Akcay 2014.
| Methods | RCT, split‐mouth Teeth randomly assigned Conducted in the Pediatric Dentistry Department, Faculty of Dentistry, Ankara University. Operators not mentioned |
|
| Participants | 64 children, 128 teeth, mean age 8.2 years, age range 6‐10 years | |
| Interventions |
Group 1: Pulpotomy (CH NaCOl); n = 31 (1 visit) Rubber dam Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation with excavator For haemostasis, dry cotton pellet Irrigation with 5% NaOCl for 30 seconds, then water CH, followed by IRM then stainless steel crown Group 2: Pulpotomy (CH); n = 31 (1 visit) Rubber dam Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation with excavator For haemostasis, dry cotton pellet Irrigation with saline for 30 seconds then water CH, followed by IRM then stainless steel crown Group 3: Pulpotomy (MTA NaOCl); n = 31 (2 visits) Rubber dam Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation with excavator For haemostasis, dry cotton pellet Irrigation with 5% NaOCl for 30 seconds then water MTA, followed by a moistened cotton pellet, followed by IRM. Second visit: IRM and the cotton pellets were removed after 24 hours, then stainless steel crown Group 4: Pulpotomy (MTA); n = 31 (2 visits) Rubber dam Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation with excavator For haemostasis, dry cotton pellet Irrigation with saline for 30 seconds then water MTA, followed by a moistened cotton pellet, followed by IRM. Second visit: IRM and the cotton pellets were removed after 24 hours, then stainless steel crown |
|
| Outcomes | clinical success (absence of spontaneous pain, pathologic mobility, tenderness to percussion, swelling, fistula, or gingival inflammation), radiographic success (absence of internal/external root resorption and periapical/furcal radiolucency), calcific metamorphosis of the pulp: evaluation at 3, 6, 9 and 12 months | |
| Notes | ||
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | a toss of a coin |
| Allocation concealment (selection bias) | Unclear risk | Insufficient information to make a clear judgement |
| Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Insufficient information to make a clear judgement |
| Blinding of clinical outcomes assessment | Low risk | quote: "One examiner, who was blinded to treatment type, evaluated the teeth clinically " |
| Blinding of radiological outcomes assessment | Low risk | quote: "One examiner, who was blinded to treatment type, evaluated the teeth [...] radiographically" |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | missing data balanced in numbers across intervention groups, with similar reasons for missing data across groups (2 in each group because of uncontrolled bleeding) |
| Selective reporting (reporting bias) | Unclear risk | Insufficient information to make a clear judgement |