Clinical and Radiographic Evaluation of Using White Portland Cement and MTA in Pulpotomy Primary Anterior Teeth: A Randomized, Split-Mouth, Controlled Clinical Trial with 12 Months Follow-Up

The purpose of the present controlled trial was to evaluate the clinical and radiographical success rate of pulpotomies in carious vital primary anterior teeth using White Portland (WPC) cement versus White MTA. Materials and Methods: Sixty asymptomatic carious vital primary anterior teeth with pulp exposure in healthy children aged 4 to 9 years were allocated randomly to receive WPC or WMTA pulpotomy. Clinical and radiographical post-treatment assessments occurred at 3,6,12 months. Primary anterior teeth treated with pulpotomy were classified into one of the following radiographic outcomes: N=primary anterior teeth without pathologic change; Po=pathologic change present, follow-up recommended; Px=pathologic change present, extract. Results: All studied pulpotomy cases were clinically and radiologically successful regardless of the material used and whatever the time period between WPC and WMTA pulpotomy group in the three studied time periods (3,6,12 months) so that no statistical differences in clinical or radiographical outcomes between WPC and WMTA primary anterior teeth pulpotomy. Conclusion: WMTA or WPC pulpotomy were effective in the treatment of carious vital primary anterior teeth. PC may serve as a good alternative to MTA for pulpotomy of primary teeth.