Evidence map›Paper›PMID 42688917›Full record

ArticleJournal of dental sciences2026

Outcomes and risk factors of pulpotomy in mature permanent teeth with complicated crown fractures: A 12-60-month prospective clinical study.

Qiang Li, Yin-Fei Pu, Jia-Jia Zheng, Wei Sun, Xiao Shao

Abstract read
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In one paragraph

Article in Journal of dental sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Qiang Li *Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.
Yin-Fei Pu *Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.
Jia-Jia Zheng *Eighth Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.
Wei SunDepartment of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.
Xiao ShaoDepartment of Oral Emergency, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/purpose: Traumatic dental injuries (TDIs), especially complicated crown fractures (CCFs), challenge pulp preservation in mature teeth. This study evaluated outcomes and risk factors in mature permanent teeth treated with pulpotomy using iRoot BP Plus. Materials and methods: This prospective single-arm clinical trial included 47 mature permanent anterior teeth with CCFs and pulp exposures within 24 h post-trauma. Partial pulpotomy was performed under magnification, involving removal of 2-3 mm of coronal pulp, with hemostasis achieved within 5 min. The exposed pulp was capped with iRoot BP Plus, followed by immediate coronal restoration. Patients were followed for 12-60 months. Success was defined as asymptomatic status, maintained pulp vitality, functional integrity, absence of pathology, and dentin bridge formation ≥0.3 mm. Results: The cumulative clinical and radiographic success rate was 93.6 % (44/47) over a median follow-up of 12-60 months. Three teeth (6.4 %) developed pulpitis and required root canal treatment. A pre-operative widened apical periodontal ligament (PDL) space was a significant predictor of failure (Hazard Ratio = 17.9; 95 % CI: 2.4-195.8; Conclusion: Pulpotomy with iRoot BP Plus is effective in mature teeth with traumatic CCFs (93.6 % success). Apical periodontal ligament space widening represents a significant risk factor requiring intensive clinical and radiographic monitoring.

Indexed as

Complicated crown fracturesiRoot BP plusMature permanent teethPulpotomyTraumatic dental injuries

Identifiers

PMID42688917
PMCPMC13535951

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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.