-
Journal of Endodontics Aug 2009Although pulpotomy procedures have a long history of clinical application, comparatively few dental clinical trials have evaluated this treatment approach. In this... (Review)
Review
Although pulpotomy procedures have a long history of clinical application, comparatively few dental clinical trials have evaluated this treatment approach. In this section, we provide an analysis of recent clinical studies evaluating pulpotomy procedures in dental patients.
Topics: Aluminum Compounds; Calcium Compounds; Drug Combinations; Evidence-Based Dentistry; Ferric Compounds; Formocresols; Humans; Molar; Oxides; Pulpotomy; Randomized Controlled Trials as Topic; Silicates; Tooth, Deciduous; Treatment Outcome
PubMed: 19631845
DOI: 10.1016/j.joen.2009.05.014 -
International Endodontic Journal Jun 2016The aim was to update a systematic review of pulp capping and partial pulpotomy by Olsson et al. (2006), by evaluating new evidence on formation of a hard tissue... (Review)
Review
The aim was to update a systematic review of pulp capping and partial pulpotomy by Olsson et al. (2006), by evaluating new evidence on formation of a hard tissue barrier after pulp capping and partial pulpotomy of experimental exposures in humans. PubMed (01-01-2005 to 01-03-2014) and CENTRAL were searched using specific keywords. Hand searches were made and the level of evidence for each included article was evaluated by the authors. The evidence of the conclusions was graded as strong, moderately strong, limited or insufficient. The initial search in PubMed yielded 215 abstracts. Hand searches of reference lists yielded no additional original scientific articles. After a selection process and interpretation, 22 articles were included and rated for level of evidence: no article was rated as high and seven as moderate. Overall the methodological quality of studies has improved since the previous systematic review was published in 2006. The conclusions are that there is limited scientific evidence that application of calcium hydroxide or mineral trioxide aggregate to an exposed pulp frequently results in formation of a hard tissue barrier, whereas adhesives or enamel matrix derivatives do not. There is insufficient scientific evidence that mineral trioxide aggregate promotes hard tissue formation more frequently than calcium hydroxide.
Topics: Aluminum Compounds; Calcium Compounds; Calcium Hydroxide; Dental Pulp Capping; Drug Combinations; Humans; Oxides; Pulpotomy; Silicates; Treatment Outcome
PubMed: 26059916
DOI: 10.1111/iej.12480 -
The Journal of the New Jersey State... Jan 1967
Topics: Dentistry; Pulpotomy; Tooth, Deciduous
PubMed: 5226031
DOI: No ID Found -
International Endodontic Journal Oct 2007To present a systematic review of the effects of formocresol and ferric sulphate when used as medicaments in pulpotomized primary molar teeth. (Meta-Analysis)
Meta-Analysis Review
AIM
To present a systematic review of the effects of formocresol and ferric sulphate when used as medicaments in pulpotomized primary molar teeth.
METHODOLOGY
The study list was obtained by using MEDLINE, the Cochrane Library, EMBASE and SCI search. Only those papers which met the inclusion criteria were accepted. The quality of studies used for meta-analysis was assessed by a series of validity criteria according to Jadad's scale. A systematic review and meta-analysis were performed.
RESULTS
Eleven clinical studies comprising four randomized-clinical trials (RCTs), four controlled clinical trials (CCTs) and three retrospective studies were included. The results of the meta-analysis of six prospective clinical trials suggested that the two popular pulpotomy medicaments were not significantly different in terms of clinical outcomes, radiographic findings, prevalence of apical and furcal destruction, internal root resorption or pulp canal obliteration. The relative risk (RR) value and 95% CI for those parameters were 0.72 (0.43-1.23), 0.87 (0.59-1.30), 0.67 (0.27-1.66), 1.77 (0.56-5.58) and 1.41 (0.63-3.15), respectively. The overall clinical and radiographic success rates based on the data of treatments with ferric sulphate from the 11 studies included ranged from 78% to 100% (mean 91.6 +/- 8.15%) and from 42% to 97% (mean 73.5 +/- 18.40%), respectively.
