Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis
2025

Expert Consensus on Pulpotomy for Pulpitis in Mature Teeth

publication Evidence: moderate

Author Information

Author(s): Zhang Lu, Lin Chen, Chen Zhuo, Yue Lin, Yu Qing, Hou Benxiang, Ling Junqi, Liang Jingping, Wei Xi, Chen Wenxia, Qiu Lihong, Li Jiyao, Niu Yumei, Lin Zhengmei, Cheng Lei, He Wenxi, Wang Xiaoyan, Huang Dingming, Huang Zhengwei, Niu Weidong, Zhang Qi, Zhang Chen, Yang Deqin, Yu Jinhua, Zhao Jin, Pan Yihuai, Ma Jingzhi, Deng Shuli, Xie Xiaoli, Meng Xiuping, Yang Jian, Zhou Xuedong, Chen Zhi

Primary Institution: Wuhan University

Hypothesis

Can pulpotomy serve as a viable alternative to root canal treatment for mature permanent teeth with pulpitis?

Conclusion

Pulpotomy is a potential alternative to root canal treatment for managing pulpitis in mature permanent teeth.

Supporting Evidence

  • Pulpotomy has been shown to have success rates comparable to root canal treatment.
  • Minimally invasive approaches are preferred to preserve natural tooth structure.
  • Calcium silicate cements like MTA and Biodentine are effective for pulp capping in pulpotomy.

Takeaway

Pulpotomy is a way to treat tooth pain by removing part of the pulp inside the tooth instead of doing a full root canal, which can be less invasive.

Methodology

This review summarizes expert consensus and current evidence regarding pulpotomy techniques and materials for treating pulpitis.

Potential Biases

Existing studies may have high risks of bias due to short-term follow-ups and single-arm designs.

Limitations

There is a lack of accurate methods to assess pulp vitality and a need for more high-quality, multi-center studies.

Digital Object Identifier (DOI)

10.1038/s41368-024-00333-9

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