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| Finding | Effect | Studies | GRADE 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 0.904 | Not reported | GRADE 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 0.802 | Not reported | GRADE 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 reported | GRADE 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 0.856 | Not reported | GRADE 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 0.862 | Not reported | GRADE 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 reported | GRADE 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 reported | GRADE 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 0.882 | Not reported | GRADE 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 participants | Very 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 0.902 | Not reported | GRADE 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 reported | GRADE 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 reported | GRADE 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 0.859 | Not reported | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis of randomized controlled trials. 2024 All outcomes | 2023-08-31 | 25 | Low / Critically Low |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Pulpotomy (full or partial) vs None (single-arm pooled success proportion) · Human permanent teeth with irreversible pulpitis due to 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
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.