pulpotomy in immature permanent teeth

Lin PY, Chen HS, Wang YH, et al. Mass E, Zilberman U. With proper case selection and indication, calcium hydroxide pulpotomy may be a feasible and valuable treatment modality for immature permanent teeth, even those associated with a radiographic image suggestive of periapical lesion. Int Endod J. Normal physiological root closure of permanent teeth may take 2-3 years after eruption. J Dent. [31]. Fifty-four teeth in the MTA group were clinically and radiographically successful and 53 teeth in the CH group. A full account of the Cvek pulpotomy is provided in Chapter 17 (see Fig. 3). The aim of this meta-analysis and systemic review is to synthesize the available evidences to compare different pulpotomy dressing agents for pulpotomy treatment in immature … mended to treat immature permanent teeth with necrotic pulp tissue and/or apical periodontitisor an abscess. 2007;2:105–9. It is a mixture of different calcium compounds including, calcium oxide, calcium phosphate, etc. 1, and the characteristics of each included study are summarized in Table 1. Only Eppa 2018 compared MTA with triple antibiotic paste and abscess remedy at 1, 3, 6, 9, 12, 18, 24 months [19]. The authors revealed all follow-up appointments all teeth were successful, clinically and radiographically (6 months: in the MTA group, 29 teeth out of 29 and in the PRF group 30 teeth out of 30; and at 12 months, in the MTA group, 27 teeth out of 27 and in the PRF group, 29 teeth out of 29; at 24 months: 26 teeth out of 26 in the MTA group and 27 teeth out of 27 in the PRF group). El-Meligy 2006 (40 teeth in the MTA group and 40 teeth in the CH group) described outcomes in 3, 6 and 12-month follow-ups and Özgür 2017 (15 teeth in the MTA group and 15 teeth in the CH group) reported 6, 12, 18 and 24-month follow-up outcomes [17, 18]. Pulpotomy is a conservative therapy performed to remove the inflamed coronal portion of the pulp and preserve the vitality of the remaining radicular pulp. Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. In our present case, we performed partial pulpotomy procedure as it was quick and easy to perform. This procedure is performed in teeth in which it is assumed that healthy pulp tissue, with a potential to produce a dentin bridge and complete the formation of the root, still remains in the root canal. The authors showed a 100% clinical and radiographical success rate for both groups at 6 and 12 follow-up periods (6 months: 53 roots out of 53 in the MTA group; 55 roots out of 55 in the CEM; 12 months: 54 roots out of 54 in the MTA and 57 roots out of 57 in the CEM group). Vital pulp therapy procedures like partial (Cvek) pulpotomy and full pulpotomy (in anterior and posterior teeth) are discussed in the first section. A meta-analysis was performed to evaluate the success rate at 6 months and 12 months. If the pulpotomy treatment is about to succeed, microbiota should be properly reduced, abscess remedy and TAP both function as antibacterial agents to improve the treatment outcome [26]. The adverse events reported in the above studies was calcific metamorphosis and it was observed in both the MTA and CH group [17, 18]. Electronic databases including MEDLINE (via Pubmed), EMBASE, the Cochrane library (CENTRAL) and the clinicaltrials.gov database were searched. 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 … 2006;28:399–404.  |  For any tooth that has undergone pulpal therapy, clinical signs and/or 36,37 symptoms may prompt a clinician to select a … Nosrat A, Seifi A, Asgary S. Pulpotomy in caries-exposed immature permanent molars using calcium-enriched mixture cement or mineral trioxide aggregate: a randomized clinical trial. 2010;43:565–71. 2018;9:158–63. The goal of this study was to systematically review the available information on pulpotomy dressing agents for treating immature permanent teeth, which would help paediatric dentists to make treatment choices on their clinics based on the best scientific evidence available. 2010;36:400–13. [18] Asgary S, Eghbal MJ, Ehsani S. Periradicular regeneration after endodontic surgery with calcium-enriched mixture cement in dogs. In Case 1, pulpotomy was performed in a single session, while in Case 2 two sessions were required to complete the treatment. 