAL AND RADIOGRAPHIC OUTCOMES OF PULPOTOMIES IN PRIMARY MOLARS USING BIOACTIVE ENDODONTIC MATERIALS AND FERRIC SULFATE - A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CLINICAL TRIALS.
J Evid Based Dent Pract
; 22(4): 101770, 2022 Dec.
Article
em En
| MEDLINE
| ID: mdl-36494111
ABSTRACT
OBJECTIVE:
To compare the clinical and radiographic outcomes of pulpotomies in primary molars using bioactive endodontic materials and ferric sulfate.DESIGN:
The search was conducted in PubMed, Ebscohost, ProQuest, and Scopus databases till June 2021. Children undergoing pulpotomy therapy in primary molars treated with ferric sulfate (FS) and bioactive endodontic materials were evaluated for clinical and radiographic success. Meta-analysis was performed on a random-effects model to assess the success at 6,12,18, and 24 months. The quality of studies was evaluated using the Cochrane risk of bias tool for randomized trialsRESULTS:
No significant difference was observed between Mineral trioxide aggregate (MTA) and FS at 24 months for both clinical [RR0.98 (95%CI 0.15,6.34), I2â¯=â¯0%] and radiographic [RR0.74 (95%CI 0.23,2.43), I2â¯=â¯0%] success. At 6 months [RR1.36 (95%CI 0.10,19.34), I2â¯=â¯33%], no difference was observed in the clinical [RR1.00 (95%CI 0.95,1.05), I2â¯=â¯0%] and radiographic success [RR0.99 (95%CI 0.88,1.11), I2â¯=â¯51%] between Biodentine (BD), FS and radiographic success of calcium enriched cement and FS [RR0.25 (95%CI 0.03, 2.22), I2â¯=â¯0%].CONCLUSION:
Amongst bioactive materials, MTA and FS demonstrated equal success rates in both clinical and radiographic outcomes with follow-up periods of up to 24 months. Future, high-quality trials are required to verify the result of the current review.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dente Decíduo
/
Dente Molar
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Child
/
Humans
Idioma:
En
Revista:
J Evid Based Dent Pract
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2022
Tipo de documento:
Article