{
  "abstract": "Objectives\n\nThis randomized, controlled split-mouth study evaluated the short-term clinical survival of three hydraulic calcium silicate cements for pulp capping after pulpotomy in primary molars under general anesthesia.Materials and methods\n\nThirty-three children aged 2 to 6 years, each with three carious primary molars (ICDAS 4-6), were recruited for treatment under general anesthesia. Following pulpotomy, the pulp was randomly covered with one of the materials: ProRoot MTA (Dentsply Sirona), Biodentine (Septodont), or TotalFill BC RRM Putty (FKG). The teeth were restored with steel crowns. Clinical survival rate at 5 and 10 months, application time, treatment costs and oral health-related quality of life (OHRQoL) were evaluated using the ECOHIS-G questionnaire. Data analysis was performed using non-parametric methods (α = 0.05).Results\n\nAll 84 treated teeth remained in situ for up to 10 months without clinical symptoms. TotalFill BC RRM Putty had the significantly shortest application time (median 75.5 s; p ≤ 0.001) compared to Biodentine (259 s) and ProRoot MTA (200.5 s). Biodentine resulted in the significantly lowest treatment cost (median €42.45; p ≤ 0.001), ProRoot MTA in the highest (€74.37; TotalFill BC RRM Putty: €60.01). The treatments generally led to improved OHRQoL (Median ECOHIS-G score: initial 5, after 5 months 4, after 10 months 2.5).Conclusions\n\nAll investigated hydraulic calcium silicate cements showed no differences in short-term clinical outcomes after pulpotomy in primary molars.Clinical relevance\n\nMaterial selection may therefore be guided by practical factors such as handling time and treatment costs, while long-term outcomes, which require further investigations, should be considered. German Clinical Trials Registry: Ref. DRKS00030041.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.",
    "Department of Operative Dentistry and Periodontology, Faculty of Medicine & Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.",
    "Department of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090, Vienna, Austria.",
    "Die Kinderzahnärzte Praxis Dr. Schenke & Kolleginnen, Regensburg, Germany.",
    "Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany. Konstantin.scholz@uniklinik-freiburg.de.",
    "Department of Operative Dentistry and Periodontology, Faculty of Medicine & Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. Konstantin.scholz@uniklinik-freiburg.de."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ulrike Urmann"
    },
    {
      "affs": [
        0
      ],
      "name": "Isabelle M Schenke"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Karl-Anton Hiller"
    },
    {
      "affs": [
        0
      ],
      "name": "Wolfgang Buchalla"
    },
    {
      "affs": [
        2
      ],
      "name": "Katrin Bekes"
    },
    {
      "affs": [
        0
      ],
      "name": "Matthias Widbiller"
    },
    {
      "affs": [
        3
      ],
      "name": "Frederike Schenke"
    },
    {
      "affs": [
        1
      ],
      "name": "Fabian Cieplik"
    },
    {
      "affs": [
        4,
        5
      ],
      "name": "Konstantin J Scholz",
      "orcid": "0000-0003-4450-4238"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4r1gbhh67m21m.bib",
  "cited_by": 0,
  "doi": "10.1007/s00784-026-07116-y",
  "fulltext_url": "https://europepmc.org/articles/PMC13676555",
  "id": "4r1gbhh67m21m",
  "issns": [
    "1432-6981",
    "1436-3771"
  ],
  "landing_url": "https://europepmc.org/article/MED/42891840",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3504|Endodontics and Root Canal Treatments"
    ]
  ],
  "openalex": "W7222842347",
  "pdf_url": "https://europepmc.org/articles/PMC13676555?pdf=render",
  "pmcid": "PMC13676555",
  "pmid": "42891840",
  "published": "2026-10-17",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/4r1gbhh67m21m.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:46Z",
      "native_id": "MED:42891840",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42891840"
    }
  ],
  "subjects": [],
  "title": "Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.",
  "title_text": "Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:46Z",
  "url": "https://research.draconitic.com/paper/4r1gbhh67m21m",
  "venue": "Clinical oral investigations",
  "versions": []
}