Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study

Aim To investigate the outcome of elective full pulpotomy, using calcium silicate-based cements (CSBC), after 2 years, in symptomatic mature permanent teeth with carious lesions, diagnosed as irreversible pulpitis, and analyse the capacity of Wolters et al. (2017) classification to predict the likel...

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Autores: Jiménez Martín, Cristina, Martín González, Jenifer, Crespo Gallardo, Isabel, Montero Miralles, Paloma, Cabanillas Balsera, Daniel, Segura Egea, Juan José
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/169294
Acceso en línea:https://hdl.handle.net/11441/169294
https://doi.org/10.1007/s00784-024-05814-z
Access Level:acceso abierto
Palabra clave:calcium silicate–based cement
caries lesion management
endodontics
full pulpotomy
Irreversible pulpitis
wolters classifcation of pulpitis
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spelling Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective studyJiménez Martín, CristinaMartín González, JeniferCrespo Gallardo, IsabelMontero Miralles, PalomaCabanillas Balsera, DanielSegura Egea, Juan Josécalcium silicate–based cementcaries lesion managementendodonticsfull pulpotomyIrreversible pulpitiswolters classifcation of pulpitisAim To investigate the outcome of elective full pulpotomy, using calcium silicate-based cements (CSBC), after 2 years, in symptomatic mature permanent teeth with carious lesions, diagnosed as irreversible pulpitis, and analyse the capacity of Wolters et al. (2017) classification to predict the likelihood of treatment failure. Methods The treatment records of 56 patients with symptomatic mature teeth with carious lesions, diagnosed as irreversible pulpitis and treated by elective full pulpotomy, using CSBCs as pulp capping materials, were reviewed. Thirteen teeth were excluded. The remaining 43 teeth were evaluated retrospectively at 24 months. Fisher`s exact test with the Lancaster’s mid-P adjustment was used to assess different outcomes amongst the diagnostic categories. Results Four of the cases failed before 24 months and required root canal treatment (RCT). Overall success rate at 2 years was 90.7% (39 of 43). An inverse, but non-significant, correlation was observed between the severity of pulpitis according to the Wolters classification and the treatment success rate (p > 0.05). The type of CSBC used was associated to the success rate (OR = 10.5; 95% C.I. = 0.5 – 207.4; p = 0.027), being 82% with Endosequence and 100% with Biodentine. Postoperative pain associated significantly to lower success rate (66.7%) (Odds ratio = 8.0; 95% C.I. = 0.7 – 95.9; p = 0.047). Conclusions Elective full pulpotomy using a CSBC was a successful choice for the treatment of mature permanent teeth with symptoms indicative of irreversible pulpitis. There were no significant differences between the success rate of mild, moderate and severe pulpitis. Postoperative pain could be considered a risk marker for failure of full pulpotomy. The term “irreversible pulpitis” should be re-signified to indicate the need for access to the pulp chamber, rather than an indication for extraction or RCT.SpringerEstomatología2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/169294https://doi.org/10.1007/s00784-024-05814-zreponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésClinical Oral Investigations, 24 (8), 421.https://link.springer.com/article/10.1007/s00784-024-05814-zinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1692942026-06-17T12:51:07Z
dc.title.none.fl_str_mv Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
title Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
spellingShingle Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
Jiménez Martín, Cristina
calcium silicate–based cement
caries lesion management
endodontics
full pulpotomy
Irreversible pulpitis
wolters classifcation of pulpitis
title_short Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
title_full Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
title_fullStr Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
title_full_unstemmed Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
title_sort Elective full pulpotomy in mature permanent teeth diagnosed with symptomatic irreversible pulpitis: a two years retrospective study
dc.creator.none.fl_str_mv Jiménez Martín, Cristina
Martín González, Jenifer
Crespo Gallardo, Isabel
Montero Miralles, Paloma
Cabanillas Balsera, Daniel
Segura Egea, Juan José
author Jiménez Martín, Cristina
author_facet Jiménez Martín, Cristina
Martín González, Jenifer
Crespo Gallardo, Isabel
Montero Miralles, Paloma
Cabanillas Balsera, Daniel
Segura Egea, Juan José
author_role author
author2 Martín González, Jenifer
Crespo Gallardo, Isabel
Montero Miralles, Paloma
Cabanillas Balsera, Daniel
Segura Egea, Juan José
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Estomatología
dc.subject.none.fl_str_mv calcium silicate–based cement
caries lesion management
endodontics
full pulpotomy
Irreversible pulpitis
wolters classifcation of pulpitis
topic calcium silicate–based cement
caries lesion management
endodontics
full pulpotomy
Irreversible pulpitis
wolters classifcation of pulpitis
description Aim To investigate the outcome of elective full pulpotomy, using calcium silicate-based cements (CSBC), after 2 years, in symptomatic mature permanent teeth with carious lesions, diagnosed as irreversible pulpitis, and analyse the capacity of Wolters et al. (2017) classification to predict the likelihood of treatment failure. Methods The treatment records of 56 patients with symptomatic mature teeth with carious lesions, diagnosed as irreversible pulpitis and treated by elective full pulpotomy, using CSBCs as pulp capping materials, were reviewed. Thirteen teeth were excluded. The remaining 43 teeth were evaluated retrospectively at 24 months. Fisher`s exact test with the Lancaster’s mid-P adjustment was used to assess different outcomes amongst the diagnostic categories. Results Four of the cases failed before 24 months and required root canal treatment (RCT). Overall success rate at 2 years was 90.7% (39 of 43). An inverse, but non-significant, correlation was observed between the severity of pulpitis according to the Wolters classification and the treatment success rate (p > 0.05). The type of CSBC used was associated to the success rate (OR = 10.5; 95% C.I. = 0.5 – 207.4; p = 0.027), being 82% with Endosequence and 100% with Biodentine. Postoperative pain associated significantly to lower success rate (66.7%) (Odds ratio = 8.0; 95% C.I. = 0.7 – 95.9; p = 0.047). Conclusions Elective full pulpotomy using a CSBC was a successful choice for the treatment of mature permanent teeth with symptoms indicative of irreversible pulpitis. There were no significant differences between the success rate of mild, moderate and severe pulpitis. Postoperative pain could be considered a risk marker for failure of full pulpotomy. The term “irreversible pulpitis” should be re-signified to indicate the need for access to the pulp chamber, rather than an indication for extraction or RCT.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/169294
https://doi.org/10.1007/s00784-024-05814-z
url https://hdl.handle.net/11441/169294
https://doi.org/10.1007/s00784-024-05814-z
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Clinical Oral Investigations, 24 (8), 421.
https://link.springer.com/article/10.1007/s00784-024-05814-z
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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