Success of pulpotomy with MTA in primary and permanent teeth

Abstract

MTA has long been used as a Pulpotomy agent to preserve the pulp vitality, but there is a need to have an evidence-based approach when selecting the most appropriate pulpotomy agent which will be suitable for both dentitions, as the pulp of primary and permanent teeth have many histological and morphological differences. This systematic review aimed to evaluate the success of pulpotomy with MTA in primary and permanent teeth. A computerized literature search was performed through five databases: PubMed, Google Scholar, Microsoft Academics, EBSCO, and Science.gov to identify articles up to December 2020. Randomized controlled trial studies were selected in accordance with the inclusion and exclusion criteria. Out of the 5070 publications initially identified, only 18 studies that fulfilled the inclusion criteria were included in the review. Out of those 18 studies, 9 were studies performed on primary teeth, and the other 9 were performed on permanent teeth. After thorough review and evaluation, it was found that overall treatment success in primary teeth was 88.89-100% and it was 85-100% in permanent teeth. Overall clinical and radiographic success rates after follow-up showed that MTA pulpotomy showed slightly better results in primary teeth as compared to permanent teeth.