Ali AH, Thani FB, Foschi F, Banerjee A, Mannocci F. J Clin Med. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. Cariously exposed pulps may benefit from vital pulp therapies. Ballal NV, Duncan HF, Rai N, Jalan P, Zehnder M. J Clin Med. dentist. Subsequently, pulpotomy is kind of a vital pulp therapy methods when the coronal portion of the inflamed pulp is removed and the radicular pulp is preserved to ensure the pulp vitality [9]. Doumani MD, Arnous WA, Alsafadi MF, Alnazer HA, Alanazi SM, Alotaibi KS, Al-Ammari AI. Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. Outcomes of direct pulp capping in vital primary teeth with cariously and non-cariously exposed pulp: A systematic review. Partial pulpotomy and full pulpotomy sustained a high success rate up to more than 3 years (partial pulpotomy: >6 months-1 year, 97.6%; >1-2 years, 97.5%; >2-3 years, 97.6%; and >3 years, 99.4%; full pulpotomy: >6 months-1 year, 94%; >1-2 years, 94.9%; >2-3 years, 96.9%; and >3 years, 99.3%). Elmsmari F, Ruiz XF, Miró Q, Feijoo-Pato N, Durán-Sindreu F, Olivieri JG. Alqaderi H, Lee CT, Borzangy S, Pagonis TC. 2020 Aug 31;17(17):6340. doi: 10.3390/ijerph17176340. METHODS In the era of biology-driven endodontics, vital pulp therapies are regaining popularity as a valid clinical option to postpone root-canal treatment. 2020 Jun 15;10(3):300-308. doi: 10.4103/jispcd.JISPCD_69_19. 2020 Aug 25;9(9):2738. doi: 10.3390/jcm9092738. The weighted pooled success rate of each treatment was estimated in 4 groups: >6 months-1 year, >1-2 years, >2-3 years, and >3 years. Vital pulp therapy (VPT) is a potential alternative to root canal treatment (RC).2VPT is a restorative dental procedure that aims to treat teeth with compromised dental pulp without the full removal or excavation of all healthy pulp tissue.2It is commonly performed in primary dentition (also known as baby teeth), as primary dentition has not fully developed the apical root, but is less commonly performed in secondary … Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis. Author information: (1)Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland. International journal of paediatric dentistry, European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, The journal of evidence-based dental practice, By clicking accept or continuing to use the site, you agree to the terms outlined in our. Published by Elsevier Inc. All rights reserved. Selection of the method used in vital pulp therapy relies on the degree of inflammation of the pulp. VPT is a restorative dental procedure that aims to treat teeth with compromised dental pulp without the full removal or excavation of all healthy pulp tissue. Objective: The objective of this systematic review is to assess the literature regarding the efficacy of ... Vital Pulp Therapy AND Primary Molar AND Outcomes 12 5 4 Buckley’s Formocresol AND Pulpotomy AND Primary Molar AND Clinical OR Radiographic Success Rate 223 17 direct contact with pulp [20]. NIH J Dent. Well-designed, better powered randomized controlled trials are needed for more evidence; however, these studies show that there is good long-term prognosis of vital pulp therapy in permanent teeth. 4 Due to advances in science and technology, vital pulp treatment has changed over the last five years in regard to the procedures and materials used. After pulp tissue removal, pulpotomy dressing agent is applied to the pulp surface, allowing the pulp to heal and the root to form. Indirect pulp therapy: an alternative to pulpotomy in primary teeth. The pulp therapy workgroup has been working on two evidence-based systematic reviews: vital pulp therapy and non-vital pulp therapy. • The most important factor that affects the success of … | 2002 Apr;28(1):29-37. doi: 10.1111/j.1747-4477.2002.tb00364.x. Vital pulp therapy is performed to preserve the health status of the tooth and its ultimate position in the arch. Comparison of indirect pulp treatment and iRoot BP Plus pulpotomy in primary teeth with extremely deep caries: a prospective randomized trial. Vital pulp treatment is indicated only when the clinical diagnosis of a reversible pulpitis is made. This was based on an informal indirect comparison. Clipboard, Search History, and several other advanced features are temporarily unavailable. Thus, the use of capping materials that induce tissue regeneration is a great current trend. In this sense, many different materials are available in the market for pulp-capping purposes. Please enable it to take advantage of the complete set of features! This qualitative systematic review aimed to identify the types of pulp wound lavage and their influence on the vital pulp therapy of permanent human teeth with carious pulp exposure in all prospective controlled and randomized controlled clinical trials on vital pulp therapy. Vital pulp therapy aims at maintaining the pulp tissue injured but vital. COVID-19 is an emerging, rapidly evolving situation. Vital pulp therapies are the treatment of choice for traumatized and carious teeth with vital pulps and open apices [17]. According to current scientific opinion, in case of an irreversible pulpitis, a healing of the tissue cannot be predictably achieved after removing the