Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis of randomized controlled trials
PLoS ONE,
Год журнала:
2024,
Номер
19(7), С. e0305218 - e0305218
Опубликована: Июль 5, 2024
This
meta-analysis
aims
to
assess
the
success
rate
of
pulpotomy
in
treatment
permanent
teeth
with
carious
pulp
exposure
and
compare
efficacy
different
capping
materials.
Randomized
controlled
trials
were
searched
PubMed,
EMBASE,
Web
Science,
Clinicaltrial.gov,
Cochrane
Library
until
August
31,
2023.
The
pooled
was
estimated
overall
population
subgroups.
Additional
analyses
comparing
materials
using
odds
ratio
(OR)
95%
confidence
interval
(95%CI)
performed.
certainty
evidence
graded
GRADE
approach.
A
total
25
randomized
an
average
follow-up
duration
≥
12
months
finally
included.
86.7%
(95%CI:
82.0-90.7%).
not
significantly
affected
by
root
development,
type,
duration.
Teeth
irreversible
pulpitis
had
a
relatively
lower
than
normal
or
reversible
(82.4%
[95%CI:
74.6-89.0%]
vs
92.0%
87.9-95.4%],
P
=
0.013).
Directly
compared
conventional
calcium
hydroxide,
mineral
trioxide
aggregate
(88.2%
79.1%,
OR
2.41,
95%CI:
1.28-4.51,
0.006)
Biodentine
(97.5%
82.9%,
6.03,
0.97-37.6,
0.054)
higher
successful
rates.
No
significant
difference
between
MTA
other
biomaterials
found.
results
as
very
low
evidence.
In
conclusion,
is
effective
exposure.
Mineral
can
be
recommended
more
favorable
outcomes
Язык: Английский
Calcium Silicate-Based Cements in Restorative Dentistry: Vital Pulp Therapy Clinical, Radiographic, and Histological Outcomes on Deciduous and Permanent Dentition—A Systematic Review and Meta-Analysis
Materials,
Год журнала:
2024,
Номер
17(17), С. 4264 - 4264
Опубликована: Авг. 28, 2024
Vital
pulp
therapy
aims
to
preserve
the
vitality
of
dental
exposed
due
caries,
trauma,
or
restorative
procedures.
The
aim
present
review
was
evaluate
clinical,
radiographic,
and
histological
outcomes
different
calcium
silicate-based
cements
used
in
vital
for
both
primary
permanent
teeth.
included
40
randomized
controlled
trials
from
a
search
across
PubMed,
LILACS,
Cochrane
Collaboration,
as
well
manual
searches
author
inquiries
according
specific
inclusion
exclusion
criteria.
A
critical
assessment
studies
conducted,
after
data
extraction
results
were
submitted
quantitative
statistical
analysis
using
meta-analysis.
studies,
involving
1701
patients
3168
teeth,
compared
total
18
dentitions.
qualitative
synthesis
showed
no
significant
differences
short-term
(up
6
months)
between
ProRoot
MTA
Biodentine
similar
clinical
radiographic
success
rates
at
12
months.
In
although
global
appeared
be
balanced,
generally
seemed
perform
better
than
other
except
Biodentine,
which
had
comparable
superior
Meta-analyses
selected
comparisons
over
follow-up
periods.
highlights
need
standardized
definitions
periods
future
guide
decisions.
Despite
introduction
new
aiming
address
limitations
original
MTA.
remain
most
reliable
materials
therapy,
did
not
deviate
that
much
cements.
Further
long-term
are
required
establish
optimal
CSC
each
scenario
Язык: Английский