Vital Pulp Therapy in Primary Teeth with Deep Caries: An Umbrella Review.

Gizani, Sotiria; Seremidi, Kyriaki; Stratigaki, Eirini; Tong, Huei Jinn; Duggal, Monty; Kloukos, Dimitrios (2021). Vital Pulp Therapy in Primary Teeth with Deep Caries: An Umbrella Review. Pediatric dentistry, 43(6), pp. 426-437. American Academy of Pediatric Dentistry

Text Gizani_et_al_2021.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (814kB)

Purpose: The purpose of this umbrella review was to retrieve and assess the available systematic reviews reporting on pulp treatment of vital primary teeth with deep carious lesions. Methods: A literature search was conducted on electronic bibliographic databases to locate systematic reviews reporting on vital pulp therapy techniques or medicaments with two-arm comparisons and a follow-up period of at least 24 months. Eligible reviews were selected, data were extracted, and the risk of bias was assessed using a risk of bias in systematic reviews (ROBIS) tool. The degree of overlap was evaluated by calculating the corrected covered area (CCA). Results: Nine systematic reviews that cited 96 primary studies, with a high degree of overlap (14 percent CCA) were included. Indirect pulp capping had the highest success rate (94 percent) at 24 months, followed by direct pulp capping (88.8 percent), with different medicaments not significantly affecting the outcome. Pulpotomy showed the lowest success rate (82.6 percent), with the highest quality of evidence supporting the effective application of mineral trioxide aggregate (MTA) and formocresol (FC). Conclusions: The high success rate of pulp therapy techniques for the management of deep caries in vital primary teeth is evident; nevertheless, there remains insufficient evidence to draw scientifically solid conclusions about which technique and material are superior.

Interest & Impact

Downloads

2 since deposited on 12 Jan 2022
0 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item