Pulp sensibility (EPT/cold response) · Mature permanent (molar) teeth with deep caries and symptoms indicative of irreversible pulpitis (spontaneous pain)
Pulp sensibility (EPT/cold) responses at 1 year were more frequent after partial than full pulpotomy (single RCT; ungraded).
1 finding from 1 review
Jassal: positive pulp sensibility at 1 year - EPT positive in PP 95.45% (21/22) vs FP 63.6% (14/22); cold test positive in PP 45.45% (10/22) vs FP 13.63% (3/22). Sensibility was not used to ascertain the success…
1 study · 44 participants
GRADE not reported
Postoperative pain and analgesic intake · Adults (18-45 y) with mature permanent molars, carious exposure and symptomatic irreversible pulpitis
Restricted partial pulpotomy causes less early postoperative pain and analgesic use than extended amputation (p<0.05; ungraded, single trial).
1 finding from 1 review
Same RCT (Ramani 2024): restricted PP had significantly lower postoperative pain scores on days 1 and 2 (p<0.05) and required significantly less analgesic intake (p<0.05) than extended PP.
1 study · 96 participants
GRADE not reported
Oral health-related quality of life · Mature permanent (molar) teeth with deep caries and symptoms indicative of irreversible pulpitis (spontaneous pain)
No included study reported oral health-related quality of life (a planned outcome), so no evidence is available.
1 finding from 1 review
no estimate extracted
0 studies
No studies found
Overall success (composite of clinical and radiographic success) · Adults (>=18 y) with mature permanent teeth, carious exposure and normal/reversibly inflamed pulp
At 1 year, partial pulpotomy and direct pulp capping (both calcium hydroxide) gave similarly low success in reversibly inflamed pulps (34.5% vs 31.8%; ungraded, single trial).
2 findings from 1 review
Success rate (%) 34.5 vs 31.8
1 study · 51 participants
GRADE not reported
Success rate (%) 11.1 vs 5.9
1 study · 44 participants
GRADE not reported
Postoperative pain (VAS) · Mature permanent (molar) teeth with deep caries and symptoms indicative of irreversible pulpitis (spontaneous pain)
Postoperative pain was similar between partial and full pulpotomy in one RCT but significantly greater after partial pulpotomy in the other (ungraded).
1 finding from 1 review
Jassal: no significant difference in postoperative pain between PP and FP at 24 h, 48 h and 7 days (preoperative PP 7.44+/-0.96 vs FP 7.52+/-1.08, p>.879). Ramani: no difference in pain incidence at 24 h (p=.496) but…
2 studies · 156 participants
GRADE not reported
Overall success (composite of clinical and radiographic success) · Adults aged 18 years or older with mature permanent teeth and carious pulp exposure
Partial pulpotomy with tri-calcium silicate cements (MTA/Biodentine) has a much higher success rate than with calcium hydroxide in adults (86.8% vs 34.3%; ungraded).
2 findings from 1 review
Overall success (composite of clinical and radiographic success) · Adults (>=18 y) with mature permanent teeth and deep carious pulp exposure
Immediate permanent restoration after partial pulpotomy is associated with much higher success than delayed restoration (89.9% immediate vs 23.2% beyond 14 days; ungraded).
1 finding from 1 review
Overall success (composite of clinical and radiographic success) · Mature permanent (molar) teeth with deep caries and symptoms indicative of irreversible pulpitis (spontaneous pain)
Within two high-quality RCTs, partial and full pulpotomy achieved similar 1-year clinical/radiographic success for irreversible pulpitis (pooled 83% vs 90%), with no significant difference (high certainty).
1 finding from 1 review
FP 90%, PP 83% (pooled unadjusted 1-year success; no significant difference; no meta-analysis)
2 studies · 135 participants
High
Patient- and clinical-reported outcomes (tooth survival, clinical/radiographic success, pain) · Permanent teeth with deep caries and reversible pulpitis (non-spontaneous pain)
No studies compared partial versus full pulpotomy in permanent teeth with reversible pulpitis (non-spontaneous pain), so no evidence is available.
1 finding from 1 review
no estimate extracted
0 studies
No studies found
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure
Hemostasis within 6 min gave the highest success (90.4%), but the difference across hemostasis-time groups was not significant (ungraded).
13 findings from 1 review
Show 10 more findings
Proportion 0.856
Studies not reported
GRADE not reported
Proportion 0.862
Studies not reported
GRADE not reported
Proportion 0.824 [0.746, 0.890]
Studies not reported
GRADE not reported
Proportion 0.909 [0.833, 0.965]
Studies not reported
GRADE not reported
Proportion 0.882
Studies not reported
GRADE not reported
Proportion 0.867 [0.820, 0.907]
25 studies · 2012 participants
Very low
Proportion 0.902
Studies not reported
GRADE not reported
Proportion 0.838 [0.759, 0.904]
Studies not reported
GRADE not reported
Proportion 0.872 [0.803, 0.929]
Studies not reported
GRADE not reported
Proportion 0.859
Studies not reported
GRADE not reported
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure
Biodentine may increase pulpotomy success versus calcium hydroxide at marginal significance (ungraded).
1 finding from 1 review
OR 6.03 [0.97, 37.6]
2 studies
GRADE not reported
Overall success (composite of clinical and radiographic success) · Human permanent teeth with symptomatic irreversible pulpitis due to carious pulp exposure
Full pulpotomy showed a non-significant trend toward higher success than partial pulpotomy in mature teeth with irreversible pulpitis (ungraded).
1 finding from 1 review
OR 2.16 [0.92, 5.07]
3 studies
GRADE not reported
Overall success (composite of clinical and radiographic success) · Permanent teeth with carious pulp exposure
In partial pulpotomy, MTA had significantly higher success than calcium hydroxide (OR 2.81; ungraded).
Show 2 more findings
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review
Intervention not reported
Overall success (composite of clinical and radiographic success)
1 finding from 1 review