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. 2018 May 31;2018(5):CD003220. doi: 10.1002/14651858.CD003220.pub3

Goyal 2014.

Methods RCT, parallel arm
Teeth randomly assigned
Setting not mentioned. Conducted in India. Operator not mentioned
Participants 41 children, 45 teeth, age range 4 to 8 years
Interventions Group 1:Pulpotomy (full strength formocresol); n = 15 (2 visits)
  • No details

  • A number 1 foam pellet saturated with FC then twice squeezed to remove excess FC and placed for 5 minutes. Then teeth restored with stainless‐steel crown (second visit)


Group 2:Pulpotomy (1:5 diluted formocresol); n = 15 (2 visits)
  • No details

  • 1:5 diluted FC thoroughly mixing 3 mL glycerine with 1 mL distilled water; 4 mL of the diluent is then added to the 1 mL of the FC. A number 1 foam pellet saturated with 1:5 diluted FC then twice squeezed to remove excess 1:5 diluted FC and placed for 5 minutes. Then teeth restored with stainless‐steel crown (second visit)


Group 3:Pulpotomy (1:25 diluted formocresol); n = 15 (2 visits)
No details
1:25 diluted FC: 18 mL glycerine and 6 mL distilled water are thoroughly mixed and to which 1 part of FC is added. A number 1 foam pellet saturated with 1:25 diluted FC then twice squeezed to remove excess 1:25 diluted FC and placed for 5 minutes. Then teeth restored with stainless‐steel crown (second visit)
Outcomes Clinical failure (pain, intra‐oral/extra‐oral swelling, tenderness on percussion, sinus/fistula), radiological failure (furcation radiolucency, periapical changes, internal/external resorption): evaluation at 1, 3, 6 and 9 months
Notes  
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 Quote: "the subjects were unaware of their group"
Insufficient information to make a clear judgement for blinding of personnel
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 High risk Proportion of missing outcomes > 10% of children randomly assigned at 9 months
Selective reporting (reporting bias) Unclear risk Insufficient information to make a clear judgement