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

Lourenço 2015a.

Methods RCT, parallel arm
Teeth randomly assigned
Setting and operators not mentioned
Participants 22 children, 30 teeth, mean age 6.6 years, standard deviation age 1.4 years.
Interventions Group 1:Pulpotomy (Portland cement, PC); n = 10 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed and round carbide bur

  • Pulpotomy amputation with excavator

  • Irrigation with saline

  • For haemostasis, dry sterile cotton pellet

  • PC applied after pulpotomy, followed by IRM before being restored with resin glass ionomer


Group 2:Pulpotomy (PC + iodoform, PC + CHI); n = 10 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed and round carbide bur

  • Pulpotomy amputation with excavator

  • Irrigation with saline

  • For haemostasis, dry sterile cotton pellet

  • PC + CHI₃ (20% radiopacifier, 80% PC) applied after pulpotomy, followed by IRM before being restored with resin glass ionomer


Group 3:Pulpotomy (PC + zirconium oxide, PC + ZrO); n = 10 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed and round carbide bur

  • Pulpotomy amputation with excavator

  • Irrigation with saline

  • For haemostasis, dry sterile cotton pellet

  • PC + ZrO₂ (20% radiopacifier, 80% PC) applied after pulpotomy, followed by IRM before being restored with resin glass ionomer

Outcomes Clinical success (no swelling, fistula, spontaneous pain, mobility), radiological success (no furcation radiolucency, internal root resorption, external root resorption): evaluation at 6, 12 and 24 months (at tooth level)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computerised random‐number generator
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: "...at each follow‐up examination two investigators who were blinded to the identification of the medicaments ... performed clinical... examination of the pulpotomized teeth"
Blinding of radiological outcomes assessment Low risk quote: "...at each follow‐up examination two investigators who were blinded to the identification of the medicaments ... performed... periapical examination of the pulpotomized teeth"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Proportion of missing outcomes < 10% of children randomly assigned
Selective reporting (reporting bias) Unclear risk Insufficient information to make a clear judgement