Topic in Oral Health

Endodontics and dental trauma

Pulp and root canal treatment, periapical disease, and traumatized teeth.

25 systematic reviews in Endodontics and dental trauma ask 664 questions. 16.7% have no studies to answer them, 10.4% rest on very low certainty evidence and 2.6% reach moderate or high certainty.

Reviews
25
Questions
664
current versions
No studies
16.7%
Moderate or high
2.6%
No studies 111 · 16.7%Ungraded 417 · 62.8%Very low 69 · 10.4%Low 50 · 7.5%Moderate 16 · 2.4%High 1 · 0.2%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Partial pulpotomy vs Full (complete) pulpotomy
Patient- and clinical-reported outcomes (tooth survival, clinical/radiographic success, pain) · Asymptomatic permanent teeth with deep caries (no symptoms)
The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025)
no estimate extracted0 studiesNo studies
Intervention NR
Tooth survival · -
The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025)
no estimate extracted0 studiesNo studies
Partial pulpotomy vs Full (complete) pulpotomy
Oral health-related quality of life (OHRQoL) · Mature permanent (molar) teeth with deep caries and symptoms indicative of irreversible pulpitis (spontaneous pain) · >=6 months
The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025)
no estimate extracted0 studiesNo studies
Partial pulpotomy vs Full (complete) pulpotomy
Patient- and clinical-reported outcomes (tooth survival, clinical/radiographic success, pain) · Permanent teeth with deep caries and reversible pulpitis (non-spontaneous pain)
The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital… (2025)
no estimate extracted0 studiesNo studies
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
Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis… (2024)
Proportion 0.867 [0.820, 0.907]25 studies · 2012 participantsVery low
Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA)
Clinical and radiographic success (composite) · Patients with carious pulp exposure in immature permanent teeth · ≥6 months; follow-up range 1-2 years, Root maturation: immature
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023)
OR 2.22 [0.13, 36.67]2 studies · 106 participantsVery low
Calcium hydroxide (CH) vs Mineral trioxide aggregate (MTA)
Clinical and radiographic success (composite) · Patients with carious pulp exposure in permanent teeth of mixed/unspecified root maturation · ≥6 months; follow-up range 1-2 years, Root maturation: mixed
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023)
OR 1.11 [0.17, 7.11]3 studies · 257 participantsVery low
Mineral trioxide aggregate (MTA) vs Calcium hydroxide (CH)
Clinical and radiographic success · Patients with carious pulp exposure in immature permanent teeth · 1 to 2 years, Immature teeth
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023)
OR 2.22 [0.13, 36.67]2 studies · 106 participantsVery low
Mineral trioxide aggregate (MTA) vs Calcium hydroxide (CH)
Clinical and radiographic success · Patients with carious pulp exposure in permanent teeth with mixed root development · 1 to 2 years, Mixed root development
Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious… (2023)
OR 1.11 [0.17, 7.11]3 studies · 257 participantsVery 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, Observational studies (GRADE evidence profile)
Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022)
Proportion 0.926 [0.86, 0.96]6 studies · 177 participantsVery 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, Randomized trials (GRADE evidence profile)
Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. (2022)
Proportion 0.743 [0.56, 0.86]5 studies · 488 participantsVery low
Single-visit root canal treatment vs Multiple-visit root canal treatment (two or more visits)
Tooth extraction due to endodontic problems · People aged 10 years or above requiring root canal treatment; permanent teeth with completely formed apex and without…
Single versus multiple visits for endodontic treatment of permanent teeth (2022) · Cochrane
RR 0.46 [0.09, 2.50]2 studies · 402 participantsVery low

Reviews 25

The effectiveness of partial pulpotomy compared with full pulpotomy in managing deep caries in vital permanent teeth with a diagnosis of non-traumatic pulpitis.

Louzada Lidiane M, Hildebrand Hauke, et al. · International endodontic journal · 2025
Non-Cochranefull textintervention2 included studies
9 questions

Effectiveness of calcium hydroxide compared to hydraulic calcium silicate cements for direct pulp capping in managing deep caries in vital permanent teeth: A systematic review and meta-analysis.

Herbst Sascha R, Pitchika Vinay, et al. · International endodontic journal · 2025
Non-Cochranefull textintervention9 included studies
6 questions

Partial pulpotomy for carious pulp exposure in adult mature permanent teeth: a systematic review and meta-analysis.

