A Review of Criteria for the Evaluation of Pulpotomy Outcomes in Mature Permanent Teeth

Zanini, Marjorie; Hennequin, Martine; Cousson, Pierre-Yves

doi:10.1016/j.joen.2016.05.008

Cited by 61 publications

(75 citation statements)

References 46 publications

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“…, Zanini et al . ), long‐term follow‐up is always desirable to reveal late failures; the teeth treated in this study are scheduled for a yearly review up to 5 years. Furthermore, in reporting failures, it should be specified whether it is related to the pulpotomy procedure itself or to restorative procedures and tooth fracture.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis

2018

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Section: Discussionmentioning

confidence: 99%

“…Clinical and radiographic evaluation was completed 6 months and 1 year postoperatively, and the outcome was determined according to clinical and radiographic criteria described previously (Zanini et al . , Taha et al . ) (Table ).…”

Section: Methodsmentioning

confidence: 99%

Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis

2018

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“…Up to recently, pulpotomy was restricted to use in vital primary teeth or immature teeth, and often involved using such materials as formocresol . Currently, pulpotomy with biocompatible materials can be considered as the treatment of choice for vital permanent teeth suffering from dentine‐pulpal complex damage, such as fractures or deep carious lesion . The pulpotomy procedure consists in removing the coronal part of the pulp, while root canal pulp tissue remains vital .…”

Section: Procedures Used For Conservative Restorative Treatment Undermentioning

confidence: 99%

“…This biological approach allows pulp canal tissues to stay vital. Moreover, this technique is useful for vital teeth when root canal treatment is predicted to be difficult, as the quality of conventional root canal treatment is likely to be compromised . Pulpotomy has also been successfully reported using zinc oxide‐eugenol .…”

Section: Procedures Used For Conservative Restorative Treatment Undermentioning

confidence: 99%

Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes

Linas

Faulks

Hennequin

et al. 2019

Special Care in Dentistry

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Aims: This work discusses the procedures and outcomes of restorative and endodontic treatments performed under general anesthesia, with examples from the Unit of Special Care Dentistry at the University Hospital of Clermont-Ferrand. Methods and results:The restorative and endodontic treatment techniques used in the Special Care Unit are described. These techniques are compared to existing reports in the literature of treatment procedures under general anesthesia. Little evidence was found in the literature regarding sealants or restorative protocols. A few studies described root canal treatment and pulpotomy protocols carried out under general anesthesia, and the results of these met academic outcome standards. Conclusion:Patients with equal needs should have equal access, equal quality of treatment and equal treatment outcomes, regardless of whether a facilitatory procedure is used to achieve treatment. The provision of restorative treatment under general anesthesia is essential to avoid an excessive number of extractions in patients unable to receive treatment in the chair. Restorative care provided under general anesthesia should be standardized and evaluated in the same way as treatment performed under local anesthesia. In this way, the provision of conservative dental care under general anesthesia could be promoted and the maintenance of a functional dentition encouraged. K E Y W O R D Sendodontics, general anesthesia, operative dentistry

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“…Since the evolution of the concept of regenerative endodontics to restore vitality, functionality and immunity of immature permanent teeth with necrotic pulp by regenerative endodontic procedures, VPT of mature permanent teeth with irreversible pulpitis has regained attention of some endodontists trying to save the vitality of the teeth. Evidence‐based studies have showed that mature permanent teeth clinically diagnosed with irreversible pulpitis treated with nonsurgical RCT have a higher and more predictable success rate than treated with VPT . However, many recent studies including some controlled studies have showed that mature permanent teeth clinically diagnosed with irreversible pulpitis without apical periodontitis could be successfully treated with VPT (Tables ).…”

Section: Introductionmentioning

confidence: 99%

Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology

Lin

Ricucci²,

Saoud

et al. 2019

Aust Endodontic J

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The American Association of Endodontists (AAE) Consensus Conference Recommended Diagnostic Terminology states that mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with pulpectomy and root canal filling because inflamed vital pulp is not capable of healing. Histological studies have demonstrated that clinically diagnosed irreversible pulpitis does not involve the entire pulp. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with irreversible pulpitis is predictable if correctly diagnosed and properly treated. A narrative review was undertaken to outline the correlation between the clinical symptoms/signs and pulp sensibility testing and the histological findings of the pulp. Treatment procedures for permanent teeth are outlined. † CH (Dycal; Dentsply Caulk, Milford, DE, USA).

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A Review of Criteria for the Evaluation of Pulpotomy Outcomes in Mature Permanent Teeth

Cited by 61 publications

References 46 publications

Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis

Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis

Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes

Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology

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