Radiological and clinical assessment of pulpotomy on mature permanent molars with irreversible pulpitis: literature review
Journal Title: IP Indian Journal of Conservative and Endodontics - Year 2018, Vol 3, Issue 4
Abstract
Introduction Endodontic treatment has long been considered the only conservative therapeutic option for teeth with irreversible acute pulpitis Histological studies have shown that the inflammation is confined to a limited surface of the pulp near the decaying lesion and it is not uncommon to find normal histology in the coronary pulp away from decayed surfaces as well as in roots In dentistry it is universally accepted that the vital pulp tissue should be preserved if possibleAim The objective of this study is to review the literature on the clinical and radiographic assessment criteria for coronary pulpotomy therapeutics on mature permanent teeth with irreversible acute pulpitisMaterials and Methods To find relevant articles on this therapy an electronic search strategy on PubMed Cochran Library and Science Direct databases using the combination pulpotomy and pulpitis and permanent tooth for indexed studies from January 2008 to April 2018Results Results of this study indicated favorable success rates for this therapy A 2018 study reported 984 of clinical and radiographic successes at six months At one year it reported 100 clinical success and 984 radiographic success with the use of Biodentine Furthermore it reported 100 clinical success and 975 of radiographic success rate with the use of mineral trioxide aggregate MTA in the first year and 927 of radiograph success after three years In 2014 a publication reported 9819 clinical success rate with cementenriched mixture CEM over a 27 month period However the Xray success rates were 867ConclusionThis treatment can be a realistic alternative for mature permanent human molars with irreversible pulpitis symptoms But other largescale multicentered clinical trials are strongly encouraged to substantiate this hypothesisKeywords Irreversible pulpitis Full pulpotomy Mature permanent teeth Permanent teeth Pulpitis Pulpotomy
Authors and Affiliations
Anta Seck, Wendpoulomdé A. D Kaboré, Diouma Ndiaye, Ibrahima Ndiaye, Fatou Leye Benoist
Keywords
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- EP ID EP520228
- DOI 10.18231/2456-8953.2018.0025
- Views 90
- Downloads 0
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