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

Sadaf, Durre

doi:10.7759/cureus.6747

Cited by 16 publications

(19 citation statements)

References 36 publications

(42 reference statements)

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“…Comprehensive systematic review by Alqaderi et al evaluated the success rate of cervical pulpotomy in mature permanent teeth with irreversible pulpitis. Overall success rate at one year was 94% and 92% at two years 12 .…”

Section: Discussionmentioning

confidence: 86%

“…20 Similarly Simon et al, performed pulpotomy on permanent molar teeth using MTA and showed 82% success at the end of 24 months 19 . A systematic review by Li et al reported clinical success rate of 95% with MTA pulpotomy in a study evaluating the comparison between MTA vs CaOH at 12 months 12 . Aguilar and Linsuwanont compared different types of vital pulp therapies in a systematic review and found MTA pulpotomy with the highest success rate of 96.6% at three years of follow-up 12 .…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review by Li et al reported clinical success rate of 95% with MTA pulpotomy in a study evaluating the comparison between MTA vs CaOH at 12 months 12 . Aguilar and Linsuwanont compared different types of vital pulp therapies in a systematic review and found MTA pulpotomy with the highest success rate of 96.6% at three years of follow-up 12 . Comprehensive systematic review by Alqaderi et al evaluated the success rate of cervical pulpotomy in mature permanent teeth with irreversible pulpitis.…”

Section: Discussionmentioning

confidence: 99%

“…Pulpotomy is one of the vital pulp therapy (VPT).This involves the surgical removal of coronal pulp.The remaining vital radicular pulp is covered with appropriate material.That material protects the radicular pulp from further injury and aid healing 11,12,13 . Thus paragon material for pulpotomy should trigger the extant dental pulp to return to robust tissue.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Success of Pulpotomy in Mature Permanent Teeth with Carious exposure using Mineral Trioxide

Shafe¹,

Munir²,

Virda³

et al. 2021

PJMHS

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Aim: To evaluate the radiographical success of pulpotomy in cariously exposed mature permanent teeth using mineral trioxide aggregate. Methods:This Descriptive case series was conducted at the Department of Operative Dentistry, de’Montmorency College of Dentistry/ Punjab Dental Hospital, Lahore from December 2015 to December 2016.A total of 75 cases were included using non-probability consecutive sampling..Patients of both genders with age range from 15 to 26 years were considered. Performance of procedure and evaluation of success was done in terms of absence of periapical radiolucency on periapical radiographs.Data was entered and analyzed with IBM SPSS 20. Level of significance was kept at p-value ≤ 0.05 Results: Out of 75 patients, 41 were females and 34 were males.Mean age of patients included in this study was 20.5 ±3.60. Follow up at 6 months showed 92% success, with 69 cases showed absence of periapical radiolucency on periapical radiograph. There was no significant relation of success with age and gender of patient with p- value greater that 0.05. Conclusion: It is concluded from current study that the protocol of pulpotomy using Mineral trioxide Aggregate (MTA) in mature permanent teeth with carious exposure of pulp is encouraging and can be recommended for the treatment of mature permanent teeth with carious exposures. Keywords: Pulpotomy, Mineral trioxide aggregate, periapical radiolucency

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Success of Pulpotomy in Mature Permanent Teeth with Carious exposure using Mineral Trioxide

Shafe¹,

Munir²,

Virda³

et al. 2021

PJMHS

View full text Add to dashboard Cite

show abstract

“…While some pulp-capping materials have been reported to have inflammation-modulating effects (Giraud et al, 2019), their functionalisation with modulating molecules could boost their regenerative properties in terms of macrophage polarisation and complement system activation. Arguably, adding inflammation-modulating molecules to the capping materials could even open new horizons for mature teeth pulpotomy, currently approached as a provisional rather than a full alternative for RCT (Li et al, 2019;Sadaf, 2020).…”

Section: Potential Clinical Applicationmentioning

confidence: 99%

The role of inflammation modulation in dental pulp regeneration

Zaky¹,

Shehabeldin²,

Ray³

et al. 2021

eCM

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A vital and healthy dental pulp (DP) is required for teeth to remain functional throughout a lifespan . Appreciating its value for the tooth, the regeneration of the DP is a highly researched goal. While inflammation of the DP marks the beginning of an eventual necrosis, it is also the prerequisite for the regenerative events of neovascularisation, stem cells mobilisation and reparative dentine deposition. In the light of a pro-regenerative inflammatory process, the present review discusses the role of macrophage population shift from pro- to anti-inflammatory in reversible versus irreversible pulpitis, while also analysing the overlooked contribution of pulp innervation and locally derived neuropeptides to the process. Then, the currently practiced (pulp capping and revascularisation) and researched (cells transplantation and cell homing) approaches for DP regeneration are discussed. Focusing on the role of cell homing in modulating inflammation, some potential strategies are highlighted to harness the inflammatory process for DP regeneration, mainly by reversing inflammation through macrophage induction. Next, some potential clinical applications are discussed – especially with capping materials – that could boost macrophage polarisation and complement system activation. Finally, current challenges facing the regeneration of the DP are presented, while underlining the importance of promoting an anti-inflammatory environment conducive to a regenerative process.

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Outcomes of root canal therapy or full pulpotomy using two endodontic biomaterials in mature permanent teeth: a randomized controlled trial

et al. 2021

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Objective The concept of minimally invasive endodontics recommends less-invasive vital pulp therapy (VPT) modalities over more aggressive traditional endodontic approaches in mature permanent teeth with carious pulp exposure, including irreversible pulpitis (IP) cases. Consequently, VPT needs to be compared with root canal therapy (RCT) in terms of treatment outcomes. This randomized clinical trial compares the results of full pulpotomy using two calcium-silicate cements, i.e., mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cement, with RCT in mature permanent teeth. Materials and methods A total of 157 carious pulp exposure cases in two academic centers with/without established IP were selected/included/randomly appointed to three study arms; (i) RCT ( n = 51) as the reference treatment, (ii) pulpotomy with ProRoot MTA (PMTA; n = 55), and (iii) pulpotomy with CEM cement (PCEM; n = 51) as two alternative VPT treatments. Two-year clinical/radiographic results were the outcomes of interest. Data were statistically analyzed through the analysis of variance, chi-square, Fisher exact test, and Kruskal–Wallis. Results At 2-year recall, 147 teeth were examined (6.4% dropout). All molars, except for one, were clinically functional/symptom-free, and there was no statistical difference between the three study arms ( p = 0.653). The radiographic success rates in RCT, PMTA, and PCEM arms were 98%, 100%, and 97.9%, respectively, without statistically significant differences ( p = 0.544). Conclusion In the management of mature permanent teeth with/without established IP, all experimental groups exhibited equivalent/comparable results. Clinical relevance Simple VPT using MTA/CEM can be suggested/recommended as a viable advantageous alternative to RCT for the management of carious pulp exposures with/without sign/symptoms of IP.

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

Cited by 16 publications

References 36 publications

Evaluation of Success of Pulpotomy in Mature Permanent Teeth with Carious exposure using Mineral Trioxide

Evaluation of Success of Pulpotomy in Mature Permanent Teeth with Carious exposure using Mineral Trioxide

The role of inflammation modulation in dental pulp regeneration

Outcomes of root canal therapy or full pulpotomy using two endodontic biomaterials in mature permanent teeth: a randomized controlled trial

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