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Partial Pulpotomy in Young Permanent Teeth: A Systematic Review and Meta-Analysis
Nicole Camoni1, Maria Grazia Cagetti1, Silvia Cirio1
1Department of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, Italy.
Children (Basel, Switzerland)
|September 28, 2023
Summary
Partial pulpotomy demonstrates high clinical and radiographic success rates in young permanent teeth with deep caries. This vital pulp therapy is a viable option, potentially delaying more invasive endodontic treatments.
Area of Science:
- Dentistry
- Endodontics
- Pediatric Dentistry
Background:
- Deep caries and trauma often affect young permanent teeth.
- Vital pulp therapy aims to preserve pulp vitality.
- Partial pulpotomy is a conservative approach for managing deep carious lesions.
Purpose of the Study:
- To systematically review the clinical and radiographic success of partial pulpotomy.
- To evaluate outcomes in young, vital permanent teeth with deep caries or defects.
- To compare different materials used in partial pulpotomy.
Main Methods:
- Systematic review of four databases (PubMed, Scopus, Embase, Google Scholar) and manual reference searching.
- Inclusion of randomized controlled trials with a minimum 12-month follow-up.
- Meta-analysis using a random effects model to compare materials.
Main Results:
- Six studies were included, with cumulative success rates ranging from 91.8% to 92.3%.
- No significant differences in clinical or radiographic success were found between different partial pulpotomy modalities or materials.
- Mineral trioxide aggregate showed no statistically significant difference in success rates compared to other materials (p=0.055).
Conclusions:
- Partial pulpotomy exhibits high clinical and radiographic success in young permanent teeth.
- It is a recommended vital pulp therapy for severely damaged young teeth.
- This procedure offers biological benefits and can postpone the need for root canal treatment.
