Evaluation of Complete Pulpotomy With Biodentine on Mature Permanent Molars With Signs and Symptoms of Symptomatic Irreversible Pulpitis: 12-months Follow-up

Seck, Anta; Ndiaye, Diouma; Niang, Seydina Ousmane; Benoist, Fatou Leye; Fioretti, Florence; Touré, Babacar

doi:10.1016/j.joen.2021.12.008

Cited by 16 publications

(32 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a 1-year observation period may be limited in terms of the reliability of a clinical trial, it is sufficient to assess the validity of the materials used as in our study, all failures occurred within 6 months (Table 2 ). The success rate in this study was higher than that reported in recent pulpotomy studies using traditional MTA and newer calcium silicate cements over the same observation period 23 , 26 , 28 , 29 , 36 , 37 . This may be because the recent pulpotomy studies included teeth with irreversible pulpitis, whereas this study included teeth with normal pulp or reversible pulpitis.…”

Section: Discussioncontrasting

confidence: 77%

Randomized clinical trial of pulpotomy using a premixed injectable calcium silicate cement on mature permanent teeth with reversible pulpitis

Cho,

Park,

Shin

et al. 2024

Sci Rep

View full text Add to dashboard Cite

The aim of this two-center randomized controlled trial was to assess the outcomes and relative factors associated with pulpotomies performed using a premixed injectable calcium silicate cement, as compared to mineral trioxide aggregate in mature permanent premolar and molar teeth with reversible pulpitis. Included teeth were randomly divided into two groups according to pulpotomy material (ProRoot MTA [PMTA] group, Endocem MTA Premixed [EPM] group). After pulp exposure, the superficial pulp was either removed to a depth of 2 mm (partial pulpotomy) or completely amputated to the level of the root canal orifice (full pulpotomy). A 3-mm layer of either material was randomly placed over the pulp wound, followed by the application of a thin layer of a light-cured glass ionomer composite liner. The restoration procedure was then carried out during the same visit. After one year of treatment, the pulpotomy success rate was 94.4% (67/71), with no significant difference between the PMTA and EPM groups. The success rate was 93.9% in the PMTA group and 97.1% in the EPM group. There were no significant factors related to the procedures. EPM is a viable alternative to PMTA for single-visit pulpotomies of permanent premolars and molars.

show abstract

Section: Discussioncontrasting

confidence: 77%

Randomized clinical trial of pulpotomy using a premixed injectable calcium silicate cement on mature permanent teeth with reversible pulpitis

Cho,

Park,

Shin

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…This suggests that the complete removal of infected tissue may be an important factor affecting pulpotomy of mature permanent teeth. A metaanalysis published by the Air Force Medical University in 2019 [82], the review published by Taha et al in 2020 [71]and a number of clinical studies [83][84][85][86]also confirmed from different aspects that pulpotomy is a recommended treatment for deep caries exposed pulp of mature permanent teeth or even irreversible pulpitis, which can be used as an alternative to RCT [87][88][89][90]. In addition, some studies have combined total pulpotomy and nonsurgical endodontic (NSET) for mature mandibular permanent molars diagnosed as irreversible pulpitis and apical periodontitis and achieved good results.…”

Section: Pulpotomy Of Mature Permanentmentioning

confidence: 99%

The Understanding of Vital Pulp Therapy in Permanent Teeth: A New Perspective

Shang

Zhang

Zhao

et al. 2022

BioMed Research International

View full text Add to dashboard Cite

The indications of vital pulp therapy (VPT) are expanding, which cases are suitable for VPT, and how to improve the success rate of VPT is a problem that often bothers us. The main purpose of VPT is to eliminate pulpitis by promoting the formation of reparative dentin or calcium bridge, so that it can continue to perform various physiological functions, and finally achieve the purpose of preserving pulp vitality and long-term preservation of affected teeth. Pulp capping and pulpotomy are the most common methods for VPT. The research field of VPT has attracted the attention of many scholars, who have studied it from many aspects (such as indications, material selection, operation requirements, and long-term prognosis). This article reviews the recent advances in the techniques of VPT in permanent teeth.

show abstract

“…Pain plays a decisive role in this issue since it is currently considered as a pre-operative diagnostic as well as post-operative success/unsuccess diagnostic criterion [ 33 , 42 , 43 ]. However, the relationship of preoperative pain and its intensity as well as the degree of pulp inflammation to the occurrence of postoperative pain or to disease progression are still not reliable predicting factors [ 44 ]. The use of hydraulic calcium silicate-based cements in VPTs has shown promising clinical results in decreasing the pulp tissue inflammation level and increasing the pulp healing; however, their role in the reduction of post-operative pain [ 45 , 46 ] or their benefit on pain management remains controversial and should be investigated in detail.…”

Section: Discussionmentioning

confidence: 99%

Vital Pulp Therapy of Permanent Teeth with Reversible or Irreversible Pulpitis: An Overview of the Literature

Iaculli

Rodríguez‐Lozano

Briseño-Marroquín

et al. 2022

JCM

View full text Add to dashboard Cite

Vital pulp therapy (VPT) has been recently proposed as an alternative approach even in symptomatic mature permanent teeth with deep caries’ lesions, aiming to maintain the pulp vitality over time and/or to avoid non-surgical root canal therapy (NSRCT). However, to date, the diagnosis of reversible or irreversible pulpitis is only based on clinical pain quantity and quality, without precisely reflecting the pulp inflammation status. Therefore, the aim of the present study was to provide an overview based on the current scientific literature to demonstrate the clinical effectiveness of VPT on mature permanent teeth, validating the use of hydraulic calcium silicate-based cements and their role in pain management. VPT may be successfully applied not only in mature permanent teeth diagnosed with reversible pulpitis, but also in permanent dental elements with signs and symptoms of irreversible pulpitis. Hydraulic cements showed favorable outcomes in terms of decrease of pro-inflammatory mediators and of post-operative pain. Pain plays a central role in the chance to perform VPT in mature permanent teeth, since it may be considered as a pre-operative diagnostic criterion as well as a treatment success parameter. In addition, proper assessment of pulp inflammation and choice of appropriate materials are key factors in enhancing VPT success.

show abstract

Evaluation of Complete Pulpotomy With Biodentine on Mature Permanent Molars With Signs and Symptoms of Symptomatic Irreversible Pulpitis: 12-months Follow-up

Cited by 16 publications

References 35 publications

Randomized clinical trial of pulpotomy using a premixed injectable calcium silicate cement on mature permanent teeth with reversible pulpitis

Randomized clinical trial of pulpotomy using a premixed injectable calcium silicate cement on mature permanent teeth with reversible pulpitis

The Understanding of Vital Pulp Therapy in Permanent Teeth: A New Perspective

Vital Pulp Therapy of Permanent Teeth with Reversible or Irreversible Pulpitis: An Overview of the Literature

Contact Info

Product

Resources

About