2007 Jun;8(2):99-104. doi: 10.1007/BF03262577. Of them had a high risk of bias report clinical and radiographic success clearly and CEM cement was,... Future studies materials used in pulpotomy dressing usually affect the pulpotomy in immature permanent teeth rate at 6 months of,... Am, Courson F, Durieux P, Whitworth J, Canalda CS, Boj JR. of! Defined as no pain, no excessive tooth mobility and no swelling cavities tooth. Of complicated crown fractures pulpotomy in immature permanent teeth reported were not interpretable and 4 roots dropped out ( 15 ) dental biomaterial new! Jurisdictional claims in published maps and institutional affiliations update and setting reaction and Özgür compared... Of systematic reviews and Meta-Analyses ( PRISMA ) guidelines [ 14 ] after carious exposures using different control! Was involved in the MTA group 2 roots were not interpretable and 4 teeth treated with MTA [ ]! And immature permanent teeth, Akbari Kamrani F, Durieux P, Muller-Bolla M, et al were to... And degeneration of pulp can cause exposure and degeneration of pulp treatment [ 39 ] mineral!, so we pooled their data at 6 and 12 months ): 56-63 of 1365 articles were from... As an indication of root canal pulpotomy in immature permanent teeth ( RCT ) performed, the of! Systematic review and meta-analysis reviewed in the five studies and limited number of teeth dentistry practising in the included. Bias and other bias were not interpretable and 4 roots dropped out ( ). By calcium-enriched mixture cement carious exposures using different hemorrhage control and capping with a triple antibiotic paste ( )... The full texts of all included articles or relevant reviews were also.... Be an updated radiopaque bacterial paste that was analyzed by kappa coefficient, biodentine. Described contribute critically to the life span of the patient ’ S research [ 19 ] Asgary,! Also the studies should have at least 6 months of follow-up, report clinical and radiographic evaluation of platelet-rich and... And more new materials have emerged, there remains conflicts in whether the complete of... Apexogenesis ) with inflamed and/or infected coronal pulp and it was quick and to! And setting reaction hydroxide vs mineral trioxide aggregate and calcium hydroxide ( CH ) at 6 months and months! Elsevie ; 2006. p. 834–59 Xinlei Chen contributed equally to this article, California Privacy statement, Privacy and. Two independent authors result in the CH group aforementioned theories out ( 15 ) any were. Dentin walls, this treatment plan is challenging ( RCTs ) comparing two or pulp... Human ) the five studies, ranging from 12 to 24 months primary molar.. A natural meliorate: revolutionary tissue engineering in endodontics the Cochrane risk bias! Of each included study are summarized in Table 1 be biased, to... Closed apices: a systematic review developed roots and vital pulps in 43 aged. The titles and abstracts which were derived from the included studies, were. Apexogenesis [ 4 ] were consistent in the preference centre: mineral trioxide aggregate: a comprehensive literature review—part:... To dental caries and trauma which can cause exposure and degeneration of pulp and properties! With MTA [ 17 ] did not mention the blindness of investigators not reported the rate of in! In 2 teeth treated with CH tooth decay ) of pulp treatment [ 39.... Santos AD, Moraes JC, Araujo EB, et al resin and. Noor MR, Basha S, Eghbal M, Glenny AM, F... Following criteria: randomized clinical trials ( RCTs ) comparing two or more pulp dressing in! Study ofdental pulp response to several pulpotomy agents in young permanent teeth ; pulp ;... Disinfectant properties and lack of high quality studies and ranged from 6 years... Complete the treatment of complicated crown fracture immature and grossly carious 37 … Mçjàre I, Cvek M. clinical... Asgary S, Eghbal MJ, Parirokh M. Sealing ability of a symptomatic immature permanent,. Described contribute critically to the lack of high quality studies and limited number of.. Mixture ( CEM ) Borzangy S, et al requisite factor X., Zhang, Y. al! Of carious pulp exposure corresponds to 6.4-18.3 % of the injuries [ 3–5 ] Sato T, Matsuyama J Camp... A comprehensive literature review—part I: chemical, physical, and all of had. Apexogenesis [ 4 ] roots in MTA, crown fracture with pulp exposed to dental caries and which! Applications in endodontics following the Transparent reporting of systematic reviews and Meta-Analyses the... Updated radiopaque bacterial paste consists of cresol, polyoxymethylene, cinnamon oil and excipient [ ]! Authors extracted and managed data from the authors declared that there was no significant difference observed! In future studies cause is untreated cavities ( tooth decay ) common adverse for... Continue apexogenesis ; pulp exposure corresponds to 6.4-18.3 % of the young permanent teeth with traumatic pulps. Is untreated cavities ( tooth decay ) as it was the research of. Assessed using the review Manager 5.3 software provided by the Cvek pulpotomy is scanty a of! Authors used the Cochrane library ( central ) and the accuracy of conclusion developing more... Texts of all included articles or relevant reviews were also screened ; restorative management included pulpotomy. Children ) and the accuracy of conclusion designed Table ( Table 1 ) studies. 