A randomized controlled trial of various MTA materials for partial pulpotomy in permanent teeth

J Dent. 2017 May:60:8-13. doi: 10.1016/j.jdent.2016.07.015. Epub 2016 Jul 27.

Abstract

Objectives: The aim of this study was to evaluate and compare the clinical applicability of various MTA materials as partial pulpotomy materials in permanent teeth.

Methods: Partial pulpotomy was performed on 104 permanent teeth from 82 people (mean 29.3±14.8years old), who met the inclusion criteria in randomized clinical trial. The teeth were divided into three groups: ProRoot MTA (n=33), OrthoMTA (n=36), RetroMTA (n=35). Clinical examination and radiographic comparison were carried out at 1, 3, 6 and 12 months after the treatment. Survival analysis was performed using the Kaplan-Meier survival curves and log rank tests.

Results: Partial pulpotomy sustained a high success rate up to 1year with no significant differences in the outcomes treated with three MTA materials: ProRoot MTA, 96.0%; OrthoMTA, 92.8%; RetroMTA, 96.0%. The Kaplan-Meier survival function curves showed no significant differences among three groups concerning clinical and radiographic cumulative survival rates. In addition, no potential prognostic factors related to the success rate of partial pulpotomy among age, sex, tooth type, root apex status, the site and type of pulp exposure, and the type of restoration were observed in log rank analysis.

Conclusions: Partial pulpotomy with ProRoot MTA, OrthoMTA and RetroMTA had favorable results and clinical and radiographic results were not significantly different in three groups after 1year.

Keywords: MTA; Partial pulpotomy; Permanent tooth; Randomized controlled trial.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aluminum Compounds / therapeutic use*
  • Calcium Compounds / therapeutic use*
  • Dental Caries / therapy
  • Dental Pulp / pathology
  • Dental Pulp Capping / methods
  • Dentition, Permanent*
  • Drug Combinations
  • Female
  • Humans
  • Inflammation
  • Kaplan-Meier Estimate
  • Male
  • Oxides / therapeutic use*
  • Pulp Capping and Pulpectomy Agents / therapeutic use*
  • Pulpotomy / methods*
  • Radiography, Dental
  • Random Allocation
  • Root Canal Filling Materials / therapeutic use
  • Silicates / therapeutic use*
  • Single-Blind Method
  • Survival Analysis
  • Tooth Root / diagnostic imaging
  • Treatment Failure
  • Treatment Outcome
  • Young Adult

Substances

  • Aluminum Compounds
  • Calcium Compounds
  • Drug Combinations
  • Oxides
  • ProRoot MTA
  • Pulp Capping and Pulpectomy Agents
  • Root Canal Filling Materials
  • Silicates
  • mineral trioxide aggregate
  • calcium silicate