Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth

<p dir="ltr">Emerging clinical and histologic evidence is challenging the long-established dogma that root canal treatment (RCTx) is the only therapeutic option for preservation of vital mature permanent teeth diagnosed with irreversible pulpitis or carious pulp exposure. Vital pulp...

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Main Author: Nebu Philip (14779318) (author)
Other Authors: Bharat Suneja (21385406) (author)
Published: 2022
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author Nebu Philip (14779318)
author2 Bharat Suneja (21385406)
author2_role author
author_facet Nebu Philip (14779318)
Bharat Suneja (21385406)
author_role author
dc.creator.none.fl_str_mv Nebu Philip (14779318)
Bharat Suneja (21385406)
dc.date.none.fl_str_mv 2022-12-16T09:00:00Z
dc.identifier.none.fl_str_mv 10.1038/s41415-022-5316-1
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Minimally_invasive_endodontics_a_new_era_for_pulpotomy_in_mature_permanent_teeth/29098388
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Dentistry
Vital pulp therapy
Pulpotomy
Irreversible pulpitis
Root canal treatment (RCTx)
Mature permanent teeth
dc.title.none.fl_str_mv Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Emerging clinical and histologic evidence is challenging the long-established dogma that root canal treatment (RCTx) is the only therapeutic option for preservation of vital mature permanent teeth diagnosed with irreversible pulpitis or carious pulp exposure. Vital pulp therapy procedures like pulpotomy are not only technically simpler and more economical, but also afford patients a host of other benefits over conventional RCTx. This narrative review provides an update on the contemporary understanding of pulp pathophysiology and defence mechanisms, the proposed new diagnostic terminologies for pulpal inflammation, and how the biological characteristics of hydrophilic calcium silicate cements have enabled consistent successful outcomes for pulpotomy-treated mature teeth. The paper also details the evidence base from clinical trials and systematic reviews conducted over the past decade and outlines the practical treatment considerations for pulpotomy in mature permanent teeth.</p><h2>Other Information</h2><p dir="ltr">Published in: British Dental Journal<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41415-022-5316-1" target="_blank">https://dx.doi.org/10.1038/s41415-022-5316-1</a></p>
eu_rights_str_mv openAccess
id Manara2_0f9babebb29e561dcdf564e918171712
identifier_str_mv 10.1038/s41415-022-5316-1
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29098388
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Minimally invasive endodontics: a new era for pulpotomy in mature permanent teethNebu Philip (14779318)Bharat Suneja (21385406)Biomedical and clinical sciencesDentistryVital pulp therapyPulpotomyIrreversible pulpitisRoot canal treatment (RCTx)Mature permanent teeth<p dir="ltr">Emerging clinical and histologic evidence is challenging the long-established dogma that root canal treatment (RCTx) is the only therapeutic option for preservation of vital mature permanent teeth diagnosed with irreversible pulpitis or carious pulp exposure. Vital pulp therapy procedures like pulpotomy are not only technically simpler and more economical, but also afford patients a host of other benefits over conventional RCTx. This narrative review provides an update on the contemporary understanding of pulp pathophysiology and defence mechanisms, the proposed new diagnostic terminologies for pulpal inflammation, and how the biological characteristics of hydrophilic calcium silicate cements have enabled consistent successful outcomes for pulpotomy-treated mature teeth. The paper also details the evidence base from clinical trials and systematic reviews conducted over the past decade and outlines the practical treatment considerations for pulpotomy in mature permanent teeth.</p><h2>Other Information</h2><p dir="ltr">Published in: British Dental Journal<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41415-022-5316-1" target="_blank">https://dx.doi.org/10.1038/s41415-022-5316-1</a></p>2022-12-16T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1038/s41415-022-5316-1https://figshare.com/articles/journal_contribution/Minimally_invasive_endodontics_a_new_era_for_pulpotomy_in_mature_permanent_teeth/29098388CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290983882022-12-16T09:00:00Z
spellingShingle Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
Nebu Philip (14779318)
Biomedical and clinical sciences
Dentistry
Vital pulp therapy
Pulpotomy
Irreversible pulpitis
Root canal treatment (RCTx)
Mature permanent teeth
status_str publishedVersion
title Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
title_full Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
title_fullStr Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
title_full_unstemmed Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
title_short Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
title_sort Minimally invasive endodontics: a new era for pulpotomy in mature permanent teeth
topic Biomedical and clinical sciences
Dentistry
Vital pulp therapy
Pulpotomy
Irreversible pulpitis
Root canal treatment (RCTx)
Mature permanent teeth