Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.
6 affiliations
- 1Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
- 2Department of Operative Dentistry and Periodontology, Faculty of Medicine & Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
- 3Department of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090, Vienna, Austria.
- 4Die Kinderzahnärzte Praxis Dr. Schenke & Kolleginnen, Regensburg, Germany.
- 5Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany. [email protected].
- 6Department of Operative Dentistry and Periodontology, Faculty of Medicine & Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. [email protected].
Abstract
Objectives
This 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
Thirty-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
All 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
All investigated hydraulic calcium silicate cements showed no differences in short-term clinical outcomes after pulpotomy in primary molars.Clinical relevance
Material 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.
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BibTeX
@article{urmann2026pulpotomy,
title = {{Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.}},
author = {Ulrike Urmann and Isabelle M Schenke and Karl-Anton Hiller and Wolfgang Buchalla and Katrin Bekes and Matthias Widbiller and Frederike Schenke and Fabian Cieplik and Konstantin J Scholz},
journal = {Clinical oral investigations},
year = {2026},
month = oct,
doi = {10.1007/s00784-026-07116-y},
url = {https://europepmc.org/article/MED/42891840},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Pulpotomy of deciduous molars with deep caries using three different hydraulic calcium silicate cements: a short-term pilot randomized controlled split-mouth study.
AU - Ulrike Urmann
AU - Isabelle M Schenke
AU - Karl-Anton Hiller
AU - Wolfgang Buchalla
AU - Katrin Bekes
AU - Matthias Widbiller
AU - Frederike Schenke
AU - Fabian Cieplik
AU - Konstantin J Scholz
PY - 2026
DA - 2026/10/17
JO - Clinical oral investigations
DO - 10.1007/s00784-026-07116-y
UR - https://europepmc.org/article/MED/42891840
AB - Objectives This 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 Thirty-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 All 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 All investigated hydraulic calcium silicate cements showed no differences in short-term clinical outcomes after pulpotomy in primary molars.Clinical relevance Material 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.
SN - 1432-6981
SN - 1436-3771
ER -