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Published on: October 27, 2023
Long-term Outcomes of Invasive Pulp Therapies in Primary Teeth: A Systematic Review and Meta-analysis
Arati Vaiude1, Ashwin Jawdekar1, Laresh N Mistry1
1Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, Maharashtra, India.
International Journal of Clinical Pediatric Dentistry
|June 22, 2026
Summary
Pulpotomy demonstrated higher clinical and radiographic success rates than pulpectomy in primary teeth over a 24-month period. This systematic review and meta-analysis provides crucial long-term outcome data for pediatric dental interventions.
Area of Science:
- Pediatric Dentistry
- Endodontics
- Systematic Review and Meta-Analysis
Background:
- The long-term effectiveness of invasive pulp therapies like pulpotomy and pulpectomy in primary teeth remains uncertain.
- Existing primary research lacks comprehensive systematic reviews and meta-analyses focusing on long-term outcomes of these pulpal interventions.
Purpose of the Study:
- To systematically review and meta-analyze the long-term clinical and radiographic outcomes of invasive pulp therapies in primary teeth.
- To compare the success rates of pulpotomy versus pulpectomy in primary dentition.
Main Methods:
- A systematic literature search was conducted in PubMed and other databases.
- Included studies were randomized clinical trials and other research with a minimum 2-year follow-up, reporting clinical and radiographic parameters.
- A random effects model was employed due to high heterogeneity.
Main Results:
- Pulpotomy showed a clinical success rate of 92.32% and radiographic success of 85.35%.
- Pulpectomy achieved a clinical success rate of 79.96% and radiographic success of 74.07%.
- Risk of bias was moderate, with minimal publication bias detected.
Conclusions:
- Pulpotomy exhibited superior clinical and radiographic success compared to pulpectomy in primary teeth at the 24-month follow-up.
- These findings support pulpotomy as a more effective intervention for primary teeth requiring pulp therapy.
