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3D printed endocrowns versus prefabricated zirconia crowns for pulpotomized primary molars: A randomized controlled trial.

J Dent

February 2025

The Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Ain Shams university, Organization of African Unity St. Abbasia - Cairo, Post No. 11566, Egypt. Electronic address:

Objectives: This study aims to compare the clinical performance of 3D printed endocrowns (ECs) and prefabricated zirconia crowns (PZRCs) in restoring pulpotomized primary molars, over 3, 6, and 12 months.

Methods: Thirty pulpotomized mandibular primary molars in 16 children aged 4-8 years were randomized with a 1:1 allocation ratio into two groups: group (A), PZRCs, and group (B), 3D-printed ECs. All restorations were evaluated for esthetic, functional, and biological properties using FDI criteria at 3-, 6-, and 12-month intervals.

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To assess the effectiveness of Biodentine (BD), mineral trioxide aggregate (MTA) and ferric sulfate (FS) as pulpotomy agents in primary molars and evaluate the impact of behavior guidance strategies on pulpotomy success. In this retrospective cross-sectional study, data from 374 cases (50.5 percent male, aged two to 10 years) undergoing 469 pulpotomies at a university pediatric clinic between April 1, 2016 and January 1, 2020 were analyzed.

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Cytotoxic Effects of Pulp Capping Agents on Mesenchymal Stem Cells Isolated from Human Exfoliated Deciduous Teeth.

J Dent (Shiraz)

December 2024

ENT and Head and Neck Research Center and Department, The five senses Health Institute, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Statement Of The Problem: Success of pulpotomy of primary teeth depends on biological and cytotoxic effects of pulp capping agents. Mineral trioxide aggregate (MTA), Biodentine, calcium enriched mixture (CEM) cement, and ferric sulfate (FS) are among the commonly used pulp capping agents (PCAs) for pulpotomy, and their successful application has been previously evaluated.

Purpose: This study aimed to compare the cytotoxicity of PCAs against mesenchymal stem cells isolated from human exfoliated deciduous teeth (SHEDs).

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Background: In recent times, bioceramic calcium silicates have gained attention due to high success rates with pulpotomy in primary teeth.

Aims: To evaluate and compare the clinical and radiographic outcomes of three different bioceramic calcium silicate cements in vital deciduous teeth treated with pulpotomies over a period of 24 months.

Design: Children aged 4-9 years, with deep dentinal caries (ICDAS 4-6) in primary molars, having no history of spontaneous pain or signs of non-vitality were included in the study.

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Article Synopsis
  • The study compared the effectiveness of Formocresol (FC), Portland Cement (PC), and NeoMTA Plus in treating decayed primary molars through pulpotomy in children aged 3-9 years.
  • All three materials demonstrated a 100% clinical success rate at both six and twelve months.
  • NeoMTA Plus had the highest radiographic success rates, although no significant differences were found among the three groups overall, indicating that PC and NeoMTA Plus are viable alternatives to FC.
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