Combination of Nonsurgical Endodontic and Vital Pulp Therapy for Management of Mature Permanent Mandibular Molar Teeth with Symptomatic Irreversible Pulpitis and Apical Periodontitis

Koli, Bhawna; Chawla, Amrita; Logani, Ajay; Kumar, Vijay; Sharma, Sidhartha

doi:10.1016/j.joen.2020.10.010

Cited by 29 publications

(34 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At five years [4], the overall success rates of 78% and 75% did not differ significantly between FP and NSRCT, but the validity of the data is undermined by a low recall rate. The one-year overall success of FP performed with MTA in molar roots with vital pulps, while NSRCT was performed in the other roots, was 93%, compared to 90% for NSRCT performed in both roots of the molars [41].…”

Section: Discussionmentioning

confidence: 86%

“…Articles have reported one-year outcomes [2,5,34,36,37,41], two-year outcomes [3,6,7], and 3-to-5-year outcomes [4,6,8,35] (Tables 3 and 4). At one-year, high clinical success rates ranging from 92 to 100%, and high radiographic success rates ranging from 92 to 98%, have been reported for FP using either MTA, CEM or Biodentine™ [2,5,36,37].…”

Section: Discussionmentioning

confidence: 99%

“…Two articles [5,6] reported on the outcome of FP performed with different materials at three follow-up periods. Another article reported on the outcome of FP and NSRCT performed in different roots within the same tooth vs. NSRCT performed in all the roots of treated teeth [41]. One subset of subjects treated by FP using CEM appears to have been reported twice [2,5], with a subsequent follow-up of two years [3,6] and five years [4,6].…”

Section: Selected Studiesmentioning

confidence: 99%

“…Nine reviewed articles followed a randomized controlled trial methodology. Using the Cochrane Collaboration Rob 2 tool (Supplemental Tables S5 and S6), the final risk of bias for this article was assessed as 'low' for only one [8], as 'fair' for seven [2][3][4][5][6][7]41], and as 'high' for one [34]. Of the three reviewed prospective cohort studies assessed with the Cochrane Collaboration ROBINS I tool (Supplemental Table S7), the risk of bias was assessed as 'low' for two [36,37] and as 'serious' for one [35].…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Supported by the current understanding of the capacity of the inflamed pulp tissue to recover and regenerate [1,9], FP and PP using HCSCs have been applied in permanent mature teeth to treat deep carious lesions with exposed pulps, yielding good outcomes [26,[31][32][33]. The application of FP has also been extended to permanent mature teeth with symptomatic irreversible pulpitis [2][3][4][5][6][34][35][36][37][38], suggesting that also those teeth, traditionally considered beyond pulpal repair, can be predictably treated by the removal of the inflamed and affected tissue, resulting in maintained vitality of the remaining pulp and periapical health [2][3][4][5][6][7][8][34][35][36][37][38][39][40][41].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Vital Pulp Therapy in Permanent Mature Posterior Teeth with Symptomatic Irreversible Pulpitis: A Systematic Review of Treatment Outcomes

et al. 2021

View full text Add to dashboard Cite

Background and Objectives: Symptomatic irreversible pulpitis in permanent mature teeth is a common indication for nonsurgical root canal treatment (NSRCT), but contemporary studies have reported on vital pulp therapy (VPT) applied in such teeth as a less invasive treatment. This systematic review assessed the outcomes of VPT, including partial and full pulpotomy performed with hydraulic calcium silicate cements (HCSCs) in permanent mature posterior teeth diagnosed with symptomatic irreversible pulpitis. Materials and Methods: The PRISMA guidelines were followed. The search strategy included PubMed®, EMBASE, Cochrane library and grey literature electronic databases. The quality assessment of the identified studies followed the Cochrane Collaboration Risk of Bias, ROBINS-I and Newcastle–Ottawa Scale tools. Results: The search of primary databases identified 142 articles, of which 9 randomized controlled trials and 3 prospective cohort studies were selected for review. The risk-of-bias was assessed as ‘high’ or ‘serious’, ‘fair’, and ‘low’ for three, seven and two articles, respectively. One to five years after VPT using HCSCs, the success rates mostly ranged from 78 to 90%. Based on two articles, the outcomes of the VPT and NSRCT were comparable at one and five years. Despite the necessity for the intra-operative pulp assessment in VPT procedures, the majority of the studies did not fully report on this step or on the time needed to achieve hemostasis. Small sample sizes, of under 23 teeth, were reported in three studies. Conclusions: The reviewed 12 articles reported favorable outcomes of the VPT performed with HCSCs in permanent mature posterior teeth with symptomatic irreversible pulpitis, with radiographic success in the range of 81 to 90%. Two articles suggested comparable outcomes of the VPT and root canal treatment. Universal case selection and outcome criteria needs to be established for VPT when considered as an alternative to NSRCT. This evidence supports the need for further research comparing longer-term outcomes of both of the treatment modalities.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Selected Studiesmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Vital Pulp Therapy in Permanent Mature Posterior Teeth with Symptomatic Irreversible Pulpitis: A Systematic Review of Treatment Outcomes

et al. 2021

View full text Add to dashboard Cite

show abstract

Vital Pulp Treatment Modalities

Careddu,

Lappin,

Duncan

et al. 2024

Vital Pulp Treatment

View full text Add to dashboard Cite

Evaluation of the efficacy of mineral trioxide aggregate and bioceramic putty in primary molar pulpotomy with symptoms of irreversible pulpitis (a randomized‐controlled trial)

Alnassar

Altinawi

Rekab

et al. 2022

Clinical & Exp Dental Res

View full text Add to dashboard Cite

Objectives Preserving the primary teeth is important, as they play an important role in the integrity of the dental arch, the development of the craniofacial complex, speech, and chewing. This study aimed to evaluate the effectiveness of both Mineral Trioxide Aggregate (MTA) and Bioceramic putty in primary molar pulpotomy with symptoms of irreversible pulpitis. Materials and Methods In this study, 40 s primary mandibular molars in 40 healthy children aged 6−8 years were examined and classified into 2 groups according to the material: group A, with 20 primary molars capped by MTA, and group B, with 20 teeth capped by Bioceramic putty. Clinical and radiographic evaluation of the treatment results was carried out after 1 week, 3 months, 6 months, 9 months, and 1 year. Results Clinical and radiological success rates in the MTA group reached 95%, where a case of failure was observed after a year of follow‐up. In the Bioceramic group, the success rate reached 100% after a year of follow‐up, without any statistically significant differences between groups ( p = .311). Conclusions Pulpotomy using biocompatibility materials (MTA‐Bioceramic) in primary molars with symptoms of irreversible pulpitis is considered effective due to the better advantages of the use of Bioceramic over MTA. This clinical trial was approved by Australian New Zealand Clinical Trials (12621001631897).

show abstract

Combination of Nonsurgical Endodontic and Vital Pulp Therapy for Management of Mature Permanent Mandibular Molar Teeth with Symptomatic Irreversible Pulpitis and Apical Periodontitis

Cited by 29 publications

References 24 publications

Vital Pulp Therapy in Permanent Mature Posterior Teeth with Symptomatic Irreversible Pulpitis: A Systematic Review of Treatment Outcomes

Vital Pulp Therapy in Permanent Mature Posterior Teeth with Symptomatic Irreversible Pulpitis: A Systematic Review of Treatment Outcomes

Vital Pulp Treatment Modalities

Evaluation of the efficacy of mineral trioxide aggregate and bioceramic putty in primary molar pulpotomy with symptoms of irreversible pulpitis (a randomized‐controlled trial)

Contact Info

Product

Resources

About