Question · asked by 1 review

Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA): Continued root formation / root development

Population
Patients with carious pulp exposure in permanent teeth (predominantly immature) undergoing DPC or pulpotomy
Intervention
Calcium hydroxide (CH)
Comparison
Mineral trioxide aggregate (MTA)
Outcome
Continued root formation / root development

Evidence on continued root formation for calcium hydroxide versus MTA is weak and inconclusive (3 RCTs, not pooled; ungraded).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA)
Continued root formation / root development · Patients with carious pulp exposure in permanent teeth (predominantly immature) undergoing DPC or pulpotomy · ≥6 months follow-up, Dental/endodontic clinical settings across multiple countries (university, hospital, specialist and general dental practice); permanent teeth with carious pulp exposure
Evidence on continued root formation for calcium hydroxide versus MTA is weak and inconclusive (3 RCTs, not pooled; ungraded).
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023) All outcomes
CH vs MTA was the only informative comparison for root development (3 RCTs); estimates had implausibly wide 95% CIs, all including no difference, and two trials gave contradictory results (Qudeimat 2007 favored CH, OR…3 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious teeth: A systematic review and…
2023 All outcomes
28 February 2021 (from inception to 28/2/2021)21Critically Low / Critically Low
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.