triggering stimulus. Purpose: The purpose of this protocol for a systematic review of randomized controlled trials of primary tooth vital pulp therapy is to describe the reasoning and need for the review, the objectives of the review, and the methodology that will be used to analyse data from the included studies. Is partial pulpotomy in cariously exposed posterior permanent teeth a viable treatment option? Copyright © 2011 American Association of Endodontists. Introduction: The role of several players of the host response in pulpitis is well documented: cytokines, proteases, inflammatory mediators, CRD summary This review concluded that vital pulp therapy should be considered as an alternative to pulpectomy for vital permanent teeth with exposed pulp due to caries. Success of pulpotomy in mature permanent teeth with irreversible pulpitis: A systematic review. Currently, there are three vital pulp therapy (VPT) op-tions for treatment of deep dentin caries lesions approxi - mating the pulp in vital primary teeth viz. Background. This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp… Applied to vital pulp therapy, bioceramic materials can be used in cases of pulp exposition from trauma, caries or other mechanical causes, as direct pulp cappers . Biological Markers for Pulpal Inflammation: A Systematic Review Background and Objective Pulpitis is mainly caused by an opportunistic infection of the pulp space with commensal oral microorganisms. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. J Am Dent Assoc. successful outcome of vital pulp therapy in vital teeth with cariously exposed pulp with signs and symptoms of irreversible pulpitis with periapical lesions (17–20). Evid Based Dent. USA.gov. • Accepted endodontic therapy for primary teeth can be divided into two categories: vital pulp therapy (VPT) and root canal treatment (RCT). There were 4 filed/granted patents, 2 systematic reviews/meta-analyses and 25 RCTs. NLM eCollection 2020 May-Jun. The Vital Pulp Therapy of Permanent Teeth: A Dental Practitioner's Perspective from Saudi Arabia. Sodium Hypochlorite Reduces Postoperative Discomfort and Painful Early Failure after Carious Exposure and Direct Pulp Capping-Initial Findings of a Randomized Controlled Trial. J Conserv Dent. | 2012 Nov;143(11):1232-3. doi: 10.14219/jada.archive.2012.0069. This systematic review and meta-analysis assessed outcomes in primary teeth for the vital pulp therapy (VPT) options of indirect pulp therapy (IPT), direct pulp capping (DPC), and pulpotomy after a minimum of 12 months to determine whether one VPT was superior. Objectives. Systematic Review Registration Number: PROSPERO 2015: CRD42015006942. J Int Soc Prev Community Dent. eliminate the infected or contaminated pulp and to reach the healthy vital pulp [2]. Vital permanent teeth with cariously exposed pulp can be treated successfully with vital pulp therapy. Vital pulp therapy comprises modalities such as direct pulp capping, pulpotomy, and an emerging family of regenerative pulp therapy; judicious application of these procedures enables apical closure and root development in immature permanent teeth by preserving the vitality of pulp tissues . Upon performing our systematic search there were only four randomized controlled trials that have compared pulpotomy and pulpectomy outcomes in vital primary incisors 9 , 15 , 20 , 21 . Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. The approaches include indirect pulp capping in deep caries cavities and direct pulp capping or pulpotomy in cases of pulp exposure. 2020 Jul 28;9(8):2408. doi: 10.3390/jcm9082408. Relative effectiveness of direct and indirect pulp capping in the primary dentition, Efficacy of Biodentine and Mineral Trioxide Aggregate in Primary Molar Pulpotomies—A Systematic Review and Meta‐Analysis With Trial Sequential Analysis of Randomized Clinical Trials. Performing a topic sorting, 15 RCTs were about vital pulp therapy and 8 about anesthesia and pain. doi: 10.1016/j.joen.2019.07.005. This site needs JavaScript to work properly. In 2003, the only Cochran systematic review regarding vital pulp therapy for primary teeth stated that: “based on the The following databases were searched from 1960 to September 2016: MEDLINE, EMBASE, CENTRAL, EBSCO, ICTRP, Dissertation abstracts, and grey literature for parallel and split-mouth randomized controlled trials of at…. Would you like email updates of new search results? J Endod. This study aims to evaluate clinically and radiographically the pulp repair after the use of dentin-pulp biostimulation membrane in primary teeth. Systematic reviews and meta-analysis based on randomized controlled trials (RCTs), are the best reliable sources for suggesting and decisions in clinical dental practice making [21]. Vital pulp therapy in cariously exposed permanent teeth and its limitations. Coll, Marghalani, Seale and Vargas) met for two days at headquarters in November to review the meta-analyses of over 50 randomized controlled trials of pulp therapy. Munir A(1), Zehnder M(1), Rechenberg DK(1). Findings were comparable between vital pulp therapy and root canal or in favour of vital pulp therapy for short-term (one week) post-operative pain reduction. Vital