Success of pulpotomy with MTA in primary teeth: A systematic review and meta-analysis

The challenge of effectively managing primary teeth with irreversible pulpitis in pediatric dentistry is of interest. The clinical and radiographic success of different pulpotomy materials, including Mineral Trioxide Aggregate (MTA), in comparison to conventional materials like formocresol, ferric sulfate, calcium hydroxide, and Biodentine is reported. Therefore, it is of interest to evaluate the effectiveness of materials like MTA in pulpotomies for primary teeth with irreversible pulpitis. The meta-analysis revealed that MTA pulpotomies had a clinical success rate of 97.02% and a radiographic success rate of 94.21%, outperforming ferric sulfate, Biodentine and calcium hydroxide. CEM and Calcium Silicate Cements showed comparable success rates to MTA. Thus, MTA demonstrated superior clinical and radiographic outcomes for pulpotomy in primary teeth with irreversible pulpitis, showing statistically significant differences compared to other materials.