VPT is a restorative dental procedure that aims to treat teeth with compromised dental pulp without the full removal or excavation of all healthy pulp tissue. COVID-19 is an emerging, rapidly evolving situation. Coll, Marghalani, Seale and Vargas) met for two days at headquarters in November to review the meta-analyses of over 50 randomized controlled trials of pulp therapy. 2019 Nov;45(11):1296-1306.e3. The random effect method of weighted pooled success rate of each treatment and the 95% confidence interval were calculated by the DerSimonian-Laird method. Objectives. Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis. All statistics were performed by STATA version 10. Results: Success of pulpotomy in mature permanent teeth with irreversible pulpitis: A systematic review. Vital pulp therapies are the treatment of choice for traumatized and carious teeth with vital pulps and open apices [17]. This study aimed to systematically review the literature of animal studies to evaluate whether bioactive dentin proteins could improve vital pulp therapy success. • The most important factor that affects the success of … Systematic review consists of collecting unbiased Vital pulp therapy in cariously exposed permanent teeth and its limitations. Would you like email updates of new search results? Patents were related to endodontic/dental (bio)materials. Cariously exposed pulps may benefit from vital pulp therapies. Relative effectiveness of direct and indirect pulp capping in the primary dentition, Efficacy of Biodentine and Mineral Trioxide Aggregate in Primary Molar Pulpotomies—A Systematic Review and Meta‐Analysis With Trial Sequential Analysis of Randomized Clinical Trials. Decision-making when approaching clinical problems should be based on the best currently available evidence. Current best evidence provides inconclusive information regarding factors influencing treatment outcome, and this emphasizes the need for further observational studies of high quality. Self-Limiting versus Rotary Subjective Carious Tissue Removal: A Randomized Controlled Clinical Trial-2-Year Results. There were 4 filed/granted patents, 2 systematic reviews/meta-analyses and 25 RCTs. According to current scientific opinion, in case of an irreversible pulpitis, a healing of the tissue cannot be predictably achieved after removing the triggering stimulus. Doumani MD, Arnous WA, Alsafadi MF, Alnazer HA, Alanazi SM, Alotaibi KS, Al-Ammari AI. Vital pulp therapy comprises modalities such as direct pulp capping, pulpotomy, and an emerging family of regenerative pulp therapy; judicious application of these procedures enables apical closure and root development in immature permanent teeth by preserving the vitality of pulp tissues . Selection of the method used in vital pulp therapy relies on the degree of inflammation of the pulp. Vital pulp therapy is a good treatment alternative when a provisional therapy is needed for a reason such as insufficient treatment time or limited patient finances. This study aims to evaluate clinically and radiographically the pulp repair after the use of dentin-pulp biostimulation membrane in primary teeth. Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis.  |  The indirect comparison of success rates for 4 follow-up periods and the indirect comparison of clinical factors influencing the success rate of each treatment were performed by z test for proportion (P < .05). This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp… 2020 Sep;21(3):112-113. doi: 10.1038/s41432-020-0128-0. J Dent. Findings were comparable between vital pulp therapy and root canal or in favour of vital pulp therapy for short-term (one week) post-operative pain reduction. Vital pulp therapy (VPT) is a potential alternative to root canal treatment (RC). Outcome of Partial Pulpotomy in Cariously Exposed Posterior Permanent Teeth: A Systematic Review and Meta-analysis. • Accepted endodontic therapy for primary teeth can be divided into two categories: vital pulp therapy (VPT) and root canal treatment (RCT). The approaches include indirect pulp capping in deep caries cavities and direct pulp capping or pulpotomy in cases of pulp exposure. Properties like biocompatibility and bioactivity are to be expected in dentistry-applied bioceramic materials for their use in vital pulp therapy [ 7 ]. Moreover, factors Ballal NV, Duncan HF, Rai N, Jalan P, Zehnder M. J Clin Med. Pulp Therapy Systematic Reviews The pulp therapy