Journal of dentistry最新文献

{"title":"Comparative analysis of five AI platforms for mandibular canal segmentation on CBCT images","authors":"Sohaib Shujaat ,&nbsp;Razan Alotaibi ,&nbsp;Amal Aldakhil ,&nbsp;Bassam Al Alola ,&nbsp;Wael Abolemaaty ,&nbsp;Paramjit Khinda ,&nbsp;Safa Saeed ,&nbsp;Randa Ibrahim ,&nbsp;Ali Anwar Aboalela ,&nbsp;Kaan Orhan ,&nbsp;Nermin Morgan","doi":"10.1016/j.jdent.2026.106345","DOIUrl":"10.1016/j.jdent.2026.106345","url":null,"abstract":"<div><h3>Objectives</h3><div>Accurate mandibular canal (MC) identification on cone-beam computