Comparison of Clinical Outcomes of Two Hydraulic Calcium Silicate Cements for Pulpotomy in Cariously Exposed Permanent Teeth-A Systematic Review.

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2025-07-16 DOI:10.1111/aej.12968

William Holme, Flavio Pisani, Khaled Altamimi, Shalini Kanagasingam

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Abstract

This systematic review analysed clinical studies to determine if Biodentine offers improved outcomes for pulpotomy in cariously exposed permanent teeth compared to MTA, supporting its potential recommendation. A systematic search of MEDLINE, Oral and Dental Sciences Source, and EMBASE was conducted. Inclusion and exclusion criteria identified clinical studies comparing MTA and Biodentine for pulpotomy. The outcome measured was 'overall success,' based on clinical and radiographic evaluations. Two independent reviewers performed data extraction and quality assessment using the Risk of Bias 2 tool. Four randomised controlled trials with 265 teeth and follow-up up to 6 years met the inclusion criteria. One study had a high risk of bias, whereas only one study was deemed to have a low risk of bias. No statistically significant differences were found between Biodentine and MTA. Based on our findings, Biodentine is a viable alternative to MTA, showing similar outcomes. Further long-term clinical studies are needed to determine optimal biomaterials to improve clinical outcomes.

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两种水合硅酸钙骨水泥用于牙髓切开术的临床效果比较——系统评价。

本系统综述分析了临床研究，以确定与MTA相比，Biodentine是否能改善牙髓切开术中暴露的恒牙的结果，支持其潜在的推荐。系统检索MEDLINE、Oral and Dental Sciences Source和EMBASE。纳入和排除标准确定了比较MTA和Biodentine用于牙髓切开术的临床研究。测量的结果是基于临床和放射学评估的“总体成功”。两名独立审稿人使用Risk of Bias 2工具进行数据提取和质量评估。4个随机对照试验265颗牙齿，随访6年，符合纳入标准。一项研究具有高偏倚风险，而只有一项研究被认为具有低偏倚风险。百奥汀与MTA之间无统计学差异。根据我们的研究结果，Biodentine是MTA的可行替代方案，显示出相似的结果。需要进一步的长期临床研究来确定最佳的生物材料以改善临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues. The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses. The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.