Diagnostic and Prognostic Predictors for the Success of Pulpotomy in Permanent Mature Posterior Teeth with Moderate to Severe Pulpitis: A Scoping Review

被引:6
作者
Mchugh, Helen [1 ,2 ]
Wright, Patricia P. [1 ,2 ]
Peters, Christine I. [1 ,2 ]
Peters, Ove A. [1 ,2 ]
机构
[1] Univ Queensland, Sch Dent, Brisbane, Qld 4006, Australia
[2] Univ Queensland, Sch Dent, Ctr Orofacial Regenerat Rehabil & Reconstruct COR3, Brisbane, Qld 4006, Australia
来源
ORAL | 2023年 / 3卷 / 04期
关键词
vital pulp therapy; irreversible pulpitis; pulpotomy; deep caries; carious pulp exposure; pulpal diagnostics; MINERAL TRIOXIDE AGGREGATE; MINIMALLY INVASIVE ENDODONTICS; ROOT-CANAL TREATMENT; HUMAN DENTAL-PULP; IRREVERSIBLE PULPITIS; TREATMENT OUTCOMES; APICAL PERIODONTITIS; SODIUM-HYPOCHLORITE; POSTOPERATIVE PAIN; HEMORRHAGE CONTROL;
D O I
10.3390/oral3040045
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
A partial or complete pulpotomy is a type of vital pulp therapy (VPT) that aims to remove the inflamed, infected pulp, leaving behind healthy, vital pulp that is capable of healing. VPT has gained renewed popularity as a treatment option in permanent mature posterior teeth with irreversible, moderate to severe pulpitis; its high success rates matching that of root canal treatment (RCT). There is currently no consensus regarding diagnostic and prognostic predictors of success of pulpotomies for managing such cases. Therefore, we conducted a scoping review to identify and analyze how these factors affect the outcome of treatment. A literature search using the PRISMA guidelines was undertaken using PubMed and Scopus on 7 July 2023. A total of 22 studies met the inclusion criteria and were qualitatively analyzed by two reviewers. The following diagnostic and prognostic factors were recognized and discussed; presenting signs and symptoms, periapical diagnosis, bleeding time, indicators of inflammation (bleeding time, concentration of inflammatory biomarkers), patient age and medical status, the depth, activity and location of caries, and restorative factors. Based on the studies assessed, there is limited evidence to support their prognostic value. Further research is necessary to identify solid predictors of outcome.
引用
收藏
页码:545 / 571
页数:27
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