Evidence map›Paper›PMID 31515048›Full record

SynthesisJournal of endodontics2019

Outcome of Partial Pulpotomy in Cariously Exposed Posterior Permanent Teeth: A Systematic Review and Meta-analysis.

Firas Elmsmari, Xavier-Fructuós Ruiz, Queralt Miró, Nancy Feijoo-Pato, Fernando Durán-Sindreu, Juan Gonzalo Olivieri

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of endodontics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 56 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06183021 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Cryotherapy on the Outcome of Pulpotomy and Root Canal Treatment of Deep Dentinal Caries: a Randomized Clinical Trial.

TypeinterventionalSponsorOndokuz Mayıs UniversityRan2023 to 2026Enrolled144ConditionsPulpitis, Caries, Dentin, Pain, PostoperativeArmsVital pulp cryotherapy, Intracanal cryotherapy
NCT06844448 recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Different Risk Factors on the Success Rate of VPT: an Observational Prospective Cohort Study

Typeobservational_patient_registrySponsorSemmelweis UniversityRan2024 to 2030Enrolled400ConditionsDental Caries Extending to Pulp, Pulp Disease, Dental, Irreversible Pulpitis, Reversible PulpitisArmswith Biodentine, with MTA
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Firas ElmsmariDepartment of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.
Xavier-Fructuós RuizDepartment of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.
Queralt MiróDepartment of Basic Sciences, Biostatistics Unit, Universitat Internacional de Catalunya, Barcelona, Spain.
Nancy Feijoo-PatoDepartment of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.
Fernando Durán-SindreuDepartment of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.
Juan Gonzalo OlivieriDepartment of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain. Electronic address: jgolivieri@uic.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe current systematic review and meta-analysis aimed to evaluate the success rate of partial pulpotomy in treating permanent posterior teeth with carious vital pulp exposure. A secondary aim was to assess the prognostic factors using a meta-regression.

methodsAn electronic search was performed for studies from January 1950 to November 2018 in the following databases: PubMed, ScienceDirect, and Cochrane. All searches were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Clinical studies evaluating the success rate of cariously exposed vital human permanent posterior teeth treated with a partial pulpotomy were selected. Only randomized clinical trials and prospective clinical studies were included for evaluation. The Newcastle-Ottawa Scale and the Cochrane Collaboration's tool were used to evaluate risk assessment.

resultsFrom the 218 studies identified through the initial search, 11 studies qualified for the final analysis (5 randomized clinical trials and 6 prospective studies). The results of the meta-analysis indicate a success rate of 98% (confidence interval [CI]: 0.94-1), 96% (CI: 0.92-0.99), and 92% (CI: 0.83-0.97) after 6 months and 1 and 2 years of follow-up. Examining the probable prognostic factors using meta-regression analysis, only preoperative pulp status (P = .001) was identified as a significant factor, with studies including teeth with the presumptive diagnosis of irreversible pulpitis displaying significantly lower results. The final solution, pulp capping material, apex closure, and the age of the patient did not affect the treatment success rate (P > .05).

conclusionsThe available data suggest that a partial pulpotomy results in high success rates in treating cariously exposed permanent posterior teeth up to 2 years. Six months of monitoring can be considered an appropriate period when evaluating the success of a partial pulpotomy although more clinical and radiographic controls are essential to ensuring success.

Indexed as

Dental CariesDental Pulp CappingPulpotomyDental Pulp ExposureDentition, PermanentHumansProspective StudiesRandomized Controlled Trials as TopicTreatment OutcomeDental cariesdental pulp exposureevidence-based dentistrypulpitispulpotomyvital pulp

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.