Pulp survival after tooth fracture

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This review assessing factors related to pulp survival after tooth fracture included 24 studies (4 RCTs, 6 prospective cohort studies, 12 retrospective cohorts, and 2 case-control studies). However the available evidence is overall of very low certainty.

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Vital pulp therapy in traumatised permanent teeth

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This review of vital pulp treatment in the management of traumatised human vital permanent teeth diagnosed with complicated crown or crown-root fractures included 14 studies. Whiel the findings suggest good outcomes most of the included studies were observational with substantial heterogeneity in clinical protocols employed, assessment criteria and outcome reporting.

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Top Dental Elf Blogs: Jul – Sep 2021

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Treatments for cavitated dentine caries, topical anaesthetics to reduce injection pain and vital pulp therapy for permanent teeth were out most popular blogs duing July, August and September 2021.

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Vital pulp therapy in permanent teeth

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This review aimed to evaluate the association of preoperative factors or intraoperative factors with treatment outcomes of vital pulp therapy. 14 RCTs were included with the findings indicating a 93.2% (95%CI; 91-6% to 94.9%) success rate using contemporary bioceramic material based on low certainty evidence.

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Direct pulp capping in permanent teeth

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This review the outcome of direct pulp capping (DPC) in mature permanent teeth with a cariously exposed pulp and a clinical diagnosis of reversible pulpitis included 14 studies. The findings suggest that direct pulp capping is generally a clinically effective procedure in teeeth with reversible pulpitis.

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Direct pulp capping in primary teeth

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This review of direct pulp capping in vital primary teeth included 12 RCTs testing 16 different pulp capping agents. Interpretation of the available data is limited as few trials comparign the same agents and the quality of the trials is low.

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Partial pulpotomy for permanent posterior teeth with carious vital pulp exposure

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This review of the success rate of partial pulpotomy in treating permanent posterior teeth with carious vital pulp exposure included 11 studies 5 of which are RCTs. The findings suggest that partial pulpotomy is a reliable treatment option.

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Pulpotomy for permanent teeth

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This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.

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Vital pulp treatments in mature molars

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4 different vital pulp treatments for deep caries management of mature permanent molars were tested in this stud .The findings suggest that these techniques could be used but other approaches are available.

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Pulp treatments in primary teeth

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This Cochrane review of pulp treatments for primary teeth included 87 trials. Pulp treatments were generally successful with many trials having no clinical or radiological failure in either arm.
Mineral trioxide aggregate (MTA) may be the best medicament to apply after pulpotomy. For pulpectomy there was no conclusive evidence that one medicament or technique is superior to another.

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