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MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials

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Abstract

Objective

This study aims to perform a systematic review and meta-analysis of clinical trials in order to evaluate the clinical and radiographic success rates of primary teeth pulpotomy performed with biodentine, when compared to MTA.

Methods

Search strategies were conducted in nine databases on August 5th, 2017, update on February 14th, 2018. Clinical articles were selected, which were in accordance with the inclusion and exclusion criteria and the research objective. They were analyzed by meta-analysis at three time points (6, 12, and 18 months).

Results

Out of the 233 publications initially identified, only 9 studies that fulfilled the inclusion criteria were included in the review. The 6-month overall clinical (RR = 0.99; 95% CI = 0.96–1.02, p = 0.92) and radiographic success rates (RR = 0.96; 95% CI = 0.92–1.00, p = 0.28) showed that biodentine vs. MTA did not differ statistically. The 12 and 18-month overall clinical success rates, respectively (RR = 1.01; 95% CI = 0.97–1.04, p = 0.77; RR = 0.98; 95% CI = 0.92–1.05, p = 0.74) and radiographic success rates, respectively (RR = 0.97; 95% CI = 0.92–1.02, p = 0.11; RR = 1.00; 95% CI = 0.91–1.10, p = 0.56) also showed that biodentine vs. MTA did not differ statistically.

Conclusion

There is no superiority of one material over the other, MTA versus biodentine.

Clinical relevance

This systematic review comparing the performance of biodentine in relation to the MTA when used in the pulpotomy technique in primary teeth. Although MTA is considered the gold standard material for pulpotomy procedures, it has some drawbacks (poor handling, staining potential, long setting time); thus, it is important to evaluate the clinical performance of other calcium silicate-based cements like biodentine that overcome this drawbacks.

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Authors and Affiliations

  1. São Leopoldo Mandic Institute and Research Center, Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira, 13, Campinas, São Paulo, 13045-755, Brazil

    Emyr Stringhini Junior, Manuela Gouvêa Campêlo dos Santos & Luciana Butini Oliveira

  2. Department of Dentistry, Universitat de Barcelona, Feixa Llarga s/n, L’Hospitalet de Llobregat, 08907, Barcelona, Spain

    Montse Mercadé

Authors
  1. Emyr Stringhini Junior
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  2. Manuela Gouvêa Campêlo dos Santos
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  3. Luciana Butini Oliveira
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  4. Montse Mercadé
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Correspondence to Luciana Butini Oliveira.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors. Informed consent: For this type of study, formal consent is not required.

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Stringhini Junior, E., dos Santos, M.G.C., Oliveira, L.B. et al. MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials. Clin Oral Invest 23, 1967–1976 (2019). https://doi.org/10.1007/s00784-018-2616-6

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  • DOI: https://doi.org/10.1007/s00784-018-2616-6

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