Treatment Outcomes and Prognostic Factors of Direct Pulp Capping in Permanent Teeth: A Systematic Review and Meta-Analysis.

IF 1.6 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Endodontic Journal Pub Date : 2024-12-20 Epub Date: 2024-11-07 DOI:10.14744/eej.2024.93723

Nattawut Prasertsuksom, Sittichoke Osiri, Nadasinee Jaruchotiratanasakul, Lalida Ongchavalit

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引用次数: 0

Abstract

Objective: The objectives of this study were (i) to assess the overall treatment outcomes of direct pulp capping in permanent teeth and (ii) to investigate and identify the prognostic factors.

Methods: For the selection of included studies, MEDLINE via Ovid, EMBASE, PubMed, Cochrane Library, and manual search methods were used. After thorough screening, the quality assessment and data extraction criteria were established.

Results: This systematic review is comprised of 33 studies, including 11 prospective cohort studies, 9 retrospective cohort studies, and 13 randomized clinical trials. After applying the quality assessment criteria, 26 articles were included in the meta-analysis. The weighted pooled success rate was 83% with a 95% confidence interval between 79-87%. Meta-regression analysis indicated that rubber dam isolation in all treatment steps was significantly more effective than other techniques (risk ratio=1.44; 95% confidence interval 1.06-2.16, p<0.05).

Conclusion: This study provides evidence of successful treatment outcomes using direct pulp capping in permanent teeth, with 'adequate tooth isolation" identified as a significant prognostic factor.

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恒牙直接牙髓覆盖的治疗效果和预后因素：系统回顾与元分析》。

研究目的本研究的目的是：(i) 评估恒牙直接盖髓术的总体治疗效果；(ii) 调查并确定预后因素：在选择纳入研究时，我们使用了通过 Ovid 进行的 MEDLINE、EMBASE、PubMed、Cochrane Library 和人工检索方法。经过全面筛选后，确定了质量评估和数据提取标准：本系统综述由 33 项研究组成，包括 11 项前瞻性队列研究、9 项回顾性队列研究和 13 项随机临床试验。采用质量评估标准后，26 篇文章被纳入荟萃分析。加权汇总成功率为 83%，95% 的置信区间在 79-87% 之间。元回归分析表明，在所有治疗步骤中，橡胶坝隔离法的效果明显优于其他技术（风险比=1.44；95% 置信区间为 1.06-2.16，p 结论：本研究提供了恒牙直接盖髓成功治疗的证据，其中 "充分的牙齿隔离 "被认为是一个重要的预后因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.40

自引率

5.60%

发文量