Author:
Chen Yuan,Chen Xinlei,Zhang Yali,Zhou Fangjie,Deng Jiaxin,Zou Jing,Wang Yan
Abstract
Abstract
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. 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 permanent teeth.
Methods
Electronic databases including MEDLINE (via Pubmed), EMBASE, the Cochrane library (CENTRAL) and the clinicaltrials.gov database were searched. The references of all included articles or relevant reviews were cross-checked. Only randomized controlled trials (RCTs) comparing two or more pulp dressing agent in permanent teeth with open apex would be included. Also, the studies should have at least 6 months of follow-up, report clinical and radiographic success in detail and publish in English.
Results
Five RCTs were included for a systematic review, and all of them had a high risk of bias. There is little difference in success rate between mineral trioxide aggregate (MTA) and calcium hydroxide (CH) at 6-month follow-up (risk ratio (RR) 1; 95% confidence interval (CI) 0.94 to 1.06) and 12-month follow-up (RR 1.04; 95% CI 0.96 to 1.13). There is no difference between MTA versus platelet-rich fibrin and MTA versus calcium-enriched mixture (CEM). There is only weak evidence of increased success rate in using MTA and triple antibiotic paste (TAP) rather than abscess remedy.
Conclusions
Based on the present evidence, 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. More high-quality RCTs are needed in this field in future studies.
Funder
National Natural Science Foundation of China
Scientific Research Foundation for Young Teachers of Sichuan University
Publisher
Springer Science and Business Media LLC
Reference40 articles.
1. Namour M, Theys S. Pulp revascularization of immature permanent teeth: a review of the literature and a proposal of a new clinical protocol. The Scientific World J. 2014;737503.
2. Council on Clinical Affairs (2014) Pulp therapy for primary and immature permanent teeth –guideline of American Academy of pediatric dentistry . American Academy of Pediatric Dentistry.
http://www.aapd.org/media/Policies_Guidelines/BP_PulpTherapy.pdf
. Accessed 30 October 2018.
3. Mass E, Zilberman U. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Pediatr Dent. 1993;15:257–9.
4. Camilleri J. Characterization and hydration kinetics of tricalcium silicate cement foruse as a dental biomaterial. Dent Mater. 2011;27:836–44.
5. Darvell BW, Wu RC. "MTA"-an hydraulic silicate cement: review update and setting reaction. Dent Mater. 2011;27:407–22.
Cited by
40 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献