Journal of Conservative Dentistry
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Year : 2020  |  Volume : 23  |  Issue : 2  |  Page : 121-125

Success of pulpotomy in mature permanent teeth with irreversible pulpitis: A systematic review

1 Section of Operative Dentistry, Aga Khan University Hospital, Karachi, Pakistan
2 Department of Operative Dentistry, Baharia University Medical and Dental College, Karachi, Pakistan

Correspondence Address:
Dr. Kamil Zafar
1st, Floor JHS Building, Aga Khan University Hospital, P. O. Box: 3500, Stadium Road, Karachi 74800
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCD.JCD_179_19

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The objective of the present systematic review is to evaluate the success of pulpotomy in mature permanent teeth presented with irreversible pulpitis. The following databases were searched: PubMed, Oral and Dentistry Database, Cochrane, and CINAHL plus. We included studies published in the English language only. However, narrative reviews and case reports/series were excluded. The first electronic and hand search yielded a total of 2851 articles. After going through extensive screening and eligibility process, only six articles were finally selected for the review. The follow-up period ranged from 1 to 10 years. Randomized controlled trial compared pulpotomy with the root canal treatment and reported comparable and even better success of the pulpotomy (78% success). All the other studies have also shown better clinical and radiographic success of pulpotomy (68%–100%). Pulpotomy can be considered an alternative option for mature permanent teeth with irreversible pulpitis.

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