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Is partial pulpotomy in cariously exposed posterior permanent teeth a viable treatment option?

Evidence-Based Dentistry volume 21, pages 112–113 (2020)Cite this article

Abstract

Data sources PubMed, ScienceDirect and Cochrane, Open Grey. Journal of Dentistry; Journal of Endodontics; International Endodontic Journal; Australian Endodontic Journal; and Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics

Study selection Two independent reviewers screened the titles, abstracts and/or full-text for randomised clinical trials and prospective clinical studies dealing with the success rate of treating cariously exposed vital human permanent posterior teeth with a partial pulpotomy. The cases were followed up for 6 to 24 months.

Results The study included five randomised clinical trials and six prospective studies. The pooled data indicated that partial pulpotomy in carious exposed teeth had a success rate of 98%, 96% and 92% after 6 months and 1 and 2 years of follow-up. However, teeth with a presumptive diagnosis of irreversible pulpitis displayed significantly lower success rates. Interestingly, neither the pulp capping material used nor the status of the root apex (apical root closure) or age of the patient affected the treatment success rate.

Conclusion The study reported high 2 year success rates when cariously exposed permanent posterior teeth were treated using a partial pulpotomy procedure.

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Reference

  1. Fuks A B, Cosack A, Klein H, Eidelman E. Partial pulpotomy as a treatment alternative for exposed pulps in crown-fractured permanent incisors. Endod Dent Traumatol 1987; 3: 100-102.

  2. S L. Pulpotomy - a critical evaluation. J Dent Child 1954; 21: 249.

  3. Baratieri L N, Monteiro S, Jr., Caldeira de Andrada M A. Pulp curettage surgical technique. Quintessence Int 1989; 20: 285-293.

  4. Fong C D, Davis M J. Partial pulpotomy for immature permanent teeth, its present and future. Paediatr Dent 2002; 24: 29-32.

  5. Mass E, Zilberman U. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Paediatr Dent 1993; 15: 257-259.

  6. Elmsmari F, Ruiz X F, Miro Q, Feijoo-Pato N, Duran-Sindreu F, Olivieri J G. Outcome of Partial Pulpotomy in Cariously Exposed Posterior Permanent Teeth: A Systematic Review and Meta-analysis. J Endod 2019; 45: 1296-1306.

  7. Aeinehchi M, Eslami B, Ghanbariha M, Saffar A S. Mineral trioxide aggregate (MTA) and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report. Int Endod J 2003; 36: 225-231.

  8. Tran X V, Salehi H, Truong M T et al. Reparative Mineralized Tissue Characterization after Direct Pulp Capping with Calcium Silicate Based Cements. Materials (Basel) 2019; 12: DOI: 10.3390/ma12132102.

  9. Lipski M, Nowicka A, Kot K et al. Factors affecting the outcomes of direct pulp capping using Biodentine. Clin Oral Investig 2018; 22: 2021-2029.

  10. Horsted P, Sandergaard B, Thylstrup A, El Attar K, Fejerskov O. A retrospective study of direct pulp capping with calcium hydroxide compounds. Endod Dent Traumatol 1985; 1: 29-34.

  11. Seltzer R, IB B. The Dental Pulp: Biologic Considerations in Dental Procedures. Philadephia: Lippincott, 1976.

  12. Kang C M, Sun Y, Song J S et al. A randomized controlled trial of various MTA materials for partial pulpotomy in permanent teeth. J Dent 2017; 60: 8-13.

  13. Taha N A, Khazali M A. Partial Pulpotomy in Mature Permanent Teeth with Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial. J Endod 2017; 43: 1417-1421.

  14. Rutherford B, Spangberg L, Tucker M, Charette M. Transdentinal stimulation of reparative dentine formation by osteogenic protein 1 in monkeys. Arch Oral Biol 1995; 40: 681-683.

  15. Li X, Pedano M S, Camargo B et al. Experimental tricalcium silicate cement induces reparative dentinogenesis. Dent Mater 2018; 34: 1410-1423.

  16. Nowicka A, Lipski M, Parafiniuk M et al. Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod 2013; 39: 743-747.

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Authors and Affiliations

  1. School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia

    Roy George

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  1. Roy George
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George, R. Is partial pulpotomy in cariously exposed posterior permanent teeth a viable treatment option?. Evid Based Dent 21, 112–113 (2020). https://doi.org/10.1038/s41432-020-0128-0

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  • DOI: https://doi.org/10.1038/s41432-020-0128-0

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