Evidence map›Paper›PMID 41964851›Full record

SynthesisEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2026

Pulpotomy for treating primary teeth with irreversible pulpitis: a call for action.

Nebu Philip, Mandeep Duggal, Hani Nazzal

Abstract readSystematic Review
In one paragraph

Synthesis in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Clinical decision-making in pulp therapy of primary teeth among Tunisian dental practitioners: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  2. How do clinicians treat irreversibly inflamed and necrotic primary molars? A worldwide survey of decision-making and practice.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
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

3 authors.

Nebu PhilipCollege of Dental Medicine, QU-Health, Qatar University, Doha, Qatar. nphilip@qu.edu.qa.
Mandeep DuggalKing's College London, London, UK.
Hani NazzalHamad Dental Centre, Department of Paediatric Dentistry, Hamad Medical Corporation, Doha, Qatar. hnazzal@hamad.qa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis narrative review aims to assimilate the current state of evidence for considering pulpotomy as a treatment option to manage vital primary teeth clinically diagnosed with irreversible pulpitis.

methodsA structured literature search was undertaken on four electronic databases (MEDLINE, Embase, Web of Science, and Cochrane Library) to compile evidence for this narrative review. Eligible studies included clinical investigations and systematic reviews assessing outcomes of pulpotomy for treating primary teeth with clinical signs and symptoms of irreversible pulpitis.

resultsSeven clinical studies and two meta-analyses met the inclusion criteria for data synthesis. Across the clinical studies,clinical success of pulpotomy for management of irreversible pulpitis-affected primary teeth ranged from 95-100%, while radiographic success ranged from 90-100% at the 6-month to 1-year post-treatment follow-up. The meta-analyses of these clinical studies concluded that pulpotomy may represent a viable alternative to conventional pulpectomy for the management of irreversible pulpitis in primary teeth. Based on current evidence, new diagnostic considerations and treatment procedural guidelines have been proposed for primary tooth pulpitis.

conclusionsAccumulating histological and clinical evidence supports pulpotomy as a successful, minimally invasive treatment option for management of primary teeth with clinical symptoms of irreversible pulpitis. The paper calls for revision of international guidelines to incorporate these developments and reduce unnecessary invasive interventions.

Indexed as

PulpitisPulpotomyTooth, DeciduousHumansIrreversible pulpitisPrimary teethPulpotomyVital pulp therapy

Identifiers

PMID41964851
PMCPMC13461656

What OpenQuestion holds

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Registered trials

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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.