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Home Indirect pulp capping versus pulpotomy for treating deep carious lesions approaching the...

Indirect pulp capping versus pulpotomy for treating deep carious lesions approaching the pulp in primary teeth: a systematic review

Authors:

  • V. Smal-Faugeron
    Institut National de la Sant et de la Recherche Mdicale, U1138, Equipe 22, Centre de Recherche des Cordeliers, Paris, France - Assistance Publique-Hpitaux de Paris, Hpital Bretonneau, Service d'Odontologie, Paris, France - Universit Paris Descartes - Sorbonne Paris Cit, Facult de Chirurgie Dentaire, Unit de Recherches Biomatriaux Innovants et Interface EA4462, Montrouge, France
  • A. Porot
    Assistance Publique-Hpitaux de Paris, Hpital Bretonneau, Service d'Odontologie, Paris, France
  • M. Muller-Bolla
    Universit Paris Descartes - Sorbonne Paris Cit, Facult de Chirurgie Dentaire, Unit de Recherches Biomatriaux Innovants et Interface EA4462, Montrouge, France - Universit de Nice-Sophia Antipolis, Service d'Odontologie, Facult de Chirurgie Dentaire, Nice, France
  • F. Courson
    Assistance Publique-Hpitaux de Paris, Hpital Bretonneau, Service d'Odontologie, Paris, France - Universit Paris Descartes - Sorbonne Paris Cit, Facult de Chirurgie Dentaire, Unit de Recherches Biomatriaux Innovants et Interface EA4462, Montrouge, France

ABSTRACT


Aim

To assess dental practice regarding the use of indirect pulp capping or pulpotomy in children with deep carious lesions
approaching the pulp in primary teeth and to compare the efficacy of the two pulp treatments.

Methods

Study design: Systematic
review. We searched the Cochrane Library, PubMed via MEDLINE, and EMBASE as well as the reference lists of included reports and
ClinicalTrials.gov (for ongoing trials). Eligible studies were surveys of dental practice sent to dentists regarding the use of indirect pulp
capping and pulpotomy in children with deep carious lesions approaching the pulp in primary teeth and any type of clinical study. Two
review authors independently extracted data and assessed risk of bias in duplicate.

Results

Of the 481 potentially eligible articles, 11
were included in the review: 8 described surveys of dental practice, 1 a non-randomised study, and 2 ongoing randomised trials. The
surveys of dental practice showed an overall increase in the teaching and practice of indirect pulp capping in primary teeth. The non-
randomised study found a statistically significant difference in favour of indirect pulp capping for clinical and radiological success at 3
years but with high overall risk of bias. CONCLUSIONS: Despite the success rate of indirect pulp capping for treating deep carious
lesions approaching the pulp in primary teeth, practitioners still hesitate to practice this technique because of lack of evidence and
studies on this topic. Thus, for strong evidence, investigators are encouraged to conduct randomised trials comparing the efficacy of
indirect pulp capping and pulpotomy for treating deep carious lesions approaching the pulp in primary teeth.

PLUMX METRICS

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Publication date:

Jun /2016

Keywords:

carious lesions, indirect pulp capping, primary teeth, pulpotomy

Issue:

Vol.17 – n.2/2016

Page:

107 – 112

Publisher:

Ariesdue

Cite:


Harvard: V. Smal-Faugeron, A. Porot, M. Muller-Bolla, F. Courson (2016) "Indirect pulp capping versus pulpotomy for treating deep carious lesions approaching the pulp in primary teeth: a systematic review", European Journal of Paediatric Dentistry, 17(2), pp107-112. doi: https://www.ejpd.eu/wp-content/uploads/pdf/EJPD_2016_2_4.pdf
Vancouver: V. Smal-Faugeron, A. Porot, M. Muller-Bolla, F. Courson. Indirect pulp capping versus pulpotomy for treating deep carious lesions approaching the pulp in primary teeth: a systematic review. European Journal of Paediatric Dentistry [Internet]. 2016Jun.1 [cited 2023Feb.03];17(2):107-112. Available from: https://www.ejpd.eu/abstract-pubmed/indirect-pulp-capping-versus-pulpotomy-for-treating-deep-carious-lesions-approaching-the-pulp-in-primary-teeth-a-systematic-review/
MLA: V. Smal-Faugeron, A. Porot, M. Muller-Bolla, F. Courson Indirect pulp capping versus pulpotomy for treating deep carious lesions approaching the pulp in primary teeth: a systematic review. European Journal of Paediatric Dentistry. 2016;17(2):107-112

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    Editor in chief: dott. Luigi Paglia
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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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