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    Clinical and radiographic outcomes of four pulpotomy agents in primary molars: a prospective randomized controlled trial
    (Springer, 2025) Vural, Handan; Senem Ozsunkar, Pelin; Duman, Sacide; Syed, Ali Zakir; Tirasci, Gizem
    This split-mouth randomized controlled clinical trial aimed to assess the 12-month clinical and radiographic outcomes of four different pulpotomy materials in primary molars. The materials evaluated were Mineral Trioxide Aggregate (MTA), Biodentine, Ferric Sulfate (FS), and Sodium Hypochlorite (NaOCl) gel. Healthy children aged 4-7 with four primary molars requiring pulpotomy were included. Coronal pulpotomy was performed, followed by application of one of the four materials, and restoration with stainless steel crowns. Clinical and radiographic assessments were conducted at 6 and 12 months. Success rates were compared using Fisher's Exact and Cochran's Q tests. A total of 22 children (88 teeth) completed the study. At 12 months, clinical success was 100% in the MTA, Ferric sulfate and NaOCl gel groups, and 95.5% in the Biodentine group. Radiographic success was 100% for MTA and NaOCl gel, 95.5% for Biodentine, and 81.8% for FS (p < 0.05). Most failures occurred in first primary molars. MTA and Biodentine demonstrated high clinical and radiographic success, with Biodentine offering a faster procedure. NaOCl gel showed promising outcomes comparable to MTA. However, FS had lower radiographic success, indicating limitations for long-term use.Trial registration number: NCT07120321. Data: 08 August 2025. Retrospectively registered.
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    Parental Awareness and Decision-Making in Enamel-Dentin Fractures in Permanent Teeth: The Role of Visual Case Scenarios
    (Wiley, 2025) Tirasci, Gizem; Aydan, Tuba; Duman, Sacide
    Aim This study aims to assess the impact of visual case scenarios on parental awareness and urgency perception regarding enamel-dentin fractures in children. Methods This descriptive study included parents of children aged 4-14 who were receiving active dental care. Data were collected via a structured questionnaire, which consisted of two sections: demographic characteristics and general knowledge questions, and visual case-based scenarios to evaluate trauma perception. Statistical analysis was conducted using descriptive methods and chi-square testing. Internal consistency was assessed using Cronbach's alpha. Results A total of 317 participants participated in the study; 65.9% of the participants were mothers and 56.8% had female children. A history of dental trauma was reported by 11.7% of parents. Regarding information sources, 50% relied on dentists or healthcare professionals, and 30.1% used the Internet. After a traumatic event, 42% preferred consulting a pediatric dentist, while 25.2% would visit a general dentist. 62.1% of participants could distinguish between primary and permanent teeth, but only 45.1% believed that the tooth type (primary or permanent) influenced treatment decisions. Regarding trauma concerns, 62.8% prioritized treatment for anterior teeth due to the risk of future complications. 96.8% acknowledged that the time elapsed since the trauma could affect treatment outcomes, and 72.2% considered fracture size important in treatment decisions. Furthermore, 87.1% did not view posterior tooth fractures as concerning as anterior ones. Conclusion This study highlights significant gaps in parental knowledge about pediatric dental trauma, stressing the need for improved education on trauma severity, timely intervention, and the impact of fracture size and tooth type on treatment.