| Methods |
RCT, parallel arm
Teeth randomly assigned
Outpatient Department of Pediatric Dentistry of Subharti Dental College, Meerut. A single operator (investigator) performed all procedures |
| Participants |
30 children, 30 teeth, 4 to 10 years |
| Interventions |
Group 1: Pulpotomy (ferric sulphate); n = 10 (1 visit)
Rubber dam not mentioned Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation with low speed bur and excavator For haemostasis, moist cotton pellets Irrigations with saline Sterile cotton pellet moistened with ferric sulphate placed in contact with the radicular pulp for 15 s. before being restored with ZOE and stainless‐steel crown
Group 2: Pulpotomy (electrosurgery); n = 10 (1 visit)
Rubber dam not mentioned Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation not mentioned For haemostasis, no detail Irrigations with saline an electrode tip of the ES unit T4 (fine wire) with 50 W power, 110 V ± 5% 50/60 Hz 92 VA and work frequency of 1.5 ˜ 1.7 MHz ± 5% was used for the pulpotomy procedure. During the procedure, the electrode tip was positioned slightly above the pulp tissue but close enough for electrical arcing to occur (about 1 mm above the tissue). The current was applied for 1 to 2 seconds over each pulpal stump. This procedure was repeated up to three times on each pulpal orifice, until brown appearance was observed in the tissue. Then teeth were restored with ZOE and stainless‐steel crown
Group 3: Pulpotomy (diode laser); n = 10 (1 visit)
Rubber dam not mentioned Caries removal prior to pulpal access not mentioned Pulp access not mentioned Pulpotomy amputation not mentioned For haemostasis, no detail Irrigations with saline the pulp was ablated to the level of the canal orifice using diode laser with 980 nm wavelength, 3 W of power and on continuous pulse mode. The laser energy of 4.0 J/cm² was delivered through a 0·5 mm diameter optical fibre in contact with pulp tissue with the total energy of one spot, corresponding to 2 minutes and 31 seconds exposure. If additional ablation was required, subsequent multiple applications were administered.Then teeth were restored with ZOE and stainless‐steel crown
|
| Outcomes |
Clinical success, radiological success, pain, furcal and periapical radiolucency, internal root resorption: evaluation at 3, 6, 9 and 12 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 |
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 |
Low risk |
No missing data |
| Selective reporting (reporting bias) |
Unclear risk |
Insufficient information to make a clear judgement |
