Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Partial pulpotomy in young permanent teeth: A systematic review and meta-analysis

Version 1 : Received: 26 July 2023 / Approved: 27 July 2023 / Online: 27 July 2023 (08:53:25 CEST)

A peer-reviewed article of this Preprint also exists.

Camoni, N.; Cagetti, M.G.; Cirio, S.; Esteves-Oliveira, M.; Campus, G. Partial Pulpotomy in Young Permanent Teeth: A Systematic Review and Meta-Analysis. Children 2023, 10, 1447. Camoni, N.; Cagetti, M.G.; Cirio, S.; Esteves-Oliveira, M.; Campus, G. Partial Pulpotomy in Young Permanent Teeth: A Systematic Review and Meta-Analysis. Children 2023, 10, 1447.

Abstract

Introduction: The aim of the present systematic review was to evaluate the clinical and radiographic success of partial pulpotomies in deep caries processes or post-eruptive defects in young, vital permanent teeth. Methods: Electronic databases, PubMed, Scopus, and Embase, were searched, followed by a manual search. Randomized controlled trials evaluating partial pulpo-tomy with a follow-up period of ≥12 months were included. Meta-analyses using a random effect model were performed. Results: A total of 3.127 articles were retrieved, and after duplicate re-moval, 2.642 were screened by title and abstract; 1 additional article was found during the manual search in the reference lists, and 79 were identified. Finally, 6 papers were included in the review. Regardless of the partial pulpotomy modalities or material used, there were no signifi-cant differences between clinical and radiographic success rates (cumulative success rate 91,8%-92,3%, respectively). Five studies were included in the meta-analysis that did not indicate any statistically significant differences in success rates when Mineral Trioxide Aggregate was compared to other materials (95% CI 0,239 to 1,016 p=0.055). Conclusion: This research system-atically evaluates the evidence and summarises the available data on partial pulpotomy in young permanent teeth. Given its high clinical and radiographic success rate, partial pulpotomy should be considered when vital pulpal therapy needs to be performed in highly damaged young per-manent teeth, as this procedure provides a biological benefit and allows more invasive endodon-tic treatments to be postponed.

Keywords

Partial pulpotomy; Minimal invasive endodontics; Caries; Molar Incisor Hypomineralization

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

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