Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts

Abstract

Under the conditions of this study, pulpotomy offered a viable alternative to root canal treatment for teeth with vital pulps in the short term. However, there is insufficient clinical evidence to consider this technique for the treatment of every permanent tooth. Nevertheless, it should be considered as a potential alternative approach to be further developed for future applications.

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

“…Finally, 31 articles were included: 15 case reports or case series (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), 9 cohort studies (15,(31)(32)(33)(34)(35)(36)(37)(38), and 3 clinical trials and 4 randomized clinical trials (39)(40)(41)(42)(43)(44)(45).…”

“…In this situation, the formulation of a common answerable question (according to the Patient/Intervention/Comparator/Outcome statement) seems to be risky because only 2 studies were conducted under equivalent conditions (35,37) but with small groups.…”

“…The third group of publications gathered follow-up studies aiming to verify whether pulpotomy could be an alternative to RCT in a public health perspective (15,(34)(35)(36)(37)(38)(42)(43)(44)(45).…”

Translational Opportunities in Stem Cell–based Endodontic Therapy: Where Are We and What Are We Missing?

“…Beyond the not-yet proven potential to strengthen an immature root, this would be conserving an immunologically active ''root canal filling'' that combats leakage better than any existing filling material. Consequently, the boundaries of what can be expected from vital pulp therapy have been explored (50).…”

Pulpotomy; Assessment of Clinical Outcome in Mature Permanent Teeth Using Mineral Trioxide Aggregate

“…Few studies were performed regarding the clinical and radiographic evaluation of MTA as a pulpotomy agent in mature permanent teeth with irreversible pulpitis, stating that the probability of survival without any other intervention after MTA pulpotomy in mature permanent teeth is around 82% 8 and 100%. 9 This means that survival without root canal treatment after MTA pulpotomy is possible in cases of irreversible pulpitis.…”