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A systematic review comparing mineral trioxide aggregate to other commercially available direct pulp capping agents in dogs

Tucker, Lee and Ha, Nguyen

Journal of Veterinary Dentistry (2021) 38: 34–45

DOI: 10.1177/08987564211024905

Abstract

Vital pulp therapy (VPT) and direct pulp capping (DPC) are procedures regularly performed in dogs for the management of acute tooth fractures and as part of management for traumatic malocclusions. The purpose of this review is to apply an evidence-based medicine approach to systematically review and evaluate the scientific literature evaluating the efficacy of mineral trioxide aggregate (MTA) to other commercially available materials used for VPT in the permanent teeth of dogs. The 9 studies meeting inclusion criteria were reviewed and each studies evidence was classified using a grading system modified from the Oxford Centre for Evidence-Based Medicine. For the studies meeting inclusion criteria, MTA consistently performed as well or better than other commercially available products in terms of calcific barrier formation and biocompatibility. This review found a lack of consistency between the studies making a direct comparison of the results unreliable. Future studies would benefit from the implementation of a standard scoring system for histology, equivalent and longer study duration times and the correlation of histological and radiographic data.

Citation

Tucker, L., & Ha, N. (2021). A systematic review comparing mineral trioxide aggregate to other commercially available direct pulp capping agents in dogs. Journal of Veterinary Dentistry, 38(1), 34–45. https://doi.org/10.1177/08987564211024905 dogs, Diagnosis of Animal Diseases [LL886], systematic reviews, therapeutics, therapy, Animal Surgery and Non-drug Therapy [LL884], Non-communicable Diseases and Injuries of Animals [LL860], Pets and Companion Animals [LL070], literature reviews, trauma, histology, fractures, gingiva, gums (mouth), mouth diseases, teeth, tooth diseases, traumas

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