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

Ulusoy 2014a.

Methods RCT, parallel‐arm
Teeth randomly assigned
Conducted in the Department of Pedodontics, Faculty of Dentistry, Turkey. Operator was the principal investigator
Participants 40 children, 40 teeth, mean age 7.3 years, age range 5 to 9 years
Interventions Group 1:Pulpotomy (CH cement/Dycal); n = 20 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed followed by slow‐speed and varbide burs

  • For haemostasis, moist cotton pellet

  • Solutions rinsed with saline

  • CH cement (Dycal) applied to the exposure site with bal‐ended instruments, followed by glass ionomer cement liner before being restored with amalgam


Group 2:Pulpotomy (calcium sulphate hemihydrate/Dentogen); n = 20 (1 visit)
  • Rubber dam

  • Caries removal prior to pulpal access

  • Pulp access with high‐speed followed by slow‐speed and varbide burs

  • For haemostasis, moist cotton pellet

  • Solutions rinsed with saline

  • calcium sulphate hemihydrate (Dentogen) applied to the exposure site with ball‐ended instruments, followed by glass ionomer cement liner before being restored with amalgam

Outcomes Clinical success (no pathologic mobility, fistula, spontaneous pain, sensitivity to percussion/palpation, oedema), radiographic success (no external root resorption, internal root resorption, inter‐radicular radiolucency, periapical radiolucency), inter‐radicular radiolucency, external root resorption, internal root resorption, fistula, pathologic mobility, spontaneous pain: evaluation at 1, 3, 6, 9 and 12 months (at tooth level).
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 Low risk Quote: "...all clinical... recall examinations were performed by the same clinician who was blinded to the treatment groups"
Blinding of radiological outcomes assessment Low risk Quote: "...all... radiographic recall examinations were performed by the same clinician who was blinded to the treatment groups"
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