Findings

What do systematic reviews say?

5 questions · 8 findings · 1 reviews

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No studies found 0 · 0%GRADE not reported 5 · 62.5%Very low 3 · 37.5%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Pulpotomy (full or partial) vs None (single-arm pooled success proportion)

Overall success (composite of clinical and radiographic success) · Human permanent teeth with irreversible pulpitis due to carious pulp exposure

Among 6 observational studies, pooled pulpotomy success was 92.6 per 100 (95% CI 0.86-0.96), very low certainty.

4 findings from 1 review

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental); multiple countries · Observational studies (GRADE evidence profile)
Proportion 0.926 [0.86, 0.96]
6 studies · 177 participants
Very low
Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental); multiple countries · Randomized trials (GRADE evidence profile)
Proportion 0.743 [0.56, 0.86]
5 studies · 488 participants
Very low
Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental); multiple countries · Trim-and-fill adjusted for publication bias
Proportion 0.786 [0.66, 0.87]
15 (11 observed + 4 imputed) studies
GRADE not reported

Show 1 more finding

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months (follow-up 6 to 73.6 months) · Clinical (endodontic/dental); multiple countries
Proportion 0.86 [0.76, 0.92]
11 studies
Very low

Pulpotomy (full or partial) vs None (single-arm pooled success proportion)

Overall success (composite of clinical and radiographic success) · Human permanent teeth with asymptomatic irreversible pulpitis due to carious pulp exposure

In asymptomatic irreversible pulpitis, pooled pulpotomy success was 91.3% (95% CI 80-96.5%); ungraded.

1 finding from 1 review

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental) · Asymptomatic irreversible pulpitis
Proportion 0.913 [0.80, 0.965]
3 studies
GRADE not reported

Pulpotomy (full or partial) vs None (single-arm pooled success proportion)

Overall success (composite of clinical and radiographic success) · Human permanent teeth with irreversible pulpitis and open (immature) root apex due to carious pulp exposure

In open-apex teeth, pooled pulpotomy success was 95.8% (95% CI 81-99%); significantly higher than closed apex (z=2.33, p=0.02); ungraded.

1 finding from 1 review

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental) · Open (immature) root apex
Proportion 0.958 [0.81, 0.99]
3 studies
GRADE not reported

Pulpotomy (full or partial) vs None (single-arm pooled success proportion)

Overall success (composite of clinical and radiographic success) · Human permanent teeth with irreversible pulpitis and closed (mature) root apex due to carious pulp exposure

In closed-apex teeth, pooled pulpotomy success was 83% (95% CI 69-91%); significantly lower than open apex (z=2.33, p=0.02); ungraded.

1 finding from 1 review

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental) · Closed (mature) root apex
Proportion 0.83 [0.69, 0.91]
8 studies
GRADE not reported

Pulpotomy (full or partial) vs None (single-arm pooled success proportion)

Overall success (composite of clinical and radiographic success) · Human permanent teeth with symptomatic irreversible pulpitis due to carious pulp exposure

In symptomatic irreversible pulpitis, pooled pulpotomy success was 84% (95% CI 72-92%); not significantly different from asymptomatic (z=-1.34, p=0.18); ungraded.

1 finding from 1 review

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. 2022 All outcomes
>=6 months · Clinical (endodontic/dental) · Symptomatic irreversible pulpitis
Proportion 0.84 [0.72, 0.92]
9 studies
GRADE not reported