Evidence map›Paper›PMID 34633590›Full record

SynthesisOdontology2022

Is pulpotomy a promising modality in treating permanent teeth? An umbrella review.

Galvin Sim Siang Lin, Yun Qing Yew, Hern Yue Lee, Ting Low, Manushantini Pillai Muralitharan Pillai, Thittikkon Suvanpratum Laer, Sharifah Wade'ah Wafa Syed Saadun Tarek Wafa

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Odontology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Galvin Sim Siang LinDepartment of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, 08100, Bedong, Kedah, Malaysia. gaelvylin@yahoo.com.ORCID http://orcid.org/0000-0002-3996-5470
Yun Qing YewBayan Lepas Dental Clinic, Ministry of Health Malaysia, 11900, Bayan Lepas, Penang, Malaysia.
Hern Yue LeeSeberang Jaya Dental Clinic, Ministry of Health Malaysia, 13700, Butterworth, Penang, Malaysia.
Ting LowGunung Rapat Dental Clinic, Ministry of Health Malaysia, 31350, Ipoh, Perak, Malaysia.
Manushantini Pillai Muralitharan PillaiKuah Dental Clinic, Ministry of Health Malaysia, 07000, Langkawi, Kedah, Malaysia.
Thittikkon Suvanpratum LaerBachok Dental Clinic, Ministry of Health Malaysia, 16300, Bachok, Kelantan, Malaysia.
Sharifah Wade'ah Wafa Syed Saadun Tarek WafaDepartment of Paediatric Dentistry & Orthodontics, Faculty of Dentistry, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence suggests the use of less invasive therapy such as pulpotomy in treating permanent teeth with pulp exposure and signs of pulpitis. Hence, this umbrella review aims to evaluate the available systematic reviews on pulpotomy treated permanent teeth. Articles published between January 1970 and May 2021 were searched in ten electronic databases and five textbooks. Only systematic reviews published in English that examined the use of pulpotomy on either carious or traumatic pulpal exposed in mature or immature permanent teeth with signs of pulpitis were selected. The Corrected Covered Areas (CCAs) were calculated to identify the overlap in primary studies, whereas the AMSTAR 2 assessment tool was used to analyze the risk of bias in each included review. Nine systematic reviews were chosen of which two systematic reviews focused solely on coronal pulpotomy, one on partial pulpotomy, and the remaining focused on both coronal and partial pulpotomies. Overall, only two reviews were rated as 'High Quality'. Umbrella analyses showed that both coronal and partial pulpotomies revealed overall high success rates ranging from 88.5% to 90.6%. However, the currently available evidence on the effects of different pulpal medicaments and restorative materials on the success rate of pulpotomy were still inconclusive. Pulpotomy can be regarded as a promising modality in treating mature and immature permanent teeth with carious pulpal exposure or signs of pulpitis. Nonetheless, further high-quality clinical trials with long-term follow-up and better control of confounding factors are warranted in the future.

Indexed as

PulpitisPulpotomyDental Pulp CappingDentition, PermanentHumansSilicatesTreatment OutcomeSilicatesEndodonticsEvidence-based dentistryPermanent teethPulpotomyUmbrella review

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.