Page 157 - FINAL COMPENDIUM 2020-2021 27.2.2022

IS PULPOTOMY A PROMISING MODALITY IN TREATING PERMANENT TEETH? AN
UMBRELLA REVIEW

Lin GSS, Yew YQ, Lee HY, Low TT, Pillai MPM, Laer TS, Wafa SWWSST

Objectives: Emerging evidence suggests the use of less invasive therapy such as
pulpotomy in treating permanent teeth with pulp exposure and signs of pulpitis. Hence,
this umbrella review aims to evaluate the available systematic reviews on pulpotomy
treated permanent teeth. Materials and methods: Articles published between January
1970 and May 2021 were searched in ten electronic databases and five textbooks. Only
systematic reviews published in English that examined the use of pulpotomy on either
carious or traumatic pulpal exposed in mature or immature permanent teeth with signs
of pulpitis were selected. The Corrected Covered Areas (CCAs) were calculated to identify
the overlap in primary studies, whereas the AMSTAR 2 assessment tool was used to
analyse the risk of bias in each included review. Results: Nine systematic reviews were
chosen of which two systematic reviews focused solely on coronal pulpotomy, one on
partial pulpotomy, and the remaining focused on both coronal and partial pulpotomies.
Overall, only two reviews were rated as ‘High Quality’. Umbrella analyses showed that
both coronal and partial pulpotomies revealed overall high success rates ranging from
88.5% to 90.6%. However, the currently available evidence on the effects of different
pulpal medicaments and restorative materials on the success rate of pulpotomy were still
inconclusive. Conclusion: Pulpotomy can be regarded as a promising modality in treating
mature and immature permanent teeth with carious pulpal exposure or signs of pulpitis.
Nonetheless, further high-quality clinical trials with long-term follow-up and better
control of confounding factors are warranted in the future.

Published in Odontology. 2022 Apr;110(2):393-409. doi: 10.1007/s10266-021-00661-w. Epub 2021 Oct 11

Galvin Sim Siang Lin Manushantini Pillai Muralitharan Pillai
Department of Dental Materials, Kuah Dental Clinic
Faculty of Dentistry, Ministry of Health Malaysia
Asian Institute of Medicine, Science and Technology Langkawi, Kedah, Malaysia
(AIMST) University,
Bedong, Kedah, Malaysia Thittikkon Suvanpratum Laer
Bachok Dental Clinic
Yun Qing Yew Ministry of Health Malaysia
Bayan Lepas Dental Clinic Bachok, Kelantan, Malaysia
Ministry of Health Malaysia
Bayan Lepas, Penang, Malaysia Sharifah Wade’ah Wafa Syed Saadun Tarek Wafa
Department of Paediatric Dentistry & Orthodontics
Hern Yue Lee Faculty of Dentistry, University of Malaya
Seberang Jaya Dental Clinic Kuala Lumpur, Malaysia
Ministry of Health Malaysia
Butterworth, Penang, Malaysia

Ting Ting Low
Gunung Rapat Dental Clinic
Ministry of Health Malaysia
Ipoh, Perak, Malaysia

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