Deeper caries lesions with pulp vitality |
Franzon et al., 20041313. Franzon R, Guimarães LF, Magalhães CE, Haas AN, Araujo FB. Outcomes of one-step incomplete and complete excavation in primary teeth: a 24-month randomized controlled trial. Caries Res. 2014;48(5):376-83. https://doi.org/10.1159/000357628 https://doi.org/10.1159/000357628...
|
51 |
3–8 years |
RCT |
Restoration with non-selective caries lesion (NSR) vs |
NSR: 54 |
Molars |
Lesions had to be radiographically located in the inner quarter of dentin. Absence of sensitivity and/or spontaneous pain, swelling, fistula and mobility incompatible with the root resorption stage; absence of periapical or interradicular radiolucency or other radiographic signs indicative of pulp necrosis. |
Absence of the fistula, swelling, spontaneous pain and mobility not compatible with root resorption. |
24 months |
NSR: 96% |
Selective caries removal (SR) |
SR: 66 |
SR: 92% |
Boyd et al., 20171212. Boyd DH, Page LF, Thomson WM. The Hall technique and conventional restorative treatment in New Zealand children's primary oral health care: clinical outcomes at two years. Int J Paediatr Dent. 2018 Mar;28(2):180-8. https://doi.org/10.1111/ipd.12324 https://doi.org/10.1111/ipd.12324...
|
182 |
5–8 years |
Quasi-RCT |
Stainless stell crowns without caries removal – Hall Technique (HT) |
HT: 12 |
Molars |
Deep caries lesion with no clinical signs or symptoms suggesting irreversible pulpitis, and radiographically deepest portion of carious lesion does not encroach on pulp, and interradicular supporting structures appear normal. |
Satisfactory restoration, absence of the clinical symptoms and signs of pulp pathology. |
24 months |
HT: 75% |
vs NRS |
NSR: 9 |
NSR: 66% |
Howley et al., 20121414. Howley B, Seale NS, McWhorter AG, Kerins C, Boozer KB, Lindsey D. Pulpotomy versus pulpectomy for carious vital primary incisors: randomized controlled trial. Pediatr Dent. 2012 Sep-Oct;34(5):112-9.
|
29 |
18–60 months |
RCT |
Pulpotomy (formocresol) |
Pulpotomy: 50 |
Incisors |
Large caries lesion approximating the pulp. Absence of signs of inflammation, history of spontaneous pain, lingering provoked pain or pain on percussion, periapical or periradicular pathology, physiological resorption or incomplete root formation, and internal or external resorption or pulp calcification. |
Absence of pain, mobility, abscess/swelling, sinus tract and intact restoration. |
23 months |
Without data of clinical success |
vs Pulpectomy (calcium hydroxide / iodoform paste) |
Pulpectomy: 50 |
Tang; Xu, 20171515. Tang Y, Xu W. Therapeutic effects of Pulpotomy and Pulpectomy on deciduous molars with deep caries. Pak J Med Sci. 2017 Nov-Dec;33(6):1468-72. https://doi.org/10.12669/pjms.336.13488 PMID:29492080 https://doi.org/10.12669/pjms.336.13488...
|
124 |
03/ago |
RCT |
Pulpotomy (MTA) |
Pulpotomy: 101 |
Molars |
Deeply caries lesion without pulpal degeneration; without spontaneous pain history, palpation pain, percussion pain, swelling, fistula, pathological movement or alveolar bone destruction at the root tip. |
No pathological symptoms or signs like spontaneous pain, percussion pain, tenderness, swelling, fistula formation, or pathological loosening. |
18 months |
Pulpotomy: 90% |
vs Pulpectomy (calcium hydroxide/iodoform paste) |
Pulpectomy: 91 |
Pulpectomy: 79% |
Accidental pulp exposure in the presence of vital pulp |
Casas et al., 20041717. Casas MJ, Kenny DJ, Johnston DH, Judd PL, Layug MA. Outcomes of vital primary incisor ferric sulfate pulpotomy and root canal therapy. J Can Dent Assoc. 2004 Jan;70(1):34-8.
|
50 |
3.3 |
RCT |
Pulpotomy (ferric sulfate) |
Pulpotomy: 64 |
Incisors |
Caries lesions that was likely to have carious pulp exposure. |
Presence of restoration; absence of recurrent caries, mobility and percussion sensitivity, erythema, swelling, parulis or fistulous tract. |
24 months |
Pulpotomy: 63% |
±0.8 |
vs Pulpectomy (Zinc oxide eugenol paste) |
Pulpectomy: 69 |
Pulpectomy: 100% |
Aminabadi et al., 20081616. Aminabadi NA, Farahani RM, Gajan EB. A clinical study of formocresol pulpotomy versus root canal therapy of vital primary incisors. J Clin Pediatr Dent. 2008;32(3):211-4. https://doi.org/10.17796/jcpd.32.3.ghk26v4554790074 https://doi.org/10.17796/jcpd.32.3.ghk26...
|
100 |
3–4 years |
RCT |
Pulpotomy (formocresol) vs Pulpectomy (Zinc oxide eugenol paste) |
Pulpotomy: 46 |
Incisors |
Two or more carious vital primary maxillary incisors where exposure of the vital pulp following the removal of dental caries was inevitable. Vital tooth without any history of spontaneous pain, pain on percussion, fistula, and sinus tract. |
Satisfactory restoration; absence of recurrent caries, mobility and percurssion sensitivity, parulis or fistula, erythema, and swelling. |
24 months |
Pulpotomy: 86,9% |
Pulpectomy: 46 |
Pulpectomy: 95,6% |
Dimatraki et al., 20191818. Dimitraki D, Papageorgiou SN, Kotsanos N. Direct pulp capping versus pulpotomy with MTA for carious primary molars: a randomised clinical trial. Eur Arch Paediatr Dent. 2019 Oct;20(5):431-40. https://doi.org/10.1007/s40368-019-00419-7 https://doi.org/10.1007/s40368-019-00419...
|
74 |
3–9 year |
RCT |
Direct Pulp Capping (MTA) vc Pulpotomy (MTA) |
Direct pulp capping: 54 |
Molars |
No history of pain or that the pain subsides upon removal of the stimulus, root resorption limited to 1/3 of the root, absence of furcation/periapical lesions, caries in the inner half of the dentin approaching the pulp, bleeding controlled within 5 min time after accidental exposition. |
Absence of pain, pathologic mobility, and bleeding at probing (good periodontal health). Satisfactory restoration: absence of secondary caries, open contact point and loss of morphology of occlusal surface, |
36 months |
Direct pulp capping: 77.9% |
Pulpotomy: 73 |
Pulpotomy: 85.6% |
Pulpal necrosis or irreversible pulpitis |
Nakornchai et al., 20102020. Nakornchai S, Banditsing P, Visetratana N. Clinical evaluation of 3Mix and Vitapex as treatment options for pulpally involved primary molars. Int J Paediatr Dent. 2010 May;20(3):214-21. https://doi.org/10.1111/j.1365-263X.2010.01044.x https://doi.org/10.1111/j.1365-263X.2010...
|
37 |
3–8 years |
RCT |
Non-instrumented endodontic treatment (NIET) (Antibiotic-based paste – 3Mis) |
NIET: 25 |
Molars |
The presence of gingival abscesses, fistula openings, or clinical mobility; evidence of pathologic external or internal root resorption, furcation, or periapical radiolucency on the radiographs. |
Absence of pain, gingival abscesses, fistula openings or abnormal mobility. |
12 months |
NIET: 96% |
vs Pulpectomy (calcium hydroxide / iodoform paste) |
Pulpectomy: 25 |
Pulpectomy: 96% |
Daher et al., 20151919. Daher A, Viana KA, Leles CR, Costa L. Ineffectiveness of an antibiotic-based pulpotomy for primary molars: a survival analysis. Pesqui Bras Odontopediatria Clin Integr. 2015;15(1):205-15. https://doi.org/10.4034/PBOCI.2015.151.22. https://doi.org/10.4034/PBOCI.2015.151.2...
|
36 |
3.6– 9.4 years |
RCT |
NIET (Antibiotic-based paste - CTZ) |
NIET: 37 |
Molars |
Spontaneous toothache, facial or intra-oral swelling with or without fistulae tract, tooth tenderness to vertical and/or horizontal percussion and light or moderate pathological tooth mobility; furcation or periapical radiolucency without involvement of permanent tooth germ or one or more roots presenting widening of periodontal ligament space. |
Absence of persistent pain, pathological tooth mobility, presence of fistula and/or swelling. |
12 months |
NIET: 37% |
Pulpectomy: 81% |
vs Pulpectomy (calcium hydroxide paste) |
Pulpectomy: 16 |
24 months |
NIET: 27% |
Pulpectomy: 68.7% |