Mineral trioxide aggregate apexogenesis: A systematic review

Objectives: To evaluate the clinical and radiographic outcomes of apexogenesis with mineral trioxide aggregate (MTA) against other pulpotomy agents in carious/traumatized immature permanent teeth. Data Source: A web-based search for possibly relevant scientific papers in the English language between...

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Main Authors: Basmah M Ageel, Omar A El Meligy, Sarah M A. Quqandi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2023;volume=15;issue=5;spage=11;epage=17;aulast=Ageel
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author Basmah M Ageel
Omar A El Meligy
Sarah M A. Quqandi
author_facet Basmah M Ageel
Omar A El Meligy
Sarah M A. Quqandi
author_sort Basmah M Ageel
collection DOAJ
description Objectives: To evaluate the clinical and radiographic outcomes of apexogenesis with mineral trioxide aggregate (MTA) against other pulpotomy agents in carious/traumatized immature permanent teeth. Data Source: A web-based search for possibly relevant scientific papers in the English language between January 2013 and August 2022 was undertaken in the databases such as PubMed, Scopus, Cochrane Library, and EMBASE. Only randomized clinical trials that compared MTA against other pulpotomy medicaments conducted in vital immature permanent dentition with open apex, having a sample size of not less than 20 with at least 6 months follow-up, reporting clinical or radiographic outcomes were included in the current review. Case studies, case series, animal studies, in vitro studies, non-clinical/clinical trials on mature/necrotic permanent or primary dentition, systematic reviews, and letters to the editor were excluded. Study Selection: A total of 236 articles were retrieved from the databases during the search procedure. Two independent investigators conducted a full-text review of 83 studies following a screening of titles and abstracts. Eventually, seven studies were considered for the review. The Cochrane bias assessment tool was used to evaluate the quality of included studies. Five of the selected studies were assigned a low evidence level, whereas two were rated a high evidence level. Conclusion: The present review indicated that the diverse pulpotomy agents had comparable clinical outcomes with MTA for apexogenesis in traumatized or carious immature permanent teeth. However, there is a lack of substantial information to draw firm conclusions about the benefits of one material over another.
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spelling doaj.art-f0429f99472446f9b6c64f019edc906a2023-10-30T10:31:53ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0975-74062023-01-01155111710.4103/jpbs.jpbs_530_22Mineral trioxide aggregate apexogenesis: A systematic reviewBasmah M AgeelOmar A El MeligySarah M A. QuqandiObjectives: To evaluate the clinical and radiographic outcomes of apexogenesis with mineral trioxide aggregate (MTA) against other pulpotomy agents in carious/traumatized immature permanent teeth. Data Source: A web-based search for possibly relevant scientific papers in the English language between January 2013 and August 2022 was undertaken in the databases such as PubMed, Scopus, Cochrane Library, and EMBASE. Only randomized clinical trials that compared MTA against other pulpotomy medicaments conducted in vital immature permanent dentition with open apex, having a sample size of not less than 20 with at least 6 months follow-up, reporting clinical or radiographic outcomes were included in the current review. Case studies, case series, animal studies, in vitro studies, non-clinical/clinical trials on mature/necrotic permanent or primary dentition, systematic reviews, and letters to the editor were excluded. Study Selection: A total of 236 articles were retrieved from the databases during the search procedure. Two independent investigators conducted a full-text review of 83 studies following a screening of titles and abstracts. Eventually, seven studies were considered for the review. The Cochrane bias assessment tool was used to evaluate the quality of included studies. Five of the selected studies were assigned a low evidence level, whereas two were rated a high evidence level. Conclusion: The present review indicated that the diverse pulpotomy agents had comparable clinical outcomes with MTA for apexogenesis in traumatized or carious immature permanent teeth. However, there is a lack of substantial information to draw firm conclusions about the benefits of one material over another.http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2023;volume=15;issue=5;spage=11;epage=17;aulast=Ageelapexogenesisbiodentineimmature permanent teethmtapulpotomy
spellingShingle Basmah M Ageel
Omar A El Meligy
Sarah M A. Quqandi
Mineral trioxide aggregate apexogenesis: A systematic review
Journal of Pharmacy and Bioallied Sciences
apexogenesis
biodentine
immature permanent teeth
mta
pulpotomy
title Mineral trioxide aggregate apexogenesis: A systematic review
title_full Mineral trioxide aggregate apexogenesis: A systematic review
title_fullStr Mineral trioxide aggregate apexogenesis: A systematic review
title_full_unstemmed Mineral trioxide aggregate apexogenesis: A systematic review
title_short Mineral trioxide aggregate apexogenesis: A systematic review
title_sort mineral trioxide aggregate apexogenesis a systematic review
topic apexogenesis
biodentine
immature permanent teeth
mta
pulpotomy
url http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2023;volume=15;issue=5;spage=11;epage=17;aulast=Ageel
work_keys_str_mv AT basmahmageel mineraltrioxideaggregateapexogenesisasystematicreview
AT omaraelmeligy mineraltrioxideaggregateapexogenesisasystematicreview
AT sarahmaquqandi mineraltrioxideaggregateapexogenesisasystematicreview