Permanent teeth pulpotomy survival analysis: retrospective follow-up

Kunert, Gustavo Golgo; Kunert, Itaborai Revoredo; Filho, Luiz Cesar da Costa; Figueiredo, José Antônio Poli de

doi:10.1016/j.jdent.2015.06.010

Cited by 49 publications

(57 citation statements)

References 22 publications

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“…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).…”

Section: Methodsmentioning

confidence: 99%

“…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).…”

Section: Review Articlementioning

confidence: 99%

“…Moreover, some authors consider that a ''vital tooth'' could be associated with periapical involvement (33), and others did not report the criteria they used to characterize a vital tooth (34). Finally, other authors prefer to exclude the nonvital teeth by controlling peroperatively the bleeding of the residual part of the pulp (36,38). Such discrepancies among the inclusion criteria could bias the interstudy comparisons.…”

Section: Relevance Of Inclusion Criteriamentioning

confidence: 99%

“…Consequently, the number of the investigators involved in the evaluation of the periapical index scores should be reported, and the internal and external reliability of the measure should also be described. Among the included studies, the number of investigators who performed the periapical radiographic evaluation was reported in 9 studies (15,34,(36)(37)(38)(42)(43)(44)(45). Five of them mentioned a calibration process (36,(42)(43)(44)(45), and 2 reported a kappa value for intraobserver reliability (15,36).…”

Section: Review Articlementioning

confidence: 99%

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

Zanini

Hennequin

Cousson

2016

Journal of Endodontics

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Section: Methodsmentioning

confidence: 99%

Section: Review Articlementioning

confidence: 99%

Section: Relevance Of Inclusion Criteriamentioning

confidence: 99%

Section: Review Articlementioning

confidence: 99%

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

Zanini

Hennequin

Cousson

2016

Journal of Endodontics

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“…The volume of literature investigating the outcome of coronal pulpotomy has increased recently, but is still limited to case reports or case series (Kunert et al . ) with short‐term follow‐up and low numbers of patients. More robust data are required going forward to confirm that pulp chamber pulpotomy can be considered a permanent treatment for teeth with ‘irreversible’ pulpitis.…”

Section: Reviewmentioning

confidence: 99%

Management of deep caries and the exposed pulp

et al. 2019

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Caries prevalence remains high throughout the world, with the burden of disease increasingly affecting older and socially disadvantaged groups in Western cultures. If left untreated, caries will advance through dentine stimulating pulpitis and eventually pulp infection and necrosis; however, if conservatively managed, pulpal recovery occurs even in deep carious lesions. Traditionally, deep caries management was destructive with nonselective (complete) removal of all carious dentine; however, the promotion of minimally invasive biologically based treatment strategies has been advocated for selective (partial) caries removal and a reduced risk of pulp exposure. Selective caries removal strategies can be one‐visit as indirect pulp treatment or two‐visit using a stepwise approach. Management strategies for the treatment of the cariously exposed pulp are also shifting with avoidance of pulpectomy and the re‐emergence of vital pulp treatment (VPT) techniques such as partial and complete pulpotomy. These changes stem from an improved understanding of the pulp–dentine complex's defensive and reparative response to irritation, with harnessing the release of bioactive dentine matrix components and careful handling of the damaged tissue considered critical. Notably, the development of new pulp capping materials such as mineral trioxide aggregate, which although not an ideal material, has resulted in more predictable treatments from both a histological and a clinical perspective. Unfortunately, the changes in management are only supported by relatively weak evidence with case series, cohort studies and preliminary studies containing low patient numbers forming the bulk of the evidence. As a result, critical questions related to the superiority of one caries removal technique over another, the best pulp capping biomaterial or whether pulp exposure is a negative prognostic factor remain unanswered. There is an urgent need to promote minimally invasive treatment strategies in Operative Dentistry and Endodontology; however, the development of accurate diagnostic tools, evidence‐based management strategies and education in management of the exposed pulp are critical in the future.

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Vital Pulp Treatment

Duncan¹,

Bjørndal²

2022

Endodontic Advances and Evidence‐Based Clinical Guidelines

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Permanent teeth pulpotomy survival analysis: retrospective follow-up

Cited by 49 publications

References 22 publications

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

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

Management of deep caries and the exposed pulp

Vital Pulp Treatment

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