Abdelkhader Sakha, Koller Garrit, et al. · BMC oral health · 2025
Non-Cochranefull textintervention11 included studies
18 questions

Efficacy of pulpotomy for permanent teeth with carious pulp exposure: A systematic review and meta-analysis of randomized controlled trials.

Li Wenjun, Yang Bo, et al. · PloS one · 2024
Non-Cochranefull textintervention25 included studies
39 questions

Incidence and influential factors in pulp necrosis and periapical pathosis following indirect restorations: a systematic review and meta-analysis.

Al-Manei Kholod Khalil, Alzaidi Shuruq, et al. · BMC oral health · 2023
Non-Cochranefull textprognostic68 included studies
57 questions

Comparative efficacy of materials used in patients undergoing pulpotomy or direct pulp capping in carious teeth: A systematic review and meta-analysis.

Fasoulas Athanasios, Keratiotis Georgios, et al. · Clinical and experimental dental research · 2023
Non-Cochranefull textintervention21 included studies
19 questions

Single versus multiple visits for endodontic treatment of permanent teeth

Mergoni, G, Ganim, M, et al. · Cochrane Database of Systematic Reviews · 2022
Cochranefull textintervention
12 questions

Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp therapy: a systematic review.

Amend S, Boutsiouki C, et al. · European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
Non-Cochranefull textintervention53 included studies
46 questions

Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated primary teeth: a systematic review.

Amend S, Boutsiouki C, et al. · European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
Non-Cochranefull textintervention5 included studies
16 questions

Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis.

Ather Amber, Patel Biraj, et al. · Scientific reports · 2022
Non-Cochranefull textintervention11 included studies
14 questions

Materials for retrograde filling in root canal therapy

Li, H, Guo, Z, et al. · Cochrane Database of Systematic Reviews · 2021
Cochranefull textintervention
16 questions

Antibiotic use for irreversible pulpitis

Agnihotry, A, Thompson, W, et al. · Cochrane Database of Systematic Reviews · 2019
Cochranefull textintervention
5 questions

Interventions for treating traumatised permanent front teeth: avulsed (knocked out) and replanted

Day, PF, Duggal, M, et al. · Cochrane Database of Systematic Reviews · 2019
Cochranefull textintervention
18 questions

Materials for pulpotomy in immature permanent teeth: a systematic review and meta-analysis.

Chen Yuan, Chen Xinlei, et al. · BMC oral health · 2019
Non-Cochranefull textintervention5 included studies
11 questions

Pulp treatment for extensive decay in primary teeth

Smaïl‐Faugeron, V, Glenny, AM, et al. · Cochrane Database of Systematic Reviews · 2018
Cochranefull textintervention
220 questions

Pulpotomy versus pulpectomy in the treatment of vital pulp exposure in primary incisors. A systematic review and meta-analysis.

Gadallah Lamia, Hamdy Mahmoud, et al. · F1000Research · 2018
Non-Cochranefull textintervention4 included studies
11 questions

Endodontic procedures for retreatment of periapical lesions

Del Fabbro, M, Corbella, S, et al. · Cochrane Database of Systematic Reviews · 2016
Cochranefull textintervention
33 questions

Magnification devices for endodontic therapy

Del Fabbro, M, Taschieri, S, et al. · Cochrane Database of Systematic Reviews · 2015
Cochranefull textintervention
12 questions

Interventions for treating traumatised ankylosed permanent front teeth

de Souza, RF, Travess, H, et al. · Cochrane Database of Systematic Reviews · 2015
Cochranefull textintervention
4 questions

Interventions for the management of external root resorption

Ahangari, Z, Nasser, M, et al. · Cochrane Database of Systematic Reviews · 2015
Cochranefull textintervention
1 questions

Interventions for treating traumatised permanent front teeth: luxated (dislodged) teeth

Belmonte, FM, Macedo, CR, et al. · Cochrane Database of Systematic Reviews · 2013
Cochranefull textintervention
4 questions

Irrigants for non‐surgical root canal treatment in mature permanent teeth

Fedorowicz, Z, Nasser, M, et al. · Cochrane Database of Systematic Reviews · 2012
Cochranefull textintervention
70 questions

Hand and ultrasonic instrumentation for orthograde root canal treatment of permanent teeth

Cochrane Database of Systematic Reviews · 2008
Cochranefull textintervention
2 questions

Pulp management for caries in adults: maintaining pulp vitality

Cochrane Database of Systematic Reviews · 2007
Cochranefull textintervention
15 questions

Root canal posts for the restoration of root filled teeth

Cochrane Database of Systematic Reviews · 2007
Cochranefull textintervention
6 questions