Partial pulpotomy with two bioactive cements in permanent teeth of 6‐ to 18‐year‐old patients with signs and symptoms indicative of irreversible pulpitis: a noninferiority randomized controlled trial

Aim To compare the outcome of partial pulpotomy using two cements, ProRoot MTA (Dentsply, Tulsa Dental Specialties, Tulsa, OK, USA) and Biodentine (Septodont, Saint‐Maur‐des‐Fossés, France), in permanent teeth of 6‐ to 18‐year‐old patients with signs and symptoms indicative of irreversible pulpitis....

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Bibliographic Details
Published in:International endodontic journal 2019-06, Vol.52 (6), p.749-759
Main Authors: Uesrichai, N., Nirunsittirat, A., Chuveera, P., Srisuwan, T., Sastraruji, T., Chompu‐inwai, P.
Format: Article
Language:English
Subjects:
bioactive cement
Composite materials
Confidence intervals
Dental restorative materials
Dentistry
Developmental stages
Endodontics
irreversible pulpitis
Molars
partial pulpotomy
Stainless steel
Success
Teeth
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Summary:Aim To compare the outcome of partial pulpotomy using two cements, ProRoot MTA (Dentsply, Tulsa Dental Specialties, Tulsa, OK, USA) and Biodentine (Septodont, Saint‐Maur‐des‐Fossés, France), in permanent teeth of 6‐ to 18‐year‐old patients with signs and symptoms indicative of irreversible pulpitis. Furthermore, the frequencies of perceptible grey discoloration caused by the cements were compared. Methodology Sixty‐nine permanent first molars with signs and symptoms indicative of irreversible pulpitis, from 69 patients, were included. All operators performed partial pulpotomy under a standardized protocol. Teeth were allocated, using a website‐generated number of simple randomization, to partial pulpotomy with either ProRoot MTA (37 teeth) or Biodentine (32 teeth) and were restored with composite resin or stainless steel crowns. Patients were recalled every 6 months. To be categorized as having success, the evaluated tooth must have had both clinical and radiographic success. In addition, photographs of treated teeth were evaluated for frequency of perceptible grey discoloration. Success rates between the two cements were compared using the Fisher exact test. The frequencies of perceptible grey discoloration were compared using the chi‐square test. The percentage difference was estimated by 95% confidence interval, and the level of significant difference was P 
ISSN:0143-2885
1365-2591
DOI:10.1111/iej.13071