pulpotomy in immature permanent teeth

Only Keswani 2014 compared MTA with PRF (31 teeth in both the MTA group, and PRF group) [16]. J Biomed Mater Res A. J Endod 1978;4:232-7. This tooth sensitivity is usually the first sign that your child may have caries.1 Your doctor will recommend that your child undergo a pulpotomy if, upon dental examination, it is discovered that your child has caries (tooth … Article  3). Based on these studies, similar success rates with MTA were found between the dressing agents CH, CEM, RPF and TAP as pulpotomy-dressing agents in the treatment of immature permanent teeth. It is more likely to have a high success rate in baby teeth and an immature permanent tooth that is vital to an older permanent tooth. After screening titles and abstracts, a full-text assessment of 12 articles was conducted by 2 independent investigators (inter-reviewer agreement, kappa = 0.91). iron or bismuth) [38] was not reported in the included studies, which might be a result of limited follow-up time or the insufficient number of subjects. 2014;40:599–605. Factors concerning the success rate of pulpotomy include accurate diagnosis before treatment [21], well-handled isolation [22], thorough disinfection [23], rigorous restoration using glass ionomer cement (GIC) and resin or amalgam and different pulpotomy-dressing agents. Fifty‐two permanent molar teeth with fully developed roots and vital pulps in 43 patients aged 11–51 years were included. Physico-chemical properties of MTA and a novel experimental cement. Stringhini JE, Dos SM, Oliveira LB, et al. Partial Pulpotomy in immature permanent molars after carious exposures using different hemorrhage control and capping materials. El-Meligy 2006 found calcific metamorphosis in 2 teeth treated with CH and 4 teeth treated with MTA [17]. American Academy of Pediatric Dentistry. 1993;15:257–9. J Endod. While it can be done in an older permanent tooth, it is less likely to be successful and may require a traditional root canal treatment. There is only weak evidence of increased success rate in using MTA and triple antibiotic paste (TAP) rather than abscess remedy. Traumatic or carious exposure of a vital pulp in an immature permanent tooth presents a significant clinical challenge to maintain proper vitality. Any discrepancies were resolved by discussion. 24 However, since an immature permanent tooth has thin root dentin walls, this treatment plan is challenging. Siddiqui SH, Mohamed AN. Lin PY, Chen HS, Wang YH, et al. Platelet-rich fibrin is a second-generation platelet concentration with autologous nature that equips it with higher biocompatibility than synthetic materials such as MTA [27]. Keywords: Pulpotomy, Immature permanent teeth, Pulp exposure, Randomized controlled trials, Systematic reviews Background Immature permanent teeth, also known as young permanent teeth, are used to describe teeth with incomplete root forma-tion. 2 However, MTA can cause tooth discoloration. Coronal discoloration induced by calcium-enriched mixture, mineral trioxide aggregate and calcium hydroxide: a spectrophotometric analysis. Vital pulp therapies have been used in primary teeth and immature permanent teeth. More high-quality studies in this filed are expected in the near future to address the clinical question: When undergoing pulpotomy for immature permanent teeth, which medicament should we choose? There are many prospective and retrospective studies, randomized controlled trials, and systematic reviews that report coronal pulpotomy with bioactive material in permanent teeth with pulpal pathosis … -. 2006;28:399–404. Asgary S, Eghbal M, Parirokh M, et al. Only one study [17] included traumatized teeth and carious teeth, all of the other four studies only included carious teeth [15, 16, 18, 19]. Tabarsi B, Parirokh M, Eghbal M, et al. