Assessment of pulpotomy in cariously exposed permanent teeth

doi:10.19439/j.sjos.2017.04.015

Abstract

Abstract: To observe the clinical effect of pulpotomy for cariously exposed permanent teeth with closed apices and provide guidance for clinical application. METHODS: Sixty-two cariously exposed permanent teeth with closed apices and vital pulps were included. Preoperative pulpal and periapical diagnosis was established. The teeth were divided into two groups, the experimental group was treated with pulpotomy(32 cases), and the control group was treated with one-visit root canal therapy (one-visit RCT) (30 cases). Clinical and radiographic evaluation was completed at 1 month, 3 months, 6 months, 12 months postoperatively. Statistical analysis was performed using SPSS 18.0 software package. RESULTS: After 1 year, the success rate of pulpotomy was 93.75%, and the success rate of root canal therapy was 93.10%. There was no significant difference between pulpotomy and root canal therapy( χ2=0.010,P=0.665). CONCLUSIONS: The advantages of pulpotomy are less invasive and less tooth destruction. It is a successful treatment option for cariously exposed pulps in mature permanent teeth.

Key words: Deep caries, Pulpotomy, Mineral trioxide aggregate

CLC Number:

781.05

DONG Yan, HU Shu-li, SUN Yuan-yuan, ZHANG Hong-yan. Assessment of pulpotomy in cariously exposed permanent teeth[J]. Shanghai Journal of Stomatology, 2017, 26(4): 425-428.

References

[1] Kojima K, Inamoto K, Nagamatsu K, et al. Success rate of endodontic treatment of teeth with vital and nonvital pulps. A meta-analysis [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2004, 97(1): 95-99.
[2] Asgary S, Shadman B, Ghalamkarpour Z, et al. Periapical status and quality of root canal fillings and coronal restorations in Iranian population [J].Iran Endod J, 2010, 5(2): 74-82.
[3] Tang W, Wu Y, Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth [J]. J Endod, 2010, 36(4): 609-617.
[4] Asgary S, Eghbal MJ, Ghoddusi J, et al. One-year results of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter, randomized, non-inferiority clinical trial [J]. Clin Oral Invest, 2013, 17(2): 431-439.
[5] Ricucci D, Loghin S, Siqueira JF Jr. Correlation between clinical and histologic pulp diagnosis [J]. J Endod, 2014, 40(12): 1932-1839.
[6] Yazdani S, Jadidfard MP, Tahani B, et al. Health technology assessment of CEM pulpotomy in permanent molars with irreversible pulpitis [J]. Iran Endod J, 2014, 9(1): 23-29.
[7] Solomon RV, Faizuddin U, Karunakar P, et al. Coronal pulpotomy technique analysis as an alternative to pulpectomy for preserving the tooth vitality, in the context of tissue regeneration: a correlated clinical study across 4 adult permanent molars [J]. Case Rep Dent, 2015, 2015: 916060.
[8] Kunert GG, Kunert IR, da Costa Filho LC, et al. Permanent teeth pulpotomy survival analysis: retrospective follow-up[J]. J Dent, 2015, 43(9): 1125-1131.
[9] Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review-part II: leakage and biocompatibility investigations[J]. J Endod, 2010, 36(2): 190-202.
[10] Chueh LH, Chiang CP. Histology of irreversible pulpitis premolars treated with mineral trioxide aggregate pulpotomy [J]. Oper Dent, 2010, 35(3): 370-374.
[11] Seltzer S, Bender IB, Ziontz M. The dynamics of pulp inflammation: correlations between diagnostic data and actual histologic findings in the pulp[J]. Oral Surg Oral Med Oral Pathol, 1963, 16: 969-977.
[12] Asgary S, Eghbal MJ, Fazlyab M, et al. Five-year results of vital pulp therapy in permanent molars with irreversible pulpitis: a non-inferiority multicenter randomized clinical trial [J]. Clin Oral Investig, 2015, 19(2): 335-341.
[13] Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review[J]. J Endod, 2011, 37(5): 581-587.
[14] Simon S, Perard M, Zanini M, et al. Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts [J]. Int Endod J, 2013, 46(1): 79-87.
[15] McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge [J]. Int Endod J, 2012, 45(2): 177-197.
[16] Malhotra N, Mala K. Calcific metamorphosis. Literature review and clinical strategies [J]. Dent Update, 2013, 40(1): 48-50, 53-54, 57-58.