Vital pulp treatment is indicated only when the clinical diagnosis of a reversible pulpitis is made. Introduction: Success of pulpotomy in mature permanent teeth with irreversible pulpitis: A systematic review. Performing a topic sorting, 15 RCTs were about vital pulp therapy and 8 about anesthesia and pain. Vital pulp therapy aims at maintaining the pulp tissue injured but vital. Int J Environ Res Public Health. 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. Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. METHODS Methods: Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. Cariously exposed pulps may benefit from vital pulp therapies. doi: 10.1016/j.joen.2019.07.005. Search strategy and evidence inclusion criteria. 2019 Nov;45(11):1296-1306.e3. This site needs JavaScript to work properly. Conclusions: Vital pulp therapy encompasses apexogenesis, pulpotomy, pulpal debridement, and direct and indirect pulp capping. Epub 2020 Nov 5. Epub 2019 Sep 10. dentist. Vital pulp therapy in cariously exposed permanent teeth and its limitations. Munir A(1), Zehnder M(1), Rechenberg DK(1). 2012 Nov;143(11):1232-3. doi: 10.14219/jada.archive.2012.0069. 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. 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. 2002 Apr;28(1):29-37. doi: 10.1111/j.1747-4477.2002.tb00364.x. 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. Depending on the state of inflammation, different treatment regimes are … 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%. The Vital Pulp Therapy of Permanent Teeth: A Dental Practitioner's Perspective from Saudi Arabia. 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. 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 is a good treatment alternative when a provisional therapy is needed for a reason such as insufficient treatment time or limited patient finances. The pulp therapy workgroup has been working on two evidence-based systematic reviews: vital pulp therapy and non-vital pulp therapy. J Conserv Dent. 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. 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.  |  Munoz-Sanchez ML, Linas N, Decerle N, Nicolas E, Hennequin M, Cousson PY. Author information: (1)Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland. Decision-making when approaching clinical problems should be based on the best currently available evidence. Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis. 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 . Wound Lavage in Studies on Vital Pulp Therapy of Permanent Teeth with Carious Exposures: A Qualitative Systematic Review. USA.gov. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. 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. Partial or full pulpotomy were more reliable than direct pulp capping. 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. Current best evidence provides inconclusive information regarding factors influencing treatment outcome, and this emphasizes the need for further observational studies of high quality. Is partial pulpotomy in cariously exposed posterior permanent teeth a viable treatment option? Objectives. The key to the success of vital pulp therapy … 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. Some features of the site may not work correctly. 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. 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 . 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 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). 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.  |  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]. 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 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%). Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, … Vital pulp therapy (VPT) is a potential alternative to root canal treatment (RC). Ali AH, Thani FB, Foschi F, Banerjee A, Mannocci F. J Clin Med. 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 .  |  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… Thus, the use of capping materials that induce tissue regeneration is a great current trend. 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. 2020 Jun 15;10(3):300-308. doi: 10.4103/jispcd.JISPCD_69_19. 2016 Jan;44:1-7. doi: 10.1016/j.jdent.2015.12.005. 2020 Mar-Apr;23(2):121-125. doi: 10.4103/JCD.JCD_179_19. Sodium Hypochlorite Reduces Postoperative Discomfort and Painful Early Failure after Carious Exposure and Direct Pulp Capping-Initial Findings of a Randomized Controlled Trial. Self-Limiting versus Rotary Subjective Carious Tissue Removal: A Randomized Controlled Clinical Trial-2-Year Results. The selection of agent can influ-ence the success rate of vital-pulp therapy [3]. Outcomes of direct pulp capping in vital primary teeth with cariously and non-cariously exposed pulp: A systematic review. 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. 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