Pulpotomy for mature carious teeth with symptoms of irreversible pulpitis: A systematic review

Cushley, Siobhan; Duncan, Henry F.; Lappin, Mark; Tomson, Phillip; Lundy, Fionnuala T.; Cooper, Paul R.; Clarke, Mike; Karim, Ikhlas El

doi:10.1016/j.jdent.2019.06.005

Cited by 135 publications

(154 citation statements)

References 32 publications

(49 reference statements)

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“…Different types of study designs -prospective, retrospective and randomized controlled trials -were included in this systematic review. The success rate of coronal pulpotomy was found 97.4% clinically and radiographically 95.4% at 12-month follow-up [29].…”

Section: Reviewmentioning

confidence: 79%

Success of Coronal Pulpotomy in Permanent Teeth with Irreversible Pulpitis: An Evidence-based Review

Sadaf

2020

Cureus

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Vital pulp therapies have been used in primary teeth and immature permanent teeth. However, with the advent of new bioactive material, the paradigm is shifting toward permanent teeth with mature apices of roots. There are many prospective and retrospective studies, randomized controlled trials, and systematic reviews that report coronal pulpotomy with bioactive material in permanent teeth with pulpal pathosis proved to be as successful as root canal therapy (RCT). Coronal pulpotomy is cost-effective, not very technical demanding like root canal therapy and less time consuming for both the dentists and patients. This treatment can be offered to the patient as an alternative to endodontic therapy. The objective of this study is to review the literature related to the clinical outcome of coronal pulpotomy in permanent teeth with mature apex and having pulpal pathosis. This evidencebased review will facilitate clinical decision making in situations to choose coronal pulpotomy over root canal therapy in mature permanent teeth with irreversible pulpitis.

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Section: Reviewmentioning

confidence: 79%

Success of Coronal Pulpotomy in Permanent Teeth with Irreversible Pulpitis: An Evidence-based Review

Sadaf

2020

Cureus

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“…In past years, convergent results from the literature suggested that permanent vital teeth with pulpitis may be treated using full pulpotomy. Several studies have shown similar success rates for full pulpotomy compared to root canal treatment (RCT) [ 39 ]. It might be expected that full pulpotomy will become the endodontic treatment of choice for affected teeth with a vital pulp, instead of RCT.…”

Section: Discussionmentioning

confidence: 99%

A Comprehensive Approach Limiting Extractions under General Anesthesia Could Improve Oral Health

Decerle

Cousson

Naline

et al. 2020

IJERPH

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Access to dental treatment could be difficult for some patients due to dental phobia or anxiety, cognitive or sensorial disabilities, systemic disorders, or social difficulties. General anesthesia (GA) was often indicated for dental surgery, and there is almost no available data on adapted procedures and materials that can be applied during GA for maintaining functional teeth on the arches and limiting oral dysfunctions. This study evaluates changes in oral health-related quality of life and mastication in a cohort of uncooperative patients treated under GA according to a comprehensive and conservative dental treatment approach. Dental status, oral health-related quality of life, chewed bolus granulometry, kinematic parameters of mastication, and food refusals were evaluated one month preoperatively (T0), and then one month (T1) and six months post-operatively (T2). One hundred and two adult patients (mean age ± SD: 32.2 ± 9.9 years; range: 18–57.7) participated in the preoperative evaluation, 87 were treated under GA of which 36 participated in the evaluation at T1 and 15 were evaluated at T2. Preoperative and postoperative data comparisons demonstrated that oral rehabilitation under GA helped increase chewing activity and oral health-related quality of life. The conditions for providing dental treatment under GA could be arranged to limit dental extractions in uncooperative patients.

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“…Acute pulpitis is prone to necrosis because the pulp is in a closed pulp chamber, lack of effective collateral circulation [1]. In clinic, pulp drying therapy, plasticization therapy and root canal therapy are effective methods to treat pulpitis, but both root canal therapy and other pulp therapy are at the cost of sacrificing part or whole of the pulps [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…The pulp is mainly connected to the outside of the tooth through the narrow apical foramen and the lack of effective collateral circulation and the absence of concessional environment [1]. It is not easy to establish suitable drainage when the pulp is inflamed.…”

Section: Introductionmentioning

confidence: 99%

Experimental Pulpitis Treated By Double-Pinhole Drainage

2019

JODH

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Objective: To search for a dental pulp preservative method in experimental pulpitis. Methods: 20 rabbits with experimental pulpitis were selected for this study; Teeth were randomly assigned to 2 groups (experimental and control groups) based on the final irrigation methods. In experimental group (double-pinhole drainage), the two pinholes were drilled in middle 1/3 dental cervix of buccal labial surface of tooth; the pinholes were inserted into infant transfusion needles then the two syringes were contacted with them, one for suck, another for irrigation. In control group, pinhole was sealed. Rabbits were executed in 1, 3, 5, 7 day. The inflammation in pulp chamber was assessed after 1, 3, 5, and 7 days. Results: At the 1, 5 day time intervals, control group reported more inflammation than experimental group (P < .05). There was no significant difference between two groups at the other time intervals (P > .05), and in all groups the inflammation decreased over time. Conclusion: Dental pulp can be preserved by double-pinhole drainage efficiently.

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Pulpotomy for mature carious teeth with symptoms of irreversible pulpitis: A systematic review

Cited by 135 publications

References 32 publications

Success of Coronal Pulpotomy in Permanent Teeth with Irreversible Pulpitis: An Evidence-based Review

Success of Coronal Pulpotomy in Permanent Teeth with Irreversible Pulpitis: An Evidence-based Review

A Comprehensive Approach Limiting Extractions under General Anesthesia Could Improve Oral Health

Experimental Pulpitis Treated By Double-Pinhole Drainage

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