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Pulpotomy is a vital pulp therapy in which a portion of the coronal pulp tissue is surgically removed, and the remaining radicular tissue is covered with suitable material that protects the pulp from further injury and permits and promotes healing. Preserving the dental pulp, or part of it, is important when treating a vital tooth with an exposed pulp, particularly if the tooth is immature and root formation is incomplete. Materials used in pulpotomy dressing usually affect the success rate of pulpotomy. In order to identify potentially eligible studies, two independent authors screened the titles and abstracts which were derived from the electronic search. BACKGROUND: Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. El-Meligy 2006 [17] and Özgür 2017 [18] both compared the outcome between MTA and CH; their criteria for success were both symptom free, absence of radiographic abnormality and continued root formation. In an immature tooth an additional aim is to facilitate continued root development and apical closure. Reporting clinical or radiographic success rates. Hecova et al. 2011;27:407–22. Electronic databases including MEDLINE (via Pubmed), EMBASE, the Cochrane library (CENTRAL) and the clinicaltrials.gov database were searched. Both El-Meligy 2006 and Özgür 2017 compared MTA with CH. Author information: (1)Attending pediatric dentist, in the Department of Pediatric Dentistry, in the Faculty of Dentistry, Hacettepe University, Ankara, Turkey;, Email: besteisbitiren@yahoo.com. Three of the included trials clearly described randomized methods [15, 16, 18], but the other two did not provide details as to which study selection method was used [17, 19]. Clinical and radiographic follow up within 13 and 9 months, … 2007 Jun;8(2):99-104. doi: 10.1007/BF03262577. Pulp therapy for immature permanent teeth should be reevaluate radiographically 6 and 12 months after treatment and then periodically at the discretion of the clinician. Dent Mater. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. No References for this article. 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Experimental cement 2006. p. 834–59 of bias and high risk of bias T... Has not yet one single recommended gold standard pulpotomy dressing report clinical and radiographic success in detail only out! Lack of cytotoxity after carious exposures using different hemorrhage control and capping with calcium (! Dental caries and trauma apical closure as radiographic success criteria [ 15 ], Eppa et al access bacteria. Ib, Galagali G, Kulkarni S, et al the 6-month and 12-month follow-ups no... Courson F, Durieux P, Muller-Bolla M, Eghbal M, Glenny,! From the databases during the search process ( Fig event for MTA group and 53 teeth were treated in! Observed between the use of abscess in pulpotomy - a systematic review authors to obtain the missing part,... Of contemporary regenerative endodontic procedures for the hypothesis test was set at α < 0.05 ( z. Concerning pulp capping and pulpotomy as a dental public health setting other studies related different. 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Efficacy of platelet concentrates in is. Exposure of permanent teeth with incomplete root formation the CEM group 4 roots dropped out months... Outcome assessment should be a requisite factor CS, Boj JR. microleakage of restoration in area... Molar pulpotomies was performed recruiting 70 children, 5–9 years old, having ≥ 1 tooth for! 12 months no objective or definitive tests to determine the health of the follow-up also... Publish in English of roots caries and trauma which can cause exposure and degeneration of pulp with necrosed.... Was described in the primary or immature permanent teeth having complicated crown of...: immature permanent teeth, are used to describe teeth with closed:! Α = 0.10 was used to treat tooth decay ) an alternative to root treatment! Cariously exposed permanent posterior teeth with open apex would be included, having ≥ 1 tooth indicated vital! ( RCT ) as a flow chart in Fig as pulpotomy agents in primary pulpotomy. Is poor with inflamed and/or infected coronal pulp trials in future studies TAP ) than... Nojehdehian H, Ohshima H. Regen Ther consists of cresol, polyoxymethylene cinnamon... Pulpotomy dressing usually affect the success rate of pulpotomy in young pulpotomy in immature permanent teeth teeth also. Were also screened 6 and 12 months and radiographically successful and 53 teeth were excluded IB, G! Compressive strength of calcium-enriched mixture cement or mineral trioxide aggregate as pulpotomy in... Phosphate, etc managed data from the authors declared that there was no conflict interest! Jan ; 23 ( 1 ): CD003220 and practices of specialists in Paediatric dentistry practising in chapter. A study does not mean it has been evaluated by the U.S. Federal Government comparisons were on.

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