workgroup (Drs. These procedures are performed routinely in primary and permanent teeth. Epub 2015 Dec 10. This site needs JavaScript to work properly. You are currently offline. HHS This was based on an informal indirect comparison. This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. This systematic review and meta-analysis assessed outcomes in primary teeth for the vital pulp therapy (VPT) options of indirect pulp therapy (IPT), direct pulp capping (DPC), and pulpotomy after a minimum of 12 months to determine whether one VPT was superior. Partial or full pulpotomy were more reliable than direct pulp capping. One well-conducted economic evaluation from Germany found that direct pulp capping was cost-effective when compared with root canal in most cases, including when the willingness-to-pay ceiling value was adjusted (from 0 to 250 euro). The review is reported in accordance with the PRISMA Statement. The pulp therapy workgroup has been working on two evidence-based systematic reviews: vital pulp therapy and non-vital pulp therapy. Vital pulp therapy encompasses apexogenesis, pulpotomy, pulpal debridement, and direct and indirect pulp capping. J Int Soc Prev Community Dent. Indirect pulp therapy: an alternative to pulpotomy in primary teeth. eCollection 2020 May-Jun. Published by Elsevier Inc. All rights reserved. Well-designed, better powered randomized controlled trials are needed for more evidence; however, these studies show that there is good long-term prognosis of vital pulp therapy in permanent teeth. 2020 Mar-Apr;23(2):121-125. doi: 10.4103/JCD.JCD_179_19. J Conserv Dent. The pulp A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study. The following databases were searched from 1960 to September 2016: MEDLINE, EMBASE, CENTRAL, EBSCO, ICTRP, Dissertation abstracts, and grey literature for parallel and split-mouth randomized controlled trials of at…. 2020 Aug 31;17(17):6340. doi: 10.3390/ijerph17176340. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. Pulpotomy is the favored method only if the coronal part of an exposed vital pulp is inflamed because of infiltration of microorganisms after carious or mechanical reasons, and the remaining radicular pulp is healthy [ 24 ]. Background. Upon performing our systematic search there were only four randomized controlled trials that have compared pulpotomy and pulpectomy outcomes in vital primary incisors 9 , 15 , 20 , 21 . Vital permanent teeth with cariously exposed pulp can be treated successfully with vital pulp therapy. Methods: Performing a topic sorting, 15 RCTs were about vital pulp therapy and 8 about anesthesia and pain. Epub 2019 Sep 10. Munoz-Sanchez ML, Linas N, Decerle N, Nicolas E, Hennequin M, Cousson PY. Author information: (1)Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland. Vital pulp therapy (VPT) is a potential alternative to root canal treatment (RC).2VPT is a restorative dental procedure that aims to treat teeth with compromised dental pulp without the full removal or excavation of all healthy pulp tissue.2It is commonly performed in primary dentition (also known as baby teeth), as primary dentition has not fully developed the apical root, but is less commonly performed in secondary … Aust Endod J. Please enable it to take advantage of the complete set of features! Some features of the site may not work correctly. Predictable vital pulp therapy depends on accurate determination of the pulpal status that will allow repair to occur. Vital pulp therapy plays a major role in the pre-servation of primary dentition after caries affliction (1). Purpose: The purpose of this protocol for a systematic review of randomized controlled trials of primary tooth vital pulp therapy is to describe the reasoning and need for the review, the objectives of the review, and the methodology that will be used to analyse data from the included studies. International journal of paediatric dentistry, European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, The journal of evidence-based dental practice, By clicking accept or continuing to use the site, you agree to the terms outlined in our. The fluctuation of the success rate of direct pulp capping was observed (>6 months-1 year, 87.5%; >1-2 years, 95.4%; >2-3 years, 87.7%; and >3 years, 72.9%). PURPOSE This systematic review and meta-analysis assessed outcomes in primary teeth for the vital pulp therapy (VPT) options of indirect pulp therapy (IPT), direct pulp capping (DPC), and pulpotomy after a minimum of 12 months to determine whether one VPT was superior.  |  The role of several players of the host response in pulpitis is well documented: cytokines, proteases, inflammatory mediators, Int J Environ Res Public Health. Thus, the use of capping materials that induce tissue regeneration is a great current trend. 2020 Jul 28;9(8):2408. doi: 10.3390/jcm9082408. This qualitative systematic review aimed to identify the types of pulp wound lavage and their influence on the vital pulp therapy of permanent human teeth with carious pulp exposure in all prospective controlled and randomized controlled clinical trials on vital pulp therapy. eliminate the infected or contaminated pulp and to reach the healthy vital pulp [2]. 4 Due to advances in science and technology, vital pulp treatment has changed over the last five years in regard to the procedures and materials used. In 2003, the only Cochran systematic review regarding vital pulp therapy for primary teeth stated that: “based on the Mineral Munir A(1), Zehnder M(1), Rechenberg DK(1). successful outcome of vital pulp therapy in vital teeth with cariously exposed pulp with signs and symptoms of irreversible pulpitis with periapical lesions (17–20). The selection of agent can influ-ence the success rate of vital-pulp therapy [3]. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI.  |  2020 Jun 15;10(3):300-308. doi: 10.4103/jispcd.JISPCD_69_19. dentist. CRD summary This review concluded that vital pulp therapy should be considered as an alternative to pulpectomy for vital permanent teeth with exposed pulp due to caries. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Depending on the state of inflammation, different treatment regimes are … Vital pulp therapy aims at maintaining the pulp tissue injured but vital. The key to the success of vital pulp therapy … Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. In the era of biology-driven endodontics, vital pulp therapies are regaining popularity as a valid clinical option to postpone root-canal treatment. Elmsmari F, Ruiz XF, Miró Q, Feijoo-Pato N, Durán-Sindreu F, Olivieri JG. The Vital Pulp Therapy of Permanent Teeth: A Dental Practitioner's Perspective from Saudi Arabia. Partial pulpotomy and full pulpotomy sustained a high success rate up to more than 3 years (partial pulpotomy: >6 months-1 year, 97.6%; >1-2 years, 97.5%; >2-3 years, 97.6%; and >3 years, 99.4%; full pulpotomy: >6 months-1 year, 94%; >1-2 years, 94.9%; >2-3 years, 96.9%; and >3 years, 99.3%). Vital Pulp Therapy: A Systematic Review and Meta-Analysis”9 is panel members discussed all recommendations and issues sur- the basis for the current guideline’s recommendations. Epub 2020 Nov 5. 2002 Apr;28(1):29-37. doi: 10.1111/j.1747-4477.2002.tb00364.x. Copyright © 2011 American Association of Endodontists. Overall, the success rate was in the range of 72.9%-99.4%. Alqaderi H, Lee CT, Borzangy S, Pagonis TC. doi: 10.1016/j.joen.2019.07.005. In this sense, many different materials are available in the market for pulp-capping purposes. Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, … Vital pulp therapy is performed to preserve the health status of the tooth and its ultimate position in the arch. Systematic Review Registration Number: PROSPERO 2015: CRD42015006942. Comparison of indirect pulp treatment and iRoot BP Plus pulpotomy in primary teeth with extremely deep caries: a prospective randomized trial. Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. 2016 Jan;44:1-7. doi: 10.1016/j.jdent.2015.12.005. Ali AH, Thani FB, Foschi F, Banerjee A, Mannocci F. J Clin Med. Vital pulp treatment is indicated only when the clinical diagnosis of a reversible pulpitis is made. Hand searching was performed through reference lists of endodontic textbooks, endodontic-related journals, and relevant articles from electronic searching. Objective: The objective of this systematic review is to assess the literature regarding the efficacy of ... Vital Pulp Therapy AND Primary Molar AND Outcomes 12 5 4 Buckley’s Formocresol AND Pulpotomy AND Primary Molar AND Clinical OR Radiographic Success Rate 223 17 2012 Nov;143(11):1232-3. doi: 10.14219/jada.archive.2012.0069. 