Clinical success of vital pulp therapy for pulp-exposed permanent teeth: a systematic review and meta-analysis.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral science Pub Date : 2025-07-16 Epub Date: 2025-06-15 DOI:10.2334/josnusd.24-0452

Natthanon Pusa, Pattama Chailertvanitkul, Suttichai Krisanaprakornkit, Chetta Ngamjarus, Nutthapong Kantrong, Thalerngsak Samaksamarn

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引用次数: 0

Abstract

Purpose: To compare the clinical success of different forms of vital pulp therapy using various pulp-capping materials.

Methods: Two independent researchers selected relevant articles from databases, extracted data, evaluated bias risk, and performed meta-analysis. Among 337 studies retrieved, 21 with a total of 1,816 participants and 1,948 treated permanent teeth were eligible and selected for 17 types of comparison. Meta-analysis was conducted for only six of these 17 comparisons.

Results: Among the six comparisons, the success of direct pulp capping with mineral trioxide aggregate (MTA) was significantly higher than that using calcium hydroxide (relative risk = 1.21, 95% confidence interval = 1.02-1.42, P = 0.03). There was no significant difference in the success of direct pulp capping between mineral trioxide aggregate and biodentine, nor between partial pulpotomy and full pulpotomy for either type of pulp capping material.

Conclusion: The use of MTA for direct pulp capping appears to yield significantly better clinical success than the use of calcium hydroxide.

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关键牙髓治疗牙髓外露恒牙的临床成功：一项系统回顾和荟萃分析。

目的：比较不同盖髓材料对不同形式的生命髓治疗的临床效果。方法：两名独立研究人员从数据库中选择相关文章，提取数据，评估偏倚风险，进行meta分析。在检索到的337项研究中，21项共1816名参与者和1948颗治疗过的恒牙符合条件，并被选中进行17种类型的比较。这17个比较中只有6个进行了荟萃分析。结果：6个对比中，三氧化二矿骨料（MTA）直接盖髓成功率显著高于氢氧化钙（相对风险= 1.21,95%可信区间= 1.02 ~ 1.42,P = 0.03）。三氧化矿物骨料和生物牙汀直接盖髓成功率无显著差异，两种盖髓材料的部分切髓和完全切髓成功率也无显著差异。结论：MTA直接盖髓效果明显优于氢氧化钙盖髓效果。

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

Journal of oral science DENTISTRY, ORAL SURGERY & MEDICINE-MATERIALS SCIENCE, BIOMATERIALS

CiteScore

3.80

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0.00%

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