Pulpotomy not inferior RCT for the management of acute irreversible pulpitis

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-01-10T20:00:44+05:30 | Updated On 11 Jan 2023 1:20 PM IST

Pulpotomy is not inferior to the conventional root canal treatment for the management of acute irreversible pulpitis in mature permanent teeth in adults suggests a recent study published in the Evidence-based dentistry.

A comprehensive literature search was performed on PubMed and Cochrane Library covering the years 2000-2021 for randomised clinical trials addressing the defined clinical question. The title and abstract were reviewed by two authors independently and any conflict was resolved by discussion with the third author.

Only randomised controlled trials studies that compared cervical pulpotomy against non-surgical root canal treatment were included in this systematic review. Studies dealing with primary teeth or immature permanent teeth were excluded. Studies that reported clinical and radiographic success rate with a minimum follow-up of six months were included. The authors tabulated the data from primary sources without any synthesis.

Results

Only four studies fulfilled the inclusion/exclusion criteria.

The results indicate that the clinical success rate of pulpotomy was comparable to root canal treatment while the radiographic success rate was higher in pulpotomy.

Pulpotomy is not inferior to conventional root canal treatment for the management of acute irreversible pulpitis in mature permanent teeth in adults.

Reference:

Madurantakam, P. Is pulpotomy an effective therapeutic option for the management of acute irreversible pulpitis in mature permanent teeth?. Evid Based Dent 23, 136 (2022). https://doi.org/10.1038/s41432-022-0834-x

Keywords:

Madurantakam, P, pulpotomy, effective, therapeutic, option, management, acute, irreversible, pulpitis, mature, permanent, teeth, Evid Based Dent

evidence-based dentistrypulpotomyacute irreversible pulpitisroot canal

Source : Evidence based Dentistry

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751