Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

Xiao, Wen; Shi, Wentao; Wang, Jun

doi:10.21203/rs.3.rs-52921/v1

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…The mean increase in root length for MP was approximately 28% with an SD of approximately 16% according to the retrospective analysis of 13 cases collected from June 2015 to June 2016, 23 while the change rate for apexification was approximately 5% according to the published RCT research. 24 The Mann-Whitney-Wilcoxon test, based on Monte Carlo simulation in PASS 2019, was used to estimate the sample size.…”

Section: Methodsmentioning

confidence: 98%

Modified pulpotomy procedure in immature permanent teeth with apical periodontitis: a randomised controlled trial

et al. 2022

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ObjectivesThe objective of this study was to evaluate the effectiveness of a modified pulpotomy (MP) procedure in immature permanent teeth with apical periodontitis (AP).DesignRandomised controlled trial.SettingOne public hospital in Shanghai, ChinaParticipantsA total of 33 teeth (31 patients) with a definitive diagnosis of AP with radiographic periapical radiolucency were recruited in this study. All the patients (teeth) completed the study accordingly.Methods and interventionPatients were randomly assigned to either MP or apexification treatment groups and were followed up for 12 months. Clinical symptoms and complications were recorded, and parallel periapical radiographic images were used to measure changes in root length and apical diameter. Wilcoxon’s rank sum test and Fisher’s exact test were used to compare the clinical and radiographic outcomes between MP and apexification, and analysed with analysis of variance.Main outcome measureThe primary outcome was increase in root length at 12 months. The secondary outcomes included tooth survival, clinical success and decrease in apical diameter.ResultsMP group showed a significant increase in root length (10.05%±2.14% vs 1.16%±0.79%, p<0.05) at 12 months and a decrease in apical diameter (48.88%±10.42% vs 15.90%±8.88%, p<0.05) as compared with the apexification group. The tooth survival rate was 100%, and 90.91% (30/33) of teeth were asymptomatic with apical healing in both treatment groups (p>0.05).ConclusionsMP can be an option for treating immature permanent teeth with AP. MP showed better performance in terms of continued root maturation than apexification. MP and apexification achieved comparable outcomes with regard to the resolution of clinical symptoms and apical healing.Trial registration numberChiCTR-INR-17012169.

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Section: Methodsmentioning

confidence: 98%

Modified pulpotomy procedure in immature permanent teeth with apical periodontitis: a randomised controlled trial

et al. 2022

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“…Therefore, it is very important for us to do our best to preserve these still vibrant dental pulp [9]. Besides, some case reports have shown that, in young permanent teeth, preserving these pulp tissues can promote the continued physiological development of roots already affected by apical periodontitis, a treatment approach known as IVPT [6,10]. Notably, this technique has heretofore been applied only to young permanent teeth.…”

Section: Introductionmentioning

confidence: 99%

Application of Inflammatory Vital Pulp Therapy in the Treatment of Apical Periodontitis in a deciduous Molar: A Case Report

Chen,

He,

Liu

et al. 2024

IJDM

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Due to the distinct anatomical characteristics of deciduous teeth, they are particularly susceptible to apical periodontitis when afflicted by deep caries or other endodontic diseases. Conventional, root canal therapy (RCT) has served as the standard treatment protocol all the time by the most pediatric dentists. However, researchers try to find another possible alternative mothods because of its some drawbacks. Hence this report introduces a groundbreaking therapeutic modality - inflammatory vital pulp therapy (IVPT) - which has proven effective in treating apical periodontitis in a deciduous molar. The objective of this study was to assess the practicality and efficacy of IVPT in managing apical periodontitis in deciduous teeth. Through rigorous patient examination and evaluation, IVPT was adopted as the treatment plan, followed by meticulous long-term follow-up observations. The outcomes revealed remarkable clinical improvements, with the periapical lesion healing seamlessly without any complications. Notably, the development of the permanent tooth embryo remained undisturbed and progressed as expected. In summary, this study validates the efficacy of IVPT in treating apical periodontitis in deciduous teeth, opening a new avenue for the management of deciduous tooth diseases. The clinical utilization of this method is anticipated to enhance treatment experiences and prognostic outcomes for patients with deciduous tooth pathologies.

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“…Therefore, it is of utmost importance that we strive to preserve this viable dental pulp tissue instead of removing all dental pulp, like RCT [10]. Furthermore, several scholars have demonstrated that, in young permanent teeth, preserving pulp tissues can facilitate the ongoing physiological development of roots that have been compromised by apical periodontitis, an approach known as VIPT [6,11]. However, currently this treatment method is only limited to young permanent teeth.…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of Vital Inflamed Pulp Therapy as Treatment Options for Deciduous Molars with Periapical Periodontitis

Liu,

Sun

2024

IJDM

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Deciduous teeth, owing to their special anatomical structure, are highly vulnerable to apical periodontitis, particularly when afflicted with deep caries or other endodontic diseases. Traditionally, root canal therapy (RCT) has been the gold standard among pediatric dentists all along. Nevertheless, due to its inherent limitations, researchers are actively exploring alternative therapeutic approaches these years. This study introduces a new treatment modality known as vital inflamed pulp therapy (VIPT). The primary aim of this investigation was to assess the practical feasibility and therapeutic efficacy of VIPT in managing apical periodontitis in deciduous teeth comparing to RCT. After rigorous patients evaluation and examination, VIPT was chosen as the preferred treatment plan, followed by one year long-term follow-up observations. The outcomes revealed that most positive seamless healing of the periapical lesion without any complications in VIPT as the ones in RCT. Notably, the development of the permanent tooth embryo remained unaffected and progressed as anticipated. In conclusion, this study validates the therapeutic potential of VIPT in treating apical periodontitis in deciduous teeth, offering a novel approach for managing deciduous tooth diseases. The clinical application of this method is expected to enhance patient experiences and prognostic outcomes in the treatment of deciduous tooth pathologies.

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Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

Cited by 3 publications

References 21 publications

Modified pulpotomy procedure in immature permanent teeth with apical periodontitis: a randomised controlled trial

Modified pulpotomy procedure in immature permanent teeth with apical periodontitis: a randomised controlled trial

Application of Inflammatory Vital Pulp Therapy in the Treatment of Apical Periodontitis in a deciduous Molar: A Case Report

Clinical Evaluation of Vital Inflamed Pulp Therapy as Treatment Options for Deciduous Molars with Periapical Periodontitis

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