Clinical and Radiographic Evaluation of EndoSeal MTA Versus MTA in Primary Tooth Pulpotomy: A Randomized Clinical Trial
Abstract
Objectives: This study aimed to compare the clinical and radiographic effects of EndoSeal mineral trioxide aggregate (MTA) and MTA for pulpotomy of primary teeth. Materials and Methods: This split-mouth randomized clinical trial evaluated 45 pairs of bilateral asymptomatic severely carious primary molars requiring pulpotomy in children between 3 and 8 years. The teeth in each patient were randomly assigned to two groups to undergo pulpotomy with MTA and EndoSeal MTA (n = 45 in each group). After application of the pulpotomy agent on the radicular pulp tissue, the pulp chamber was filled with zinc oxide eugenol, and the tooth was restored with a stainless-steel crown. The teeth were clinically and radiographically assessed after 3 and 6 months using the Zurn and Seale modified scale. Data were analyzed using the Wilcoxon signed-rank test and a generalized estimating equation model. Results: Both groups demonstrated a 100% clinical success rate at 3 and 6 months. Radiographic success rates were 95.6% (3 months) and 93.3% (6 months) for the MTA group, and 93.3% (3 months) and 91.1% (6 months) for the EndoSeal MTA group. The difference in radiographic success was not statistically significant (P = 0.631). Conclusion: Within the limitations of this study, EndoSeal MTA demonstrated comparable clinical and radiographic success to MTA for pulpotomy of primary molars, suggesting it may be a suitable alternative material.
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BibTeX
@article{taghizadeh2026clinical,
title = {{Clinical and Radiographic Evaluation of EndoSeal MTA Versus MTA in Primary Tooth Pulpotomy: A Randomized Clinical Trial}},
author = {Fatemeh Taghizadeh and Roza Haghgoo and Hossein Labbaf and Majid Mehran and Mahnaz Ghanbari},
journal = {Contemporary Clinical Dentistry},
year = {2026},
month = jul,
doi = {10.4103/ccd.ccd_131_25},
url = {https://doi.org/10.4103/ccd.ccd_131_25},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - Clinical and Radiographic Evaluation of EndoSeal MTA Versus MTA in Primary Tooth Pulpotomy: A Randomized Clinical Trial
AU - Fatemeh Taghizadeh
AU - Roza Haghgoo
AU - Hossein Labbaf
AU - Majid Mehran
AU - Mahnaz Ghanbari
PY - 2026
DA - 2026/07/01
JO - Contemporary Clinical Dentistry
DO - 10.4103/ccd.ccd_131_25
UR - https://doi.org/10.4103/ccd.ccd_131_25
AB - Objectives: This study aimed to compare the clinical and radiographic effects of EndoSeal mineral trioxide aggregate (MTA) and MTA for pulpotomy of primary teeth. Materials and Methods: This split-mouth randomized clinical trial evaluated 45 pairs of bilateral asymptomatic severely carious primary molars requiring pulpotomy in children between 3 and 8 years. The teeth in each patient were randomly assigned to two groups to undergo pulpotomy with MTA and EndoSeal MTA (n = 45 in each group). After application of the pulpotomy agent on the radicular pulp tissue, the pulp chamber was filled with zinc oxide eugenol, and the tooth was restored with a stainless-steel crown. The teeth were clinically and radiographically assessed after 3 and 6 months using the Zurn and Seale modified scale. Data were analyzed using the Wilcoxon signed-rank test and a generalized estimating equation model. Results: Both groups demonstrated a 100% clinical success rate at 3 and 6 months. Radiographic success rates were 95.6% (3 months) and 93.3% (6 months) for the MTA group, and 93.3% (3 months) and 91.1% (6 months) for the EndoSeal MTA group. The difference in radiographic success was not statistically significant (P = 0.631). Conclusion: Within the limitations of this study, EndoSeal MTA demonstrated comparable clinical and radiographic success to MTA for pulpotomy of primary molars, suggesting it may be a suitable alternative material.
SN - 0976-237X
SN - 0976-2361
ER -