Pulpotomy: An alternative treatment modality to conventional root canal treatment

Author:

Streit GüntherORCID,Vorster MartinORCID,Van der Vyver Peet JORCID

Abstract

Vital pulp therapy is considered a successful treatment modality in primary and immature permanent teeth. The development of bioactive material has led to vital pulp therapy and pulpotomy treatment becoming a popular treatment modality in permanent teeth. This literature review investigates pulpotomy procedures on permanent teeth as a viable option, as opposed to conventional root canal treatment, as presented in the case report included.Aim The aim of this study is to evaluate literature on the reported success of pulpotomy treatment in mature permanent teeth. For this reason, the study specifically reviewed literature detailing the use of pulpotomies including the materials required for the procedure.MethodThe literature review is focused on studies using MTA and bioactive alternatives as pulpotomy material. An electronic search was done on EBSCOhost to source 58 articles published from 1979 to 2022. Results Literature investigated reports that pulpotomy treatment with bioactive materials shows promising results and therefore the possibility exists of it being a suitable treatment option or alternative to conventional root canal treatment.

Publisher

Academy of Science of South Africa

Subject

General Medicine

Reference58 articles.

1. Kratunova E, Silva D. Pulp therapy for primary and immature permanent teeth: An overview. Gen Dent. 2018; 66(6):30-38

2. Akhlaghi N, Khademi A. Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature. Dent Res J. 2015;12(5):406- 417. doi:10.4103/1735-3327.166187

3. Wells C, Dulong C, McCormack S. Vital pulp therapy for endodontic treatment of mature teeth: A review of clinical effectiveness, cost-effectiveness, and guidelines (Internet). Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2019 https://www.ncbi. nlm.nih.gov/books/NBK546327/

4. Lopes LB, Calvão C, Vieira FS, Neves JA, Mendes JJ, Machado V, Botelho J. Vital and nonvital pulp therapy in primary dentition: An umbrella review. J. Clin. Med. 2022; 11(1):85. doi.org/10.3390/jcm11010085

5. American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: AAPD; 2021:399-407

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