COMPARING MTA AND BIODENTINE FOR MOLAR PULPOTOMY: A COMPREHENSIVE META-ANALYSIS

Pulp tissue, integral to dental health, serves multiple functions including formative, nutritive, sensory, and defensive roles. In pediatric dentistry, preserving pulp vitality in deep carious exposed milk molars is crucial for long-term tooth survival. Recent advancements have underscored the preference for conserving pulp rather than opting for more invasive procedures. Treatment strategies for deep carious pulp exposure vary from conservative approaches like direct pulp capping (DPC) and vital pulp therapy (VPT) to more invasive options such as pulpotomy and root canal therapy. Among these, pulpotomy remains a prevalent method for managing exposed pulp in children with carious milk molars. According to the American Academy of Pediatric Dentistry, pulpotomy involves the removal of infected or affected pulp tissue while preserving the remaining healthy pulp with a medicament. This approach aims to maintain the vitality and functionality of the root pulp, ensuring continued dental health and function. This review focuses on the comparative effectiveness of various pulpotomy techniques, including Mineral Trioxide Aggregate (MTA) and Biodentine, evaluating their clinical outcomes and suitability for pediatric dental practice.