SynthesisInternational endodontic journal2022
Pulpotomy for treatment of complicated crown fractures in permanent teeth: A systematic review.
Synthesis in International endodontic journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- The effect of bioceramic materials on dentin formation and their use to protect the dentin-pulp complex-a systematic review and meta-analysis.Odontology · 2026Pooled it
- Pooled it
- Pulpotomy for treatment of complicated crown fractures in permanent teeth: A systematic review.International endodontic journal · 2022Pooled it
- Establishment of an MRI-Based Diagnostic Approach to Identify Critical Pulpal Inflammation Zones in a Rat Caries-Derived Pulpitis Model.International endodontic journal · 2026Article
- Root Canal Treatment After Fixed Prosthodontic Restorations: A Retrospective Observational Study.Journal of clinical medicine · 2026Article
- A Two-Visit Pulpotomy Approach for the Management of Uncontrolled Bleeding in a Crown-Root Fractured Immature Incisor: A Case Report.Dentistry journal · 2026Article
- Comparative evaluation of iRoot BP Plus and mineral trioxide aggregate for pulpotomy in primary molars with reversible pulpitis under intraoral endoscope: a retrospective study.BMC oral health · 2026Article
- [Clinical efficacy and prognostic factors of pulpotomy combined with fragment reattachment in treating complicated crown-root fractures of maxillary young permanent anterior teeth].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026Article
- Application of computer-aided design combined with 3-dimensional-printed guide in tooth autotransplantation: a case report.BMC oral health · 2026Article
- Delayed endodontic management of traumatically exposed immature maxillary anterior teeth: a case series.Biomaterial investigations in dentistry · 2026Article
- The impact of combined endodontic-orthodontic treatment on the recovery of masticatory function in patients with crown-root fractures of permanent maxillary anterior teeth.Pakistan journal of medical sciences · 2026Article
- Crown fractures in the permanent dentition among children and adolescents during the COVID-19 pandemic.Scientific reports · 2025Article
- [Resin short post retention for reattachment of a fractured crown in a young permanent tooth with complicated crown-root fracture and root fracture: a case report].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025Article
- [Clinical efficacy of in-situ crown reattachment technique combined with pulpotomy in the treatment of complica-ted crown-root fractures of young permanent anterior teeth].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025Article
- Management of crown fractures with different pulp treatments and Re-attachment technique: case series.BMC oral health · 2025Article
- Promoting Dentin Bridge Formation Through N-Acetyl-L-Cysteine Application in Rat Molar Pulpotomy: An Experimental Study.Journal of functional biomaterials · 2025Article
- Vital Pulp Therapy: Evidence-Based Techniques and Outcomes.Iranian endodontic journal · 2025Review
- Resin Wing Technique With Sandblasting Interface Modification: A 24-Month Stable Pulp Preservation in Young Permanent Teeth With Complex Crown Fractures.Case reports in dentistry · 2025Article
- Evaluation of iRoot BP Plus for Pulpotomy in Permanent Anterior Teeth With Complicated Crown Fractures in Pediatric Patients: A Prospective Cohort Study.International journal of dentistry · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConsensus on the treatment of choice for complicated crown fractures of teeth is limited. Recent guidance recommends vital-pulp-therapy; however, the preferred type is not specified. Higher success rates for pulpotomy compared to pulp-capping have been documented, which suggests pulpotomy may be a preferable option for complicated crown-fractures.
objectivesThe purpose of this systematic review was to determine the success rate of pulpotomy (partial and complete) on teeth that suffered complicated crown fractures.
participantspatients who have suffered a complicated crown fracture to an anterior permanent tooth.
interventionpulpotomy (partial or complete). Comparator: pulp-capping or root canal treatment. OUTCOME: combined clinical and radiographic success at or after 12 months.
methodsA systematic literature using key search terms was conducted using PubMed, Web of Science and Cochrane-Central-Register-of-Controlled-Trials (CENTRAL) as well as a grey literature search from inception to May 2021 and without language restricted to English. Strict inclusion criteria were applied. A standardized tool with defined criteria to assess the risk of bias in each study was used. For non-randomized comparative trials, the Robins-I tool was used while the Newcastle-Ottawa scale was used for non-comparative non-randomized studies.
resultsSeven retrospective clinical studies were included. The studies reported high success rates for pulpotomy with overall success ranges for partial or complete pulpotomy ranging from 75% to 96%. One study compared the success rates of pulpotomy to an alternative treatment option pulp capping (90.9% vs. 67%, respectively). Due to the lack of homogeneity in the included studies, a meta-analysis was not possible. DISCUSSION: This review highlights the limited evidence based for the current guidance on treatment of complicated crown fractures. The findings of the review indicate high success rates for pulpotomy; however, there is a moderate risk of bias and small sample sizes in the included studies with the result that the overall results should be interpreted with caution.
conclusionWithin the limitations of this review, the benefits and high success rates reported for partial pulpotomy suggest this procedure, rather than pulp-capping, should be considered as the treatment of choice for both immature and mature teeth that have suffered complicated crown-fractures.
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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.