Journal Article

Assessing the Success of a Mineral Trioxide Aggregate and a Pre‐Mixed Bioceramic in Mature Teeth With Irreversible Pulpitis With Full Pulpotomy: A Randomized Clinical Trial

Suresh, Sarang, Kalhoro, Feroze A., Memon, Mahwish, Rani, Priya

2025

Overview

Objectives The aim of this study is to compare the clinical and radiographic success of MTA versus EBRRM in pulpotomy of permanent teeth with irreversible pulpitis without apical periodontitis. Material and Methods Clinical and radiographic assessments were conducted at baseline, 6 days, 6 weeks, and 6 months. After administration of anesthesia and coronal pulp removal, pulp was capped with MTA or Endo Sequence Bioceramic Root Repair, followed by restoration with a glass ionomer and resin composite. Results The overall success rate for pulpotomy was 71.9%, with MTA and the bioceramic showing success rates of 32.8% and 39.1%, respectively. There was no significant relationship with the type of cavity and failure of pulpotomy. Conclusions MTA and EBBRRM are both practical choices for pulpotomy and there is no notable difference between them in the success rate and pain level. EBBRRM may be more effective in Class 1 cavities than in Class 2 cavities.

• Publisher: John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
• Subject: Adult / Aluminum Compounds - therapeutic use / bioceramic / Biological activity / Calcium Compounds - therapeutic use / Ceramics - therapeutic use / Clinical trials / Cold / Dental caries / dental pulp disease / Dental restorative materials / Dentistry / Drug Combinations / Edema / Endodontics / Female / Gum disease / Humans / Inflammation / irreversible pulpitis / Male / mineral trioxide aggregate / Original / Oxides - therapeutic use / Pain / Pulpitis - diagnostic imaging / Pulpitis - therapy / pulpotomy / Pulpotomy - methods / Root Canal Filling Materials - therapeutic use / Silicates - therapeutic use / Sinuses / Success / Teeth / Treatment Outcome / Young Adult