ArticleInternational journal of environmental research and public health2023
Survival Analysis and Risk Factors of Pulpectomy among Children with Severe Early Childhood Caries Treated under General Anesthesia: A Retrospective Study.
Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 16 citations in OpenAlex.
- A long-term retrospective evaluation of pulpectomy and calcium hydroxide/iodoform paste resorption in primary teeth managed under dental general anaesthesia.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- The efficacy of dental general anesthesia in children with severe early childhood caries: a retrospective study with longitudinal follow-up in China.BMC oral health · 2026Article
- Tooth survival following pulpectomy in primary molars with apical periodontitis and preoperative factors associated with failure: a retrospective cohort study.BMC oral health · 2026Article
- Utilization Patterns and Clinical Indications of General Anesthesia in Pediatric Dentistry: A Systematic Review.Children (Basel, Switzerland) · 2026Review
- Long-term Outcomes of Invasive Pulp Therapies in Primary Teeth: A Systematic Review and Meta-analysis.International journal of clinical pediatric dentistry · 2026Article
- Endodontic Retreatment Using Rotary System and Aesthetic Rehabilitation of a Deciduous Central Maxillary Incisor in a 5-Year-Old Child: A Case Report.Case reports in dentistry · 2026Article
- Factors Affecting Success and Failure of Pulpectomy in Primary Teeth: A Systematic Review.International journal of clinical pediatric dentistry · 2025Article
- A Prospective, Blinded Randomized, Active-controlled Clinical Trial to Evaluate the Success of Double Antibiotic Paste in Pulpally Infected Primary Molars.International journal of clinical pediatric dentistry · 2025Article
- Survival analysis of pulpotomy versus pulpectomy in primary molars with carious pulp exposure: a retrospective cohort study.BMC oral health · 2024Article
- Early dental visit affects dental treatment in Korean preschool children born preterm: a nationwide population-based study.Scientific reports · 2024Article
- Survival analysis of primary molars following pulpectomy performed under dental general anesthesia: a five-year retrospective study.BMC oral health · 2024Article
- Analysis of Pediatric Pulpotomy, Pulpectomy, and Extractions in Primary Teeth Revealed No Significant Association with Subsequent Root Canal Therapy and Extractions in Permanent Teeth: A Retrospective Study.Pediatric reports · 2024Article
- Application of mineral trioxide aggregate pulpotomy in the treatment of early pulpitis of primary molars.American journal of translational research · 2024Article
- Osteogenic mechanism of deciduous teeth periodontal ligament stem cells in inflammatory environment.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to retrospectively evaluate the survival rate of pulpectomy performed under dental general anesthesia (DGA) through long-term follow-up and to explore the risk factors associated with treatment failure.
methodsThe medical records of the children who were diagnosed with S-ECC and received pulpectomy treatment under general anesthesia (GA) from 1 August 2014 to 1 December 2019, in the Stomatological Hospital of Xi'an Jiaotong University, were collected. Two dentistry postgraduates extracted the necessary information and filled in a predesigned excel form. Survival analysis was performed using the Kaplan-Meier method. The shared frailty model was used to explore possible factors affecting the success rate of pulpectomy in primary teeth.
resultsA total of 381 children (mean age 3.49 ± 0.90) with S-ECC and 1220 teeth were included in the study, including 590 primary anterior teeth and 630 primary molars. The overall 35-month survival rate was 38.5%, which was 52.9% for anterior teeth and 31.1% for molars. The overall median survival time was 31 months, in which anterior teeth were 35 months and molars were 26 months. The older the children were, the greater the risk of treatment failure (HR 1.56, 95% CI 1.09, 2.24). The risk of pulpectomy failure of primary molars was 1.9 times that of primary anterior teeth (95% CI 1.36, 2.65) and the teeth with abnormal radiological findings before treatment was 1.41 times higher than that of teeth without imaging abnormalities (95% CI 1.74, 3.36).
conclusionThe survival rate of primary tooth pulpectomy is acceptable but decreased gradually with time. The failure rate of pulpectomy in primary molars is higher than that of primary anterior teeth. When the primary caries has extended to the pulp and resulted in a nonvital lesion, pulpectomy could be an option for maximum retention of the primary tooth.
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