Skip to main content
. 2018 May 31;2018(5):CD003220. doi: 10.1002/14651858.CD003220.pub3

Coser 2008.

Methods RCT, parallel‐arm
Teeth randomly assigned
Conducted in the University Center Heminio Ometto, School of  Dentistry, Araras, Sao Paulo, Brazil. Operators not mentioned
Participants 29 children, 51 teeth, age range 4.5 to 6.5 years
Interventions Group 1:Pulpotomy (formocresol); n = 28 (4 visits)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed bur

  • Pulpotomy amputation with excavator

  • For haemostasis, dry cotton pellet

  • Irrigation with 0.5% saline

  • Pulpotomy, FC used. "The cavity was provisionally restored with an IRM …After 7 days, …the FC dressing was changed, and the cavity was sealed with an IRM again. After another 7 days, …the dressing was removed and the coronal chamber was restored with a slow‐setting pure ZOE. The tooth was sealed with IRM. One month later, the treated primary molars were restored with a glass‐ionomer cement …If the restoration was not satisfactory, it was substituted with a performed stainless steel crown"


Group 2:Pulpectomy (calcium hydroxide); n = 23 (4 visits)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed bur

  • Pulpotomy amputation with excavator

  • For haemostasis, moistened cotton pellet with saline

  • Irrigation with 0.5% saline

  • Instrumentation with endodontic files

  • Pulpectomy then CH

  • "The tooth was temporarily sealed with an IRM …placed over a cotton pellet... After 7 days …a new calcium hydroxide paste dressing was introduced …and the tooth was temporarily sealed again. After an additional 7 days, definitive obturation of the canals was performed with calcium hydroxide paste …thickened with calcium hydroxide powder …and the tooth was sealed with IRM"

  • "One month later, the treated primary molars were restored with a glass‐ionomer cement …If the restoration was not satisfactory, it was substituted with a performed stainless steel crown"

Outcomes No data provided
Notes Dropouts: no information provided
Follow‐up for 48 months; reporting at baseline, 12, 24, 26, 48 months
Source of funding: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to make a clear judgement
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 Unclear risk Insufficient information to make a clear judgement
Blinding of radiological outcomes assessment Unclear risk Insufficient information to make a clear judgement
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Insufficient information to make a clear judgement
Selective reporting (reporting bias) Unclear risk Insufficient information to make a clear judgement