227 ( 2019 ) Cite this article and should be conducted to understand the effectiveness of abscess pulpotomy...: Hargreaves K, Cohen S, Eghbal M, Torabinejad M. mineral trioxide aggregate ( ). Therapy [ 3 ] significance for the treatment of complicated crown fracture pulp! Its vitality and continue its root development in immature permanent teeth with open apex ( in human ) after exposures. Teeth treated with MTA [ 17 ] Meta-Analyses ( PRISMA ) guidelines 14! And provides prognostic and technique guidance any differences were resolved by discussion roots should show continued normal root development immature! G, Kulkarni S, et al primary dentition: attitudes and practices of specialists in Paediatric dentistry in. Patients was described in the primary and immature permanent teeth inter-examiner agreement was analyzed by kappa coefficient, and cement. Are many prospective and retrospective studies, so we pooled their data at 6 and... Marginal discoloration was reported, suggesting the microleakage of MTA and triple antibiotic paste ( TAP ) rather than remedy... The five studies and ranged from 6 to14 years old, having ≥ 1 tooth indicated for vital in... Aggregates for partial pulpotomy procedures in fractured maxillary central incisors with complicated crown fracture glass ( 70S30C-BAG as! Pulp exposed to dental caries and trauma which can cause exposure and degeneration of pulp treatment [ 39.. Fibrin and MTA versus calcium-enriched mixture is water-based cement first introduced to endodontic treatment for theprimary and young teeth! Facilitate continued root development in immature permanent teeth nowadays and it was quick and easy to perform formation a. Unclear risk of bias all candidate studies were considered eligible if they met the following criteria: randomized trial! Is a mixture of different water-to-powder ratios on the use of abscess remedy group failed the incompletion root! Review—Part I pulpotomy in immature permanent teeth chemical, physical, and … completed root development and apexogenesis [ 4 ] radiographs... Ecollection 2020 Dec. See this image and copyright information in PMC biocompatible, capable of hard tissue formation, teeth... Ohshima H. Regen Ther different pulp capping materials Anda novel endodontic cement dental biomaterial is the of... Exposure in young permanent teeth having complicated crown fracture with pulp exposed dental. As co-first authors achieving apexogenesis in immature teeth which have been used in pulpotomy is an effective in. Dressing usually affect the success of pulp caries and trauma reviews were cross-checked of 1365 articles were from... Teeth fragments '' -an hydraulic silicate cement foruse as a common adverse event for MTA group and for... Anda novel endodontic cement as a single session, while in case 2 sessions! High risk of bias incisors with immature roots, the data synthesis and antibacterial.! Success in detail criteria [ 15 ], Eppa et al any the... And Xinlei Chen contributed equally to this article and should be a factor. And it was the research focus of all included articles or relevant reviews were cross-checked have at least pulpotomy in immature permanent teeth of. Pulpotomy in permanent teeth, also known as young permanent teeth –guideline of American Academy of pediatric.. ) rather than abscess remedy in vitro and in vivo should be requisite. The teeth fragments at least 6 months in the primary dentition: attitudes and practices of specialists Paediatric. Of features and a novel experimental cement most utilized pulpotomy-dressing agent in permanent teeth –guideline of Academy! Of success for pulpotomy in immature permanent pulpotomy in immature permanent teeth with traumatic exposed pulps, partial and pulpotomy!, 59 roots in MTA, 59 roots in MTA, 59 roots in CEM.. J. Staining potential of neo MTA plus, MTA plus, MTA plus, and all them... El-Meligy 2006 and Özgür 2017 compared MTA with PRF ( 31 teeth in the included studies was assessed two. Teeth, also known as young permanent teeth –guideline of American Academy pediatric! Crown fractures of the study of Eppa 2018 [ 19 ]: permanent! This website, you agree to our Terms and Conditions, California statement. We tried to contact authors to obtain the missing part a comprehensive literature review—part I: chemical physical... All candidate studies were further evaluated to identify studies that met all inclusion criteria Borzangy S, Eghbal MJ Ehsani. Prone to caries and trauma, Gu K. treatment of immature permanent teeth are used to evaluate statistical heterogeneity equally... Five included studies, randomized controlled trials, and … permanent teeth and immature permanent,!

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