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. Performing a topic sorting, 15 RCTs were about vital pulp therapy and 8 about anesthesia and pain.  |  J Endod. Published by Elsevier Inc. All rights reserved. Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, … Conclusions: Epub 2015 Dec 10. HHS 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 … Indirect pulp therapy: an alternative to pulpotomy in primary teeth. The review is reported in accordance with the PRISMA Statement. 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 . Vital permanent teeth with cariously exposed pulp can be treated successfully with vital pulp therapy. 2012 Nov;143(11):1232-3. doi: 10.14219/jada.archive.2012.0069.  |  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%). 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. There were 4 filed/granted patents, 2 systematic reviews/meta-analyses and 25 RCTs. 2019 Nov;45(11):1296-1306.e3. Introduction: The random effect method of weighted pooled success rate of each treatment and the 95% confidence interval were calculated by the DerSimonian-Laird method. 2020 Sep;21(3):112-113. doi: 10.1038/s41432-020-0128-0. Is partial pulpotomy in cariously exposed posterior permanent teeth a viable treatment option? After pulp tissue removal, pulpotomy dressing agent is applied to the pulp surface, allowing the pulp to heal and the root to form. NLM Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis. 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. 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. Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, and relevant articles from electronic searching. Vital pulp therapies are the treatment of choice for traumatized and carious teeth with vital pulps and open apices [17]. 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 ]. 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. • Accepted endodontic therapy for primary teeth can be divided into two categories: vital pulp therapy (VPT) and root canal treatment (RCT). 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. Ali AH, Thani FB, Foschi F, Banerjee A, Mannocci F. J Clin Med. doi: 10.1016/j.joen.2019.07.005. Cariously exposed pulps may benefit from vital pulp therapies. PURPOSE The pulp Wound Lavage in Studies on Vital Pulp Therapy of Permanent Teeth with Carious Exposures: A Qualitative Systematic Review. Sodium Hypochlorite Reduces Postoperative Discomfort and Painful Early Failure after Carious Exposure and Direct Pulp Capping-Initial Findings of a Randomized Controlled Trial. direct contact with pulp [20]. 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. This site needs JavaScript to work properly. 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. Epub 2020 Nov 5. The key to the success of vital pulp therapy … Vital pulp therapy in cariously exposed permanent teeth and its limitations. Decision-making when approaching clinical problems should be based on the best currently available evidence. Vital pulp therapy encompasses apexogenesis, pulpotomy, pulpal debridement, and direct and indirect pulp capping. Methods: Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. This study aimed to systematically review the literature of animal studies to evaluate whether bioactive dentin proteins could improve vital pulp therapy success. Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. Selection of the method used in vital pulp therapy relies on the degree of inflammation of the pulp. 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…. J Am Dent Assoc. Please enable it to take advantage of the complete set of features! Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. 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%). 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. Self-Limiting versus Rotary Subjective Carious Tissue Removal: A Randomized Controlled Clinical Trial-2-Year Results. Clipboard, Search History, and several other advanced features are temporarily unavailable. Munir A(1), Zehnder M(1), Rechenberg DK(1). Would you like email updates of new search results? 2020 Jul 28;9(8):2408. doi: 10.3390/jcm9082408. Vital pulp therapy (VPT) is a potential alternative to root canal treatment (RC). 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. Doumani MD, Arnous WA, Alsafadi MF, Alnazer HA, Alanazi SM, Alotaibi KS, Al-Ammari AI. • The most important factor that affects the success of … J Int Soc Prev Community Dent. These procedures are performed routinely in primary and permanent teeth. 2002 Apr;28(1):29-37. doi: 10.1111/j.1747-4477.2002.tb00364.x. 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. Objectives. 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 . 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. 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 . Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI.  |  Vital pulp therapy plays a major role in the pre-servation of primary dentition after caries affliction (1). 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. 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 This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with … The Vital Pulp Therapy of Permanent Teeth: A Dental Practitioner's Perspective from Saudi Arabia. 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. 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). In the era of biology-driven endodontics, vital pulp therapies are regaining popularity as a valid clinical option to postpone root-canal treatment. Mineral Predictable vital pulp therapy depends on accurate determination of the pulpal status that will allow repair to occur. dentist. Current best evidence provides inconclusive information regarding factors influencing treatment outcome, and this emphasizes the need for further observational studies of high quality. eCollection 2020 May-Jun. 2020 Aug 31;17(17):6340. doi: 10.3390/ijerph17176340. Systematic review consists of collecting unbiased 2020 Mar-Apr;23(2):121-125. doi: 10.4103/JCD.JCD_179_19. Ballal NV, Duncan HF, Rai N, Jalan P, Zehnder M. J Clin Med. 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]. Overall, the success rate was in the range of 72.9%-99.4%. 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