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.[read the full story...]
This review comparing the clinical and radiographic success of Biodentine versus MTA for pulpotomy in primary teeth included 9 RCTs finding no difference in outcomes.[read the full story...]
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.[read the full story...]
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.
This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.[read the full story...]
This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.[read the full story...]
This small trial compared the success rates of 3 different filling materials (RC Fill, Vitapex and Pulpdent ) following pulpectomy in primary molars. At 30 months there were no significant differences between the groups.[read the full story...]
This new Cochrane review update finds no evidence to clearly identify one superior pulpotomy medicament and technique for primary molars.[read the full story...]
The aim of this study was to evaluate and compare two different white MTA cements as pulpotomy medicaments in human primary teeth, Pro-Root MTA and MTA Angelus. Child patients with deep occlusal carious lesion, which presented potential risk of pulp exposure during complete removal of carious dentin, as determined by clinical and radiographic assessment were [read the full story…]
When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity. Consequently a range of other materials have been investigated, ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]