Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA): Overall success (composite of clinical and radiographic success)
- Population
- Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy
- Intervention
- Calcium hydroxide (CH)
- Comparison
- Mineral trioxide aggregate (MTA)
- Outcome
- Overall success (composite of clinical and radiographic success)
MTA achieved higher clinical and radiographic success than calcium hydroxide overall (OR 2.94, 95% CI 1.96-4.49; low certainty), but this unadjusted estimate pools clinically heterogeneous DPC and pulpotomy studies.
What each review found
Current versions only| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) Clinical and radiographic success (composite) · Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy (all treatment types and… · ≥6 months; follow-up range 1-3 years, Dental/endodontic clinical settings across multiple countries (university, hospital, specialist and general dental practice); permanent teeth with carious pulp exposure, Unadjusted (all CH vs MTA studies) MTA achieved higher clinical and radiographic success than calcium hydroxide overall (OR 2.94, 95% CI 1.96-4.49; low certainty), but this unadjusted estimate pools clinically heterogeneous DPC and pulpotomy studies. Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023) All outcomes | OR 2.94 [1.93, 4.49] | 10 studies · 900 participants | Low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 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) | 21 | Critically Low / Critically Low |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) · Patients with carious pulp exposure in immature permanent teeth · 1 review
- Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) · Patients with carious pulp exposure in permanent teeth of mixed/unspecified root… · 1 review
- Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) · Patients with carious pulp exposure in mature permanent teeth · 1 review
- Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) · Patients with carious pulp exposure in permanent teeth undergoing pulpotomy · 1 review
- Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA) · Patients with carious pulp exposure in permanent teeth undergoing direct pulp capping · 1 review
- Calcium hydroxide (CH) vs Biodentine · Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy · 1 review
Studies behind the findings
The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.
- Brizuela et al. 2017 · included by 1 of these review
- Chailertvanitkul et al. 2014 · included by 1 of these review
- El-Meligy & Avery 2006 · included by 1 of these review
- Kumar et al. 2016 · included by 1 of these review
- Kundzina et al. 2017 · included by 1 of these review
- Peskersoy et al. 2021 · included by 1 of these review
- Qudeimat et al. 2007 · included by 1 of these review
- Suhag et al. 2019 · included by 1 of these review
- Taha & Khazali 2017 · included by 1 of these review
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.