pulp therapy encompasses apexogenesis, pulpotomy, pulpal debridement, and direct and indirect pulp capping. Aust Endod J. The fluctuation of the success rate of direct pulp capping was observed (>6 months-1 year, 87.5%; >1-2 years, 95.4%; >2-3 years, 87.7%; and >3 years, 72.9%). Current best evidence provides inconclusive information regarding factors influencing treatment outcome, and this emphasizes the need for further observational studies of high quality. Epub 2019 Sep 10. Int J Environ Res Public Health. Some features of the site may not work correctly. Patents were related to endodontic/dental (bio)materials. MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials, A Survival Analysis of Different Pulp Therapies in Decayed Primary Teeth. Epub 2015 Dec 10. All statistics were performed by STATA version 10. Vital pulp therapy (VPT) is a potential alternative to root canal treatment (RC). You are currently offline. | Depending on the state of inflammation, different treatment regimes are … Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis. The pulp The goal of VPT in primary teeth is to treat reversible pulpal injuries and maintaining pulp vitality. Results: Epub 2020 Nov 5. Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. Vital pulp therapy is a good treatment alternative when a provisional therapy is needed for a reason such as insufficient treatment time or limited patient finances. One well-conducted economic evaluation from Germany found that direct pulp capping was cost-effective when compared with root canal in most cases, including when the willingness-to-pay ceiling value was adjusted (from 0 to 250 euro). The selection of agent can influ-ence the success rate of vital-pulp therapy [3]. Vital Pulp Therapy: A Systematic Review and Meta-Analysis”9 is panel members discussed all recommendations and issues sur- the basis for the current guideline’s recommendations. Pulp Therapy Systematic Reviews The pulp therapy workgroup (Drs. The aim of this systematic review was to compare between pulpotomy and pulpectomy clinically and radiographically in the treatment of carious vital pulp exposure in primary incisors. 2019 Nov;45(11):1296-1306.e3. A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study. This study aimed to systematically review the literature of animal studies to evaluate whether bioactive dentin proteins could improve vital pulp therapy success. Pulpotomy is the favored method only if the coronal part of an exposed vital pulp is inflamed because of infiltration of microorganisms after carious or mechanical reasons, and the remaining radicular pulp is healthy [ 24 ]. Wound Lavage in Studies on Vital Pulp Therapy of Permanent Teeth with Carious Exposures: A Qualitative Systematic Review. 2016 Jan;44:1-7. doi: 10.1016/j.jdent.2015.12.005. Predictable vital pulp therapy depends on accurate determination of the pulpal status that will allow repair to occur. Moreover, factors PURPOSE This systematic review and meta-analysis assessed outcomes in primary teeth for the vital pulp therapy (VPT) options of indirect pulp therapy (IPT), direct pulp capping (DPC), and pulpotomy after a minimum of 12 months to determine whether one VPT was superior. Overall, the success rate was in the range of 72.9%-99.4%. Methods: Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. Mineral indirect pulp cap, direct pulp cap (DPC) and pulpotomy (2). Munoz-Sanchez ML, Linas N, Decerle N, Nicolas E, Hennequin M, Cousson PY. Systematic review consists of collecting unbiased Decision-making when approaching clinical problems should be based on the best currently available evidence. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Properties like biocompatibility and bioactivity are to be expected in dentistry-applied bioceramic materials for their use in vital pulp therapy [ 7 ]. The indirect comparison of success rates for 4 follow-up periods and the indirect comparison of clinical factors influencing the success rate of each treatment were performed by z test for proportion (P < .05). 2020 Mar-Apr;23(2):121-125. doi: 10.4103/JCD.JCD_179_19. HHS These procedures are performed routinely in primary and permanent teeth. Conclusions: The key to the success of vital pulp therapy … Self-Limiting versus Rotary Subjective Carious Tissue Removal: A Randomized Controlled Clinical Trial-2-Year Results. Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, and relevant articles from electronic searching. Introduction: This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. Methods: Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. PURPOSE 2020 Sep;21(3):112-113. doi: 10.1038/s41432-020-0128-0. The random effect method of weighted pooled success rate of each treatment and the 95% confidence interval were calculated by the DerSimonian-Laird method. Partial or full pulpotomy were more reliable than direct pulp capping. Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, … Search strategy and evidence inclusion criteria. The review is reported in accordance with the PRISMA Statement. Vital pulp therapy plays a major role in the pre-servation of primary dentition after caries affliction (1). 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