Rueda-Ibarra Vicente, Robles-Bermeo Norma L, González-López Blanca S, Medina-Solís Carlo E, Serrano-Robles José G, Márquez Rodríguez Sonia, Bermeo-Escalona Josué R, Delgado-Pérez Victor J, Maupomé Gerardo
School of Dentistry, Autonomous University of the State of Mexico, Toluca, MEX.
Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, MEX.
Cureus. 2023 Oct 10;15(10):e46808. doi: 10.7759/cureus.46808. eCollection 2023 Oct.
The objective of this systematic review was to evaluate the current evidence of case reports where the treatment for permanent teeth with a diagnosis of irreversible pulpitis was a full pulpotomy. This study was carried out by two reviewers following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A systematic electronic search was carried out in the PubMed, Google Scholar, and Scopus databases until the year 2022 to find articles in English where the treatment for irreversible pulpitis in permanent teeth was a full pulpotomy. Literature reviews, in vitro or animal studies, abstracts, and unpublished data were excluded. The intervention, control, and outcome parameters were selected following the "Population, Interventions, Control, and Outcome" (PICO) guidelines. A total of 636 articles were found, and 14 articles were selected to be included in this review. The selected articles describe cases of full pulpotomies in mature permanent teeth with a diagnosis of irreversible pulpitis with a total of 34 (100%) successful cases, where 18 were men and 16 were women, with an average age of 19.20 ± 10.59 years and an average follow-up of 35.82 ± 26.39 months, with 12 months being the minimum follow-up time. The material used most frequently for obturation of the full pulpotomy was mineral trioxide aggregate in 16 cases (47.06%). Within the limitations of this review, full pulpotomy presents a high success rate regardless of the tooth, age, or sex as a treatment for teeth diagnosed with irreversible pulpitis.
本系统评价的目的是评估目前关于恒牙诊断为不可逆性牙髓炎采用完全牙髓切断术治疗的病例报告证据。本研究由两名评价者按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行。在PubMed、谷歌学术和Scopus数据库中进行了系统的电子检索，直至2022年，以查找英文文章中关于恒牙不可逆性牙髓炎采用完全牙髓切断术治疗的内容。排除文献综述、体外或动物研究、摘要及未发表的数据。按照“人群、干预措施、对照和结局”（PICO）指南选择干预措施、对照和结局参数。共检索到636篇文章，14篇文章被选入本综述。所选文章描述了成熟恒牙诊断为不可逆性牙髓炎行完全牙髓切断术的病例，共有34例（100%）成功病例，其中男性18例，女性16例，平均年龄19.20±10.59岁，平均随访35.82±26.39个月，最短随访时间为12个月。完全牙髓切断术充填最常用的材料是三氧化矿物凝聚体，共16例（47.06%）。在本综述的局限性范围内，完全牙髓切断术作为诊断为不可逆性牙髓炎牙齿的一种治疗方法，无论牙齿、年龄或性别如何，成功率都很高。
