Question · asked by 1 review

Pulpotomy (full or partial) vs None (single-arm success proportion): Overall success (composite of clinical and radiographic success)

Population
Permanent teeth with carious pulp exposure
Intervention
Pulpotomy (full or partial)
Comparison
None (single-arm success proportion)
Outcome
Overall success (composite of clinical and radiographic success)

Hemostasis within 6 min gave the highest success (90.4%), but the difference across hemostasis-time groups was not significant (ungraded).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 12 · 92.3%Very low 1 · 7.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Hemostasis <=6 min
Hemostasis within 6 min gave the highest success (90.4%), but the difference across hemostasis-time groups was not significant (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.904Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Hemostasis unknown
Trials with unknown hemostasis time had a success rate of 80.2% (difference across groups not significant; ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.802Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Normal pulp/reversible pulpitis
Teeth with normal pulp or reversible pulpitis had a high success rate (92.0%), significantly higher than irreversible pulpitis (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.920 [0.879, 0.954]Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · 12 months, 12-month follow-up
Success at 12 months (85.6%) did not differ significantly from 24 months (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.856Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Hemostasis >=10 min
Hemostasis of 10 min or more gave a success rate of 86.2% (difference across groups not significant; ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.862Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Irreversible pulpitis
Teeth with irreversible pulpitis had a significantly lower success rate (82.4%) than teeth with normal/reversible pulpitis (92.0%) (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.824 [0.746, 0.890]Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Unspecified/mixed diagnosis
Teeth with unspecified or mixed pulpal diagnosis had a success rate of 90.9% (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.909 [0.833, 0.965]Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Partial pulpotomy
Partial-pulpotomy trials showed a success rate (88.2%) similar to full-pulpotomy trials (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.882Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months
Pulpotomy achieves a high overall success rate (86.7%) in permanent teeth with carious pulp exposure (very low certainty).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.867 [0.820, 0.907]25 studies · 2012 participantsVery low
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · 24 months, 24-month follow-up
Success at 24 months (90.2%) did not differ significantly from 12 months (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.902Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Mature teeth
Success in mature teeth (83.8%) did not differ significantly from immature teeth (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.838 [0.759, 0.904]Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Immature teeth
Success in immature teeth (87.2%) did not differ significantly from mature teeth (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.872 [0.803, 0.929]Not reportedGRADE not reported
Pulpotomy (full or partial) vs None (single-arm success proportion)
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure · >=12 months, Full pulpotomy
Full-pulpotomy trials showed a success rate (85.9%) similar to partial-pulpotomy trials (ungraded).
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024) All outcomes
Proportion 0.859Not reportedGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

The same intervention and outcome, asked in another population or against another comparator.

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.