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

Oliveira 2013a.

Methods RCT, parallel‐arm
Teeth randomly assigned
Conducted in the Paediatric Dentistry Department, University of São Paulo, Brazil. Operators not mentioned
Participants 45 children, 45 teeth, mean age not mentioned, age range 5 to 9 years
Interventions Group 1:Pulpotomy (CH); n = 15 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access with round bur

  • Pulp access with high‐speed and round carbide burs

  • Pulpotomy amputation with excavator

  • For haemostasis, no precision

  • Irrigation with saline

  • CH placed with no precision


Group 2:Pulpotomy (MTA); n = 15 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access with round bur

  • Pulp access with high‐speed and round carbide burs

  • Pulpotomy amputation with excavator

  • For haemostasis, no precision

  • Irrigation with saline

  • MTA (0.16 g powder mixed with sterile saline to obtain a homogeneous paste)


Group 3:Pulpotomy (PC); n = 15 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access with round bur

  • Pulp access with high‐speed and round carbide burs

  • Pulpotomy amputation with excavator

  • For haemostasis, no precision

  • Irrigation with saline

  • PC (0.16 g powder mixed with sterile saline to obtain a homogeneous paste)

Outcomes Clinical success (no spontaneous pain, no swelling, no fistula or no mobility), radiological success (no evidence of furcation radiolucency, no internal root resorption, dentine bridge formation), intra‐canal obliteration, inter‐radicular bone destruction, intra‐canal obliteration: 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: "...each check‐up involved a clinical... examination of the pulpotomized teeth, which was performed by two blinded and previously calibrated investigators"
Blinding of radiological outcomes assessment Low risk Quote: "...each check‐up involved a... periapical radiographic examination of the pulpotomized teeth, which was performed by two blinded and previously calibrated investigators"
Incomplete outcome data (attrition bias) 
 All outcomes High risk Proportion of missing outcomes > 10% children randomly assigned
Selective reporting (reporting bias) Unclear risk Insufficient information to make a clear judgement