This review of the efficacy of adjunctive photodynamic therapy (PDT) on root canal treatment in primary teeth included 4 studies. The included studies were small and of short duration and lacked clinically relevant outcomes. Larger high quality well conducted studies with follow up periods of at least 12 months are needed to assess the role of PDT in primary teeth.
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In this review Iris Vaid looks at a systematic review of the dental pulp response to silver diamine flouride (SDF) treatment. Only a small number of studies focused on the biological effects of SDF on the dental pulp and none of them were clinical trials.
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Thibault Colloc takes a look at this review of vital pulp therapies in mature and immature permanent teeth with nontraumatic pulpitis. Only 3 RCTs reported in 4 papers involving a total of 330 patients were included. Further high quality well reported studies are needed to clarify the evidence for vital pulp therapies.
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This review of techniques and materials used for the management of deep caries in immature permanent teeth included 12 RCT papers. The findings suggest high success rates for pulpotomy, but only a small number of papers were available for other techniques.
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This review assessing factors related to pulp survival after tooth fracture included 24 studies (4 RCTs, 6 prospective cohort studies, 12 retrospective cohorts, and 2 case-control studies). However the available evidence is overall of very low certainty.
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This overview comparing the success rates of various pulpotomy medicaments or techniques, and assessing the methodological quality of reviews included 8 systematic reviews. While most pulpotomy medicaments/techniques, except calcium hydroxide had success rates of 80% or more there is a lack of evidence on the choice of pulpotomy agent.
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This review of vital pulp treatment in the management of traumatised human vital permanent teeth diagnosed with complicated crown or crown-root fractures included 14 studies. Whiel the findings suggest good outcomes most of the included studies were observational with substantial heterogeneity in clinical protocols employed, assessment criteria and outcome reporting.
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This review of different pulpotomy dressing agents for pulpotomy treatment in immature permanent teeth. While the review suggested that the various agents tested had similar success rates the findings should be viewed cautiously as all the studies were at high risk of bias.
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Mineral trioxide aggregate (MTA) has been put to a range of dental uses, direct pulp capping root-end filling, apexogenesis and apexification in immature teeth, filling root canals an treatment of root fractures. The aim of this review was to evaluate whether the currently available evidence is of an appropriate quality to support the long-term effectiveness [read the full story…]
The Journal of the American Dental Association has published an appraisal of a 2011 review by Aguilar & Linsuwanont under the auspices of the American Dental Association Center for Evidence-Based Dentistry. The review looked at whether vital pulp therapy is successful in permanent teeth. The appraiser considered that search strategy was thorough although the included [read the full story…]