CONCLUSIONS
In primary molar teeth with exposure of vital pulps by caries or trauma, pulpotomies performed with either formocresol or ferric sulphate have similar clinical and radiographic success. Ferric sulphate may be recommended as a suitable replacement for formocresol.
Topics: Ferric Compounds; Formocresols; Humans; Molar; Pulpotomy; Radiography; Root Canal Irrigants; Tooth, Deciduous
PubMed: 17714467
DOI: 10.1111/j.1365-2591.2007.01288.x -
Scientific Reports Nov 2022This study aimed to investigate the factors affecting the success rate of full pulpotomy in permanent posterior teeth with pulpitis. The study included 105 permanent...
This study aimed to investigate the factors affecting the success rate of full pulpotomy in permanent posterior teeth with pulpitis. The study included 105 permanent posterior teeth clinically diagnosed as reversible or irreversible pulpitis in 92 patients aged 18-82 years. All teeth underwent a full pulpotomy using mineral trioxide aggregate as a capping material and were recalled for clinical and radiographic evaluation at 3, 6, 12, and 24 months postoperatively. The overall success rate after the 12-month review was above 90%, and failed cases mainly occurred during the first 12 months after treatment. In this study, the treatment outcome of pulpotomy was not related to sex, or tooth position and the cause of pulpitis. To analyze the influence of age on the treatment outcome, all the teeth were allocated to three groups: group 1 (18-39 years); group 2 (40-59 years); and group 3 (≥ 60 years). A significant difference in success rate was found between groups 1 and 3 (P = 0.014). These results suggest that pulpotomy can be used as an alternative treatment for permanent mature teeth diagnosed with pulpitis and that aging is one factor affecting the treatment outcome.
Topics: Humans; Pulpitis; Pulpotomy; Dentition, Permanent; Treatment Outcome
PubMed: 36434032
DOI: 10.1038/s41598-022-24815-0 -
The Journal of the North Carolina... Jan 1966
Topics: Dental Pulp; Dentistry; Pulpotomy; Tooth, Deciduous
PubMed: 5216928
DOI: No ID Found -
Journal of the American Dental... Jun 2023The authors studied the treatment effect of full pulpotomy using a calcium silicate-based bioactive ceramic in adult permanent teeth with symptoms indicative of...
Effect of full pulpotomy using a calcium silicate-based bioactive ceramic in adult permanent teeth with symptoms indicative of irreversible pulpitis: A retrospective study.
BACKGROUND
The authors studied the treatment effect of full pulpotomy using a calcium silicate-based bioactive ceramic in adult permanent teeth with symptoms indicative of irreversible pulpitis.
METHODS
Eighty-one adult permanent teeth with symptoms indicative of irreversible pulpitis in 78 patients aged 18 through 72 years were evaluated for inclusion in the study. After caries excavation, the pulp was amputated to the level of the canal orifices. After hemostasis was achieved, calcium silicate-based bioactive ceramic was placed as the capping agent. The cavity was sealed temporarily with a glass ionomer cement and then restored with flowable resin and composite resin after 2 weeks if no positive symptoms were reported or detected. Postoperative evaluation was performed by means of clinical and radiographic examination at 2 weeks and 3, 6, and 12 months.
RESULTS
Overall success rates of the procedure were 96.3% (78 of 81), 93.8% (76 of 81), 92.6% (75 of 81), and 92.6% (75 of 81) at the 2-week, 3-month, 6-month, and 12-month recall visits, respectively. Six of the 81 teeth failed and required root canal therapy. In these 6 teeth, 3 exhibited severe cold stimuli pain and spontaneous pain at the 2-week follow-up, 2 had no response to electric pulp testing with apical percussion pain and periapical rarefaction at the 3-month follow-up, and 1 tooth exhibited periapical rarefaction and labial mucosal fistula at the 6-month follow-up.
CONCLUSIONS
Under the conditions of this study, full pulpotomy using a calcium silicate-based bioactive ceramic was a successful option for the treatment of adult permanent teeth with carious originated symptoms indicative of irreversible pulpitis.
PRACTICAL IMPLICATIONS
Vital pulp therapy is no longer impossible for adult permanent teeth with carious originated symptoms indicative of irreversible pulpitis.
