Outcome of Partial Pulpotomy in Immature Permanent Teeth with Symptomatic Irreversible Pulpitis: A Prospective Case Series Assessment

Review Dentistry, Oral Surgery & Medicine

Present status and future directions-Vital pulp treatment and pulp preservation strategies

Henry F. Duncan

Summary: Therapeutic strategies focused on pulp preservation are important in managing deep caries and exposed pulp in vital teeth. While vital pulp treatments (VPTs) have been used for over a century, recent advancements in regenerative endodontics and biologically based therapies have expanded the indications for VPT to include mature cariously affected teeth and teeth with irreversible pulpitis. However, gaps in scientific knowledge and limited educational dissemination among dentists pose challenges in accurately diagnosing the inflammatory state of the pulp and providing consistent treatment options. This review discusses the current status of VPT, identifies the major problems hindering its clinical acceptance, and offers potential solutions for making VPT a more consistently prescribed evidenced-based treatment in dental practice.

INTERNATIONAL ENDODONTIC JOURNAL (2022)

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Review Dentistry, Oral Surgery & Medicine

Deep dentine caries management of immature permanent posterior teeth with vital pulp: A systematic review and meta-analysis

Huei Jinn Tong et al.

Summary: This systematic review evaluated the efficacy of vital pulp therapy techniques and materials used for deep caries in immature permanent teeth. Results showed high overall success rates for various treatment modalities, with Biodentine performing well regardless of technique. There were no significant differences in clinical and radiographic success rates between different follow-up intervals. Clear conclusions regarding superiority of different vital pulp therapy techniques on apical closure were not reached.

JOURNAL OF DENTISTRY (2022)

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Article Dentistry, Oral Surgery & Medicine

Bacterial Invasion of Pulp Blood Vessels in Teeth with Symptomatic Irreversible Pulpitis

Domenico Ricucci et al.

Summary: Teeth with symptomatic irreversible pulpitis showed severe acute inflammation, necrosis, and bacterial infection in the pulp chamber. Bacterial invasion and colonization were observed in all teeth with caries exposure, suggesting a significant role in bacterial spread through the pulp tissue.

JOURNAL OF ENDODONTICS (2021)

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Article Dentistry, Oral Surgery & Medicine