Findings

What do systematic reviews say?

4 questions · 4 findings · 2 reviews · Endodontics and dental trauma

No studies found 0 · 0%GRADE not reported 3 · 75%Very low 0 · 0%Low 1 · 25%Moderate 0 · 0%High 0 · 0%

Overall success (composite of clinical and radiographic success) · Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy

MTA and Biodentine performed comparably for clinical and radiographic success (5 RCTs, not pooled; ungraded).

1 finding from 1 review

Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious teeth: A… 2023 All outcomes
≥6 months follow-up · Dental/endodontic clinical settings across multiple countries (university, hospital, specialist and general dental practice); permanent teeth with carious pulp exposure
Biodentine vs MTA was the second most frequent comparison (5 RCTs) for the primary outcome but was not pooled owing to substantial clinical/statistical heterogeneity; the panel of per-trial forest plots (Figure 8)…
5 studies
GRADE not reported

Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure

Biodentine may increase pulpotomy success versus calcium hydroxide at marginal significance (ungraded).

1 finding from 1 review

Overall success (composite of clinical and radiographic success) · Patients with carious pulp exposure in permanent teeth undergoing DPC or pulpotomy

Biodentine appeared to perform better than calcium hydroxide for success, but the evidence was not pooled (2 RCTs; ungraded).

1 finding from 1 review

Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious teeth: A… 2023 All outcomes
≥6 months follow-up · Dental/endodontic clinical settings across multiple countries (university, hospital, specialist and general dental practice); permanent teeth with carious pulp exposure
CH vs Biodentine was investigated in 2 RCTs for the primary outcome; not pooled. Biodentine appeared to perform better than CH (and than Theracal) in the per-trial forest plots (Figure 8). Weak evidence.
2 studies
GRADE not reported

Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure

MTA and Biodentine have similar pulpotomy success (OR 0.89, not significant; low certainty).

1 finding from 1 review