Topics: Humans; Adult; Pulpotomy; Pulpitis; Retrospective Studies; Aluminum Compounds; Calcium Compounds; Silicates; Dental Caries; Treatment Outcome
PubMed: 37115142
DOI: 10.1016/j.adaj.2023.02.018 -
The Journal of Clinical Pediatric... 2016The purpose of the present study was to evaluate the clinical and radiographic effectiveness of zinc oxide-eugenol (ZOE) as the only pulp capping agent in pulpotomies...
OBJECTIVE
The purpose of the present study was to evaluate the clinical and radiographic effectiveness of zinc oxide-eugenol (ZOE) as the only pulp capping agent in pulpotomies carried out on decayed primary molars after a follow-up period of 24 months.
STUDY DESIGN
In total, 60 pulpotomies were performed on 38 patients aged 3 to 11 years. Pulpotomy treatment consisted of the removal of the coronal pup tissue, subsequent hemostasis, irrigation with saline solution, drying and pressure with sterile cotton pellets, and placement of a thick regular ZOE base with a minimal amount of eugenol directly over the vital radicular pulp. Additionally, a histopathologic study was carried out on some of the molars treated.
RESULTS
After a 24-month follow-up, we considered 51 procedures to be successful and 9 failures using clinical and radiographic criteria; most of the failures occurred between the 12th and 18th month.
CONCLUSIONS
Results suggest that the proposed pulpotomy treatment with ZOE as the only capping agent may be considered as an alternative technique in the pulp treatment of primary molars.
Topics: Child; Child, Preschool; Dental Caries; Dental Pulp; Dental Pulp Exposure; Dentin, Secondary; Female; Follow-Up Studies; Hemostatic Techniques; Humans; Longitudinal Studies; Male; Molar; Prospective Studies; Pulp Capping and Pulpectomy Agents; Pulpotomy; Sodium Chloride; Therapeutic Irrigation; Tooth, Deciduous; Treatment Outcome; Zinc Oxide-Eugenol Cement
PubMed: 26950810
DOI: 10.17796/1053-4628-40.2.107 -
Journal of Endodontics Feb 1987
Topics: Child; Electrosurgery; Humans; Pilot Projects; Pulpotomy
PubMed: 3470427
DOI: 10.1016/S0099-2399(87)80158-9 -
Lasers in Medical Science Dec 2022The present study aimed to analyze the clinical effects of Er:YAG laser applied in pulpotomy of children's asymptomatic deep caries-affected primary molars. Included... (Randomized Controlled Trial)
Randomized Controlled Trial
The present study aimed to analyze the clinical effects of Er:YAG laser applied in pulpotomy of children's asymptomatic deep caries-affected primary molars. Included primary molar teeth from children (aged 3 ~ 6 years) were randomly assigned to "Er:YAG laser" and "conventional" groups, and pulpotomies were performed under general anesthesia using the respective approaches. The treatment time and clinical efficacy were evaluated. The study sample included 100 primary molar teeth of 40 children with an average age of 4.60 ± 1.02 years. The pulpotomy time in the Er:YAG laser group was significantly longer than that in the conventional group (p < 0.0001) but the hemostasis time and the total treatment time were significantly shorter (p < 0.0001, p = 0.029). In terms of clinical efficacy, up to 6 months after treatment, the success rate in the Er:YAG laser group was non-significantly but slightly higher than that in the conventional group (100% versus 98%, p = 0.436). With longer observation time, the success rate of both groups declined, with the conventional group showing a more rapid decline. After 24 months, the success rate in the Er:YAG laser group remained non-significantly higher than that in the conventional group (89.58% versus 82.98%, p = 0.386). Overall, Er:YAG laser significantly reduced the treatment time for pulpotomy in primary teeth and tended to produce higher clinical efficacy over time and thus can be a valuable tool in clinical pediatric dentistry practice.
Topics: Child; Humans; Child, Preschool; Pulpotomy; Lasers, Solid-State; Follow-Up Studies; Treatment Outcome; Tooth, Deciduous
PubMed: 36261616
DOI: 10.1007/s10103-022-03655-4