Question · asked by 1 review
Pulpotomy (full or partial) vs None (single-arm pooled success proportion): Overall success (composite of clinical and radiographic success)
- Population
- Human permanent teeth with irreversible pulpitis due to carious pulp exposure
- Intervention
- Pulpotomy (full or partial)
- Comparison
- None (single-arm pooled success proportion)
- Outcome
- Overall success (composite of clinical and radiographic success)
Among 6 observational studies, pooled pulpotomy success was 92.6 per 100 (95% CI 0.86-0.96), very low certainty.
What each review found
Include earlier review versionsNo studies found 0 · 0%GRADE not reported 1 · 25%Very low 3 · 75%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Pulpotomy (partial or full) vs None (single-arm pooled success proportion) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis (symptomatic and asymptomatic) due to carious pulp exposure · >=6 months, Clinical (endodontic/dental); multiple countries, Observational studies (GRADE evidence profile) Among 6 observational studies, pooled pulpotomy success was 92.6 per 100 (95% CI 0.86-0.96), very low certainty. Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) All outcomes | Proportion 0.926 [0.86, 0.96] | 6 studies · 177 participants | Very low |
Pulpotomy (partial or full) vs None (single-arm pooled success proportion) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis (symptomatic and asymptomatic) due to carious pulp exposure · >=6 months, Clinical (endodontic/dental); multiple countries, Randomized trials (GRADE evidence profile) Among 5 randomized trials, pooled pulpotomy success was 74.3 per 100 (95% CI 0.56-0.86), very low certainty. Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) All outcomes | Proportion 0.743 [0.56, 0.86] | 5 studies · 488 participants | Very low |
Pulpotomy (partial or full) vs None (single-arm pooled success proportion) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis (symptomatic and asymptomatic) due to carious pulp exposure · >=6 months, Clinical (endodontic/dental); multiple countries, Trim-and-fill adjusted for publication bias Adjusting for publication bias (trim-and-fill), the pooled pulpotomy success estimate was 78.6% (95% CI 66-87%). Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) All outcomes | Proportion 0.786 [0.66, 0.87] | 15 (11 observed + 4 imputed) studies | GRADE not reported |
Pulpotomy (partial or full) vs None (single-arm pooled success proportion) Clinical and radiographic success rate (>=6 months) · Human permanent teeth with irreversible pulpitis (symptomatic and asymptomatic) due to carious pulp exposure · >=6 months (follow-up 6 to 73.6 months), Clinical (endodontic/dental); multiple countries Pulpotomy in permanent teeth with irreversible pulpitis had a pooled success rate of 86% (95% CI 76-92%), graded very low certainty. Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022) All outcomes | Proportion 0.86 [0.76, 0.92] | 11 studies | Very low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes | January 2021 (articles from January 1960 to January 2021) | 11 | Low |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Pulpotomy (full or partial) vs None (single-arm success proportion) · Permanent teeth with carious pulp exposure · 1 review
- Pulpotomy (full or partial) vs None (single-arm pooled success proportion) · Human permanent teeth with irreversible pulpitis and open (immature) root apex due to… · 1 review
- Pulpotomy (full or partial) vs None (single-arm pooled success proportion) · Human permanent teeth with irreversible pulpitis and closed (mature) root apex due to… · 1 review
- Pulpotomy (full or partial) vs None (single-arm pooled success proportion) · Human permanent teeth with symptomatic irreversible pulpitis due to carious pulp exposure · 1 review
- Pulpotomy (full or partial) vs None (single-arm pooled success proportion) · Human permanent teeth with asymptomatic irreversible pulpitis due to carious pulp exposure · 1 review
Studies behind the findings
The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.
- Partial pulpotomy with two bioactive cements in permanent teeth of 6‐ to 18‐year‐old patients with signs and symptoms indicative of… · 2019 · included by 1 of these review
- Full Pulpotomy with Biodentine in Symptomatic Young Permanent Teeth with Carious Exposure · 2018 · included by 1 of these review
- Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis · 2018 · included by 1 of these review
- Treatment Outcomes of Mineral Trioxide Aggregate Pulpotomy in Vital Permanent Teeth with Carious Pulp Exposure: The Retrospective Study · 2017 · included by 1 of these review
- Partial Pulpotomy in Mature Permanent Teeth with Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial · 2017 · included by 1 of these review
- Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: a preliminary study · 2016 · included by 1 of these review
- Comparative evaluation of platelet-rich fibrin, mineral trioxide aggregate, and calcium hydroxide as pulpotomy agents in permanent molars… · 2016 · included by 1 of these review
- Pulpotomy in caries‐exposed immature permanent molars using calcium‐enriched mixture cement or mineral trioxide aggregate: a randomized… · 2012 · included by 1 of these review
- Pulpotomy of carious vital teeth with periapical involvement · 1995 · included by 1 of these review
- Success of pulpotomy in the management of hyperplastic pulpitis · 1993 · included by 1 of these review
- Asgary, 2017 · included by 1 of these review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.