Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.
Ulrike Urmann, Isabelle M Schenke, Karl-Anton Hiller et al.
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In 30 seconds
This short-term pilot randomized controlled split-mouth study compared three hydraulic calcium silicate cements for pulpotomy in carious primary molars of children aged 2–6 years treated under general anesthesia. All 84 treated teeth remained in situ without clinical symptoms through 10 months, with no differences in short-term clinical outcomes among ProRoot MTA, Biodentine, and TotalFill BC RRM Putty. TotalFill had the shortest application time, while Biodentine had the lowest treatment cost. Oral health-related quality of life generally improved during follow-up.
Key findings
- All 84 teeth remained in situ without clinical symptoms for up to 10 months.
- TotalFill BC RRM Putty had the shortest median application time (75.5 s; p ≤ 0.001), versus 259 s for Biodentine and 200.5 s for ProRoot MTA.
- Median treatment cost was lowest with Biodentine (€42.45; p ≤ 0.001) and highest with ProRoot MTA (€74.37); TotalFill cost €60.01.
- Median ECOHIS-G scores improved from 5 initially to 4 at 5 months and 2.5 at 10 months.
Why it matters
The findings suggest that these three cements had similar short-term clinical outcomes in primary molar pulpotomy, while differing in application time and cost. These practical differences may inform material selection when short-term outcomes are the main evidence available, but the study does not establish comparative long-term performance.
What to keep in mind
This was a pilot study with short follow-up of up to 10 months; long-term outcomes were not established.