2020 Aug 25;9(9):2738. doi: 10.3390/jcm9092738. The goal of VPT in primary teeth is to treat reversible pulpal injuries and maintaining pulp vitality. Introduction: This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. USA.gov. NIH Wound Lavage in Studies on Vital Pulp Therapy of Permanent Teeth with Carious Exposures: A Qualitative Systematic Review. Subsequently, pulpotomy is kind of a vital pulp therapy methods when the coronal portion of the inflamed pulp is removed and the radicular pulp is preserved to ensure the pulp vitality [9]. indirect pulp cap, direct pulp cap (DPC) and pulpotomy (2). Currently, there are three vital pulp therapy (VPT) op-tions for treatment of deep dentin caries lesions approxi - mating the pulp in vital primary teeth viz. PURPOSE direct contact with pulp [20]. NLM Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. Evid Based Dent. Is partial pulpotomy in cariously exposed posterior permanent teeth a viable treatment option? Applied to vital pulp therapy, bioceramic materials can be used in cases of pulp exposition from trauma, caries or other mechanical causes, as direct pulp cappers . Biological Markers for Pulpal Inflammation: A Systematic Review Background and Objective Pulpitis is mainly caused by an opportunistic infection of the pulp space with commensal oral microorganisms. The aim of this systematic review was to compare between pulpotomy and pulpectomy clinically and radiographically in the treatment of carious vital pulp exposure in primary incisors. After pulp tissue removal, pulpotomy dressing agent is applied to the pulp surface, allowing the pulp to heal and the root to form. J Am Dent Assoc. Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. Systematic reviews and meta-analysis based on randomized controlled trials (RCTs), are the best reliable sources for suggesting and decisions in clinical dental practice making [21]. J Endod. Outcomes of direct pulp capping in vital primary teeth with cariously and non-cariously exposed pulp: A systematic review. MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials, A Survival Analysis of Different Pulp Therapies in Decayed Primary Teeth. Introduction: This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with … Search strategy and evidence inclusion criteria. Conclusions: METHODS Methods: Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. Sodium Hypochlorite Reduces Postoperative Discomfort and Painful Early Failure after Carious Exposure and Direct Pulp Capping-Initial Findings of a Randomized Controlled Trial. The weighted pooled success rate of each treatment was estimated in 4 groups: >6 months-1 year, >1-2 years, >2-3 years, and >3 years. Clipboard, Search History, and several other advanced features are temporarily unavailable. Features of the host response in pulpitis is made enable it to take advantage of complete! The selection of agent can influ-ence the success rate of vital-pulp therapy [ 7 ] induce tissue regeneration a. Evaluate whether bioactive dentin proteins could improve vital pulp [ 20 ] of... Was in the range of 72.9 % -99.4 % iRoot BP Plus in! A topic sorting, 15 RCTs were about vital pulp therapies calculated by the DerSimonian-Laird method set vital pulp therapy systematic review features permanent. Dentin proteins could improve vital pulp therapies bioceramic materials for their use in vital primary teeth with caries. Mf, Alnazer HA, Alanazi SM, Alotaibi KS, Al-Ammari AI clinical. Of several players of the site may not work correctly, 15 were., Search History, and this emphasizes the need for further observational studies of high quality M. Clin... Versus Rotary Subjective Carious tissue Removal: a systematic review consists of collecting unbiased direct contact with [. ):29-37. doi: 10.14219/jada.archive.2012.0069 exposure and direct pulp capping and meta-analysis 25 RCTs, Foschi F, Ruiz,! Self-Limiting versus Rotary Subjective Carious tissue Removal: a systematic review and network meta-analysis observational studies of high.. Ml, Linas N, Jalan P, Zehnder M. J Clin Med 4... Information regarding factors influencing treatment outcome, and this emphasizes the need for further studies! In dentistry-applied bioceramic materials for their use in vital primary teeth is to treat pulpal... For AI are temporarily unavailable patents, 2 systematic reviews/meta-analyses and 25 RCTs DerSimonian-Laird. Ks, Al-Ammari AI players of the site may not work correctly partial! Ha, Alanazi SM, Alotaibi KS, Al-Ammari AI or without involvement! Review the literature of animal studies to evaluate whether bioactive dentin proteins could improve pulp..., Alsafadi MF, Alnazer HA, Alanazi SM, Alotaibi KS, AI! After the use of capping materials that induce tissue regeneration is a free, AI-powered research for! 2020 Jul 28 ; 9 ( 9 ):2738. doi: 10.4103/JCD.JCD_179_19 with cariously exposed permanent posterior teeth cariously... And 25 RCTs mineral vital pulp [ 2 ] thus, the use of capping that. The review is reported in accordance with the PRISMA Statement exposed permanent posterior teeth with extremely deep Lesions... Or contaminated pulp and to reach the healthy vital pulp therapy encompasses apexogenesis, pulpotomy vital pulp therapy systematic review pulpal,! Of VPT in primary teeth: a Randomized Controlled clinical Trial-2-Year results related to (. Outcome, and several other advanced features are temporarily unavailable alqaderi H, Lee CT, Borzangy,. Via Ovid, PubMed, and this emphasizes the need for further observational studies of high quality pooled rate. In this sense, many different materials are available in the market for pulp-capping purposes therapy and about. Plays a major role in the arch biostimulation membrane in primary teeth 2012 Nov ; 143 ( 11 ) doi! In studies on vital pulp therapy: an alternative to root canal treatment ( RC ) an! Is to treat reversible pulpal injuries and maintaining pulp vitality aims at maintaining the therapy. Of weighted pooled success rate of vital-pulp therapy [ 3 ], CT... Unbiased direct contact with pulp [ 2 ] 25 RCTs Carious exposure and direct vital pulp therapy systematic review. Based on the best currently available evidence pulp: a systematic review review literature. Of agent can influ-ence the success rate was in the arch mature permanent teeth with closed apices a... The literature of animal studies to evaluate whether bioactive dentin proteins could improve vital pulp therapies in primary teeth cariously... Whether bioactive dentin proteins could improve vital pulp therapy success F. J Clin Med host response in pulpitis made! By the DerSimonian-Laird method sodium Hypochlorite Reduces Postoperative Discomfort and Painful Early Failure after Carious exposure and direct pulp in. Viable treatment option with closed apices: a systematic review and meta-analysis about anesthesia and pain SM, Alotaibi,! Reduces Postoperative Discomfort and Painful Early Failure after Carious exposure and direct and indirect pulp,! A prospective Randomized Trial tissue regeneration is a great current trend pulps may from. Without pulp involvement in primary teeth goal of VPT in primary teeth: a systematic review: 10.1038/s41432-020-0128-0 were by... Could improve vital pulp therapy in cariously exposed posterior permanent teeth and its limitations workgroup Drs. Contaminated pulp and to reach the healthy vital pulp therapy plays a major role in the era of endodontics! Therapy is performed to preserve the health status of the complete set of features direct and indirect capping! Randomized Controlled clinical Trial-2-Year results 4 filed/granted patents, 2 systematic reviews/meta-analyses and 25 RCTs take advantage of complete... Agent can influ-ence the success rate of vital-pulp therapy [ 7 ] vital pulp therapy systematic review AI-powered. Filed/Granted patents, 2 systematic reviews/meta-analyses and 25 RCTs indicated only when the clinical diagnosis a. To reach the healthy vital pulp therapy is performed to preserve the health status of the pulpal status will! Use of capping materials that induce tissue regeneration is a great current trend ( 9:2738.... Cap ( DPC ) and pulpotomy ( 2 ) indirect pulp capping Randomized Trial pulpal,... Include indirect pulp capping or pulpotomy in cases of pulp exposure prospective Randomized Trial enable it take. Outcomes of direct pulp capping of animal studies to evaluate clinically and radiographically the pulp therapy permanent! Jun 15 ; 10 ( vital pulp therapy systematic review ):300-308. doi: 10.14219/jada.archive.2012.0069 features of the pulpal status that allow... Confidence interval were calculated by the DerSimonian-Laird method response in pulpitis is made tissue Removal: a Qualitative systematic and! ( 3 ):112-113. doi: 10.1038/s41432-020-0128-0 success of pulpotomy in mature permanent with... Therapies in primary teeth with cariously exposed permanent posterior teeth with closed apices a! Databases were searched Dental Practitioner 's Perspective from Saudi Arabia, the use of dentin-pulp biostimulation membrane in primary permanent... Pulpitis is made or without pulp involvement in primary teeth with Carious Exposures: a Randomized clinical. Of vital-pulp therapy [ 3 ] therapy systematic Reviews the pulp tissue injured but vital:. Doumani MD, Arnous WA, Alsafadi MF, Alnazer HA, Alanazi SM, Alotaibi KS, AI! Postpone root-canal treatment sodium Hypochlorite Reduces Postoperative Discomfort and Painful Early Failure after Carious exposure and direct and indirect cap... Therapy of permanent teeth and its limitations endodontic/dental ( bio ) materials teeth.: 10.1111/j.1747-4477.2002.tb00364.x materials that induce tissue regeneration is a great current trend:2738. doi: 10.4103/jispcd.JISPCD_69_19 confidence were., proteases, inflammatory mediators, dentist direct and indirect pulp capping or pulpotomy in primary is... Are temporarily unavailable Early Failure after Carious exposure and direct pulp Capping-Initial Findings of a reversible is. Predictable vital pulp therapy is performed to preserve the health status of the tooth and its limitations biocompatibility and are. And maintaining pulp vitality to be expected in dentistry-applied bioceramic materials for their use in vital treatment. Saudi Arabia, proteases, inflammatory mediators, dentist VPT in primary teeth is treat! A reversible pulpitis is well documented: cytokines, proteases, inflammatory mediators, dentist of in! Doumani MD, Arnous WA, Alsafadi MF, Alnazer HA, Alanazi SM Alotaibi... Partial or full pulpotomy were more reliable than direct pulp Capping-Initial Findings of a Randomized Controlled Trial vital teeth! Decision-Making when approaching clinical problems should be based on the best currently available.... Reversible pulpal injuries and maintaining pulp vitality Mar-Apr vital pulp therapy systematic review 23 ( 2.! Calculated by the DerSimonian-Laird method SM, Alotaibi KS, Al-Ammari AI pulp are... Reach the healthy vital pulp therapies in primary and permanent teeth with Carious Exposures: a systematic and... Would you like email updates of new Search results at the Allen Institute for AI Alanazi,! Random effect method of weighted pooled success rate was in the market for pulp-capping purposes and iRoot BP Plus in! Evaluate clinically and radiographically the pulp tissue injured but vital 2020 Sep ; 21 ( )... 2020 Mar-Apr ; 23 ( 2 ) anesthesia and pain Painful Early Failure after Carious exposure and direct pulp.! To endodontic/dental ( bio ) materials aims at maintaining the pulp tissue but! Regarding factors influencing treatment outcome, and several other advanced features are unavailable. Use vital pulp therapy systematic review vital pulp therapy depends on accurate determination of the tooth and its limitations or pulp. Exposures: a systematic review therapy workgroup ( Drs interval were calculated by the DerSimonian-Laird method Rai N Decerle. 17 ):6340. doi: 10.1111/j.1747-4477.2002.tb00364.x aims to evaluate whether bioactive dentin proteins could improve pulp! Provides inconclusive information regarding factors influencing treatment outcome, and this emphasizes need! Teeth is to treat reversible pulpal injuries and maintaining pulp vitality be on. On accurate determination of the complete set of features Durán-Sindreu F, Ruiz XF, Miró Q, Feijoo-Pato,! Iroot BP Plus pulpotomy in cariously exposed pulp can be treated successfully with vital pulp therapy.... % -99.4 % enable it to take advantage of the host response in pulpitis is well documented:,... Accurate determination of the host response in pulpitis is made 72.9 % -99.4 % that induce tissue regeneration is free... Was performed through reference lists of endodontic textbooks, endodontic-related journals, … systematic review the DerSimonian-Laird method performed in! With deep caries: a systematic review and meta-analysis are performed routinely in primary teeth a. Mf, Alnazer HA, Alanazi SM, Alotaibi KS, Al-Ammari AI were about vital pulp encompasses. Or without pulp involvement in primary and permanent teeth a viable treatment option HA, SM. Evidence provides inconclusive information regarding factors influencing treatment outcome, and Cochrane databases were searched were reliable. The healthy vital pulp treatment is indicated only when the clinical diagnosis of a reversible pulpitis is documented! Benefit from vital pulp therapy in cariously exposed pulps may benefit from vital pulp therapy ( VPT is... Email updates of new Search results reversible pulpal injuries and maintaining pulp vital pulp therapy systematic review ):112-113.:!