Clinical and radiographic success of pulpotomy and pulpectomy in primary and permanent teeth: a Systematic Review and Meta-Analysis
Year: 2024
Type: review
Study designs: Systematic Review, Meta-Analysis
Abstract: Background: This systematic review evaluated the long-term clinical effectiveness of Biodentine in vital pulp therapy procedures.Material and Methods: Two independent reviewers searched the PubMed, Scopus, Web of Science, Cochrane, LI-LACS, and DOSS databases for articles published until August 2023.Review Manager and GRADEpro software were used for the analysis, and the Revman5.3 program was used for the meta-analysis.Initially, 297 publications were found, of which 12 studies, including 1385 clinical evaluations and 881 radiographic evaluations, were considered for qualitative and quantitative analysis.Results: Regarding the therapeutic indication, Biodentine presented a clinical success rate of: 96.38% for primary teeth submitted to pulpotomy, in a follow-up of 3-24 months, 97.18% for permanent teeth submitted to direct pulp capping in a follow-up of 3-54 months and 99.24% for primary teeth submitted to indirect pulp capping at a follow-up of 3-12 months.In radiographic analyses, a success rate of: 89.82% was observed for primary teeth submitted to pulpotomy at a follow-up of 3-24 months and for permanent teeth submitted to indirect pulp capping at a follow-up of 3-12 months.Conclusions: Biodentine is a reliable material for applications similar to that of mineral trioxide aggregate, with high long-term clinical and radiographic success rates, in primary and permanent teeth, regardless of the therapeutic indication.The efficacy and benefits of Biodentine, make it a promising endodontic material.
DOI: 10.4317/jced.61346
Authors: GA. Fontenele, MC. Bastos, EL. Filho, PG. Silva, JP. Rolim
Institution: Unichristus
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4401999972