ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Mineral Trioxide Aggregate Superior to Calcium Hydroxide in Pulpotomized Primary Molars |
| Clinical Question |
In pulpotomized primary dentition, does Mineral Trioxide Aggregate produce superior results as compared to Calcium Hydroxide? |
| Clinical Bottom Line |
Mineral Trioxide Aggregate yielded superior results when used in primary molars in both radiographic and clinical findings. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 22319753 | Liu/2011 | 17 children | Randomized Controlled Trial | | Key results | In the treatment primary molars with MTA, the success rate was 94.1% with crown discoloration being the common complaint. In primary molars treated with Calcium Hydroxide, internal root resorption was the most common cause of failure. | | #2) 18534173 | Ng/2008 | children | Meta-Analysis | | Key results | A clinical common odds ratio of 6.48 with a confidence interval of 1.75-24 comparing MTA successes to CH; subsequently, radiographic common odds ratio yielded 10.47 with a confidence interval of 3.35-32.76 revealing the superiority of MTA as compared to CH. | |
| Evidence Search |
"calcium hydroxide mta primary molars" |
Comments on
The Evidence |
In the study by Liu of 17 children in a randomized controlled trial, 17 contralateral molars were evaluated after treatment of MTA and CH. The common cause of failures was internal root resorption when treated with CH while crown discoloration was noted with MTA. In the meta-analysis conducted by Ng, MTA was compared to CH in 531 molars, yielding superior results in both clinical and radiographic findings. There were nine randomized controlled trials and seven controlled trials in the meta-analysis study. |
| Applicability |
Mineral Trioxide Aggregate can be used with as the superior choice of treatment in pulpotomized primary molars. |
| Specialty/Discipline |
(Pediatric Dentistry) |
| Keywords |
Mineral trioxide aggregate, calcium hydroxide, pulpotomized
|
| ID# |
2415 |
| Date of submission: |
03/07/2013 |
| E-mail |
kingk5@uthscsa.edu |
| Author |
Kyle King |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Adriana Segura, BS, DDS, MS |
| Faculty mentor/Co-author e-mail |
seguraa@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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