Table 2 Systematic reviews and meta-analysis on pulpotomy in mature permanent teeth

From: Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis

Author

Year

Diagnosis

Treatment method

Included studies

Conclusions

Alqaderi et al.61

2016

Carious exposed permanent posterior teeth

FP

6

FP had a favorable success rate in treating various vital pulp exposures of permanent mature teeth with closed root apices.

Li et al.62

2019

Carious exposed pulps; irreversible pulpitis

FP

26

Pulpotomy is a prospective substitute for RCT in managing permanent teeth with carious pulp exposures, even in permanent teeth with irreversible pulpitis.

Cushley et al.63

2019

Irreversible pulpitis

FP

8

High success for pulpotomy for teeth with signs and symptoms of irreversible pulpitis.

Elmsmari et al.64

2019

Carious exposed permanent posterior teeth

PP

11

A PP has high success rates in treating carious exposed permanent posterior teeth for up to 2 years.

Zafar et al.65

2020

Irreversible pulpitis

Pulpotomy/RCT

6

Pulpotomy can be an alternative option for mature permanent teeth with irreversible pulpitis.

Lin et al.66

2021

Carious exposed permanent posterior teeth

FP/PP

11

FP and PP demonstrated a high success rate in treating carious exposed vital pulp of mature permanent molars.

Leong et al.67

2021

Carious exposed permanent teeth

DPC/FP

6

VPT is a reliable treatment option for permanent teeth with carious pulp exposure.

Santos et al.68

2021

Irreversible pulpitis

FP/PP

12

VPT for irreversible pulpitis has favorable outcomes, with success rates ranging from 81% to 90%.

Albaiti et al.69

2022

Carious exposed permanent posterior teeth

PP

4

PP showed a high success rate in treating carious exposed permanent posterior teeth for up to 24 months.

Ather et al.70

2022

Irreversible pulpitis

Pulpotomy

11

The first meta-analytical study that determines the clinical outcome of pulpotomy for carious teeth with irreversible pulpitis and its predictors for success.

Skitioui et al.71

2023

Irreversible pulpitis

FP

4

FP appears to have a high success rate as a permanent treatment of irreversible pulpitis and could be considered an alternative to RCT.

Tomson et al.72

2023

Permanent teeth with pulpitis characterized by spontaneous pain

Pulpotomy/RCT

2

Pulpotomy is a definitive treatment modality that is as effective as RCT.

  1. DPC direct pulp capping, PP partial pulpotomy, FP full pulpotomy, RCT root canal therapy, VPT vital pulp therapy