Outcomes of vital pulp treatment in permanent teeth with carious pulp exposure with signs and symptoms of irreversible pulpitis.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Investigations Pub Date : 2024-09-25 DOI:10.1007/s00784-024-05923-9

Pasukarn Sriudomdech, Busayarat Santiwong, Pairoj Linsuwanont

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Abstract

Objective: To investigate the outcomes and factors influencing the success of vital pulp treatment (VPT) in permanent teeth with carious pulp exposure and signs and symptoms of irreversible pulpitis (IP).

Materials and methods: Dental records from 2016 to 2023 of patients who received VPT for carious pulp-exposed permanent teeth with IP symptoms were reviewed. Outcomes were assessed using clinical and radiographic criteria. Univariate and multivariate analyses were performed to identify factors affecting treatment success. The Kaplan-Meier estimator was used to compare survival probabilities.

Results: The overall success and survival rates were 88.24% and 97.06%, respectively. Success rates for direct pulp capping, partial pulpotomy, and full pulpotomy were 87.7%, 92.0%, and 87.7%, respectively. Key factors influencing outcomes included the presence of periapical radiographic lesions, type of pulp dressing material, and quality of the final restoration. Full pulpotomy demonstrated the highest survival time, followed by partial pulpotomy and direct pulp capping.

Conclusion: VPT in permanent teeth with carious pulp exposure and IP symptoms shows high success rates. Crucial factors include periapical radiographic findings, type of pulp dressing material, and quality of the final restoration. Full pulpotomy exhibited the longest survival time.

Clinical relevance: VPT in teeth with IP symptoms shows promising outcomes, highlighting the importance of certain clinical factors in treatment success.

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对有不可逆转性牙髓炎症状和体征的龋髓暴露恒牙进行活髓治疗的结果。

摘要研究对有龋髓暴露和不可逆牙髓炎（IP）症状和体征的恒牙进行活髓治疗（VPT）的结果和影响因素：回顾了2016年至2023年因龋髓暴露恒牙且伴有IP症状而接受VPT治疗的患者的牙科记录。结果采用临床和放射学标准进行评估。进行了单变量和多变量分析，以确定影响治疗成功的因素。采用 Kaplan-Meier 估计器比较生存概率：总成功率和存活率分别为 88.24% 和 97.06%。直接牙髓盖髓术、部分牙髓切断术和全牙髓切断术的成功率分别为 87.7%、92.0% 和 87.7%。影响疗效的主要因素包括根尖周炎放射学病变的存在、牙髓敷料的类型以及最终修复体的质量。全牙髓切断术的存活时间最长，其次是部分牙髓切断术和直接盖髓术：结论：对有龋坏牙髓暴露和 IP 症状的恒牙进行 VPT 治疗的成功率很高。结论：对有龋坏牙髓暴露和 IP 症状的恒牙进行 VPT 治疗的成功率很高，关键因素包括根尖周放射影像学检查结果、牙髓敷料的类型以及最终修复体的质量。全牙髓切除术的存活时间最长：临床相关性：对有 IP 症状的牙齿进行 VPT 治疗显示出良好的效果，突出了某些临床因素对治疗成功的重要性。

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

Clinical Oral Investigations 医学-牙科与口腔外科

CiteScore

6.30

自引率

5.90%

发文量

484

审稿时长

3 months

期刊介绍： The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.