Camoni Nicole, Cagetti Maria Grazia, Cirio Silvia, Esteves-Oliveira Marcella, Campus Guglielmo
Department of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142 Milan, Italy.
Department of Restorative Dentistry and Endodontology, Justus-Liebig-University Giessen, 35392 Giessen, Germany.
Children (Basel). 2023 Aug 24;10(9):1447. doi: 10.3390/children10091447.
The aim of the present systematic review was to evaluate the clinical and radiographic success of partial pulpotomies in deep caries processes or post-eruptive defects in young, vital permanent teeth. Four electronic databases, PubMed, Scopus, Embase, and Google Scholar, were searched, followed by a manual search in the reference lists. Randomized controlled trials evaluating partial pulpotomy with a follow-up period of ≥12 months were included. A meta-analysis using a random effects model was performed. A total of 3127 articles were retrieved, and after duplicate removal, 2642 were screened by title and abstract; 1 additional article was found during the manual search, and 79 were identified. Finally, six papers were included in the review. Regardless of the partial pulpotomy modalities or material used, there were no significant differences between clinical and radiographic success rates (cumulative success rate 91.8-92.3%). Five studies were included in the meta-analysis that did not indicate any statistically significant differences in success rates when mineral trioxide aggregate was compared to other materials (95% confidence interval: 0.239 to 1.016; = 0.055). The present research systematically evaluates the evidence and summarizes the available data on partial pulpotomy in young permanent teeth. Given its high clinical and radiographic success rate, partial pulpotomy should be considered when vital pulpal therapy needs to be performed in highly damaged young permanent teeth, as this procedure provides a biological benefit and allows more invasive endodontic treatments to be postponed.
本系统评价的目的是评估在年轻恒牙深龋或萌出后缺损中进行部分牙髓切断术的临床和影像学成功率。检索了四个电子数据库，即PubMed、Scopus、Embase和谷歌学术，随后对参考文献列表进行了手工检索。纳入随访期≥12个月的评估部分牙髓切断术的随机对照试验。采用随机效应模型进行荟萃分析。共检索到3127篇文章，去除重复后，通过标题和摘要筛选出2642篇；在手工检索过程中又发现1篇文章，共识别出79篇。最终，6篇论文纳入本评价。无论采用何种部分牙髓切断术方式或材料，临床和影像学成功率之间均无显著差异（累积成功率91.8 - 92.3%）。荟萃分析纳入了5项研究，这些研究表明当将三氧化矿物凝聚体与其他材料进行比较时，成功率没有任何统计学上的显著差异（95%置信区间：0.239至1.016；P = 0.055）。本研究系统地评估了证据，并总结了关于年轻恒牙部分牙髓切断术的现有数据。鉴于其较高的临床和影像学成功率，当需要对高度受损的年轻恒牙进行活髓治疗时，应考虑部分牙髓切断术，因为该手术具有生物学益处，并可推迟更具侵入性的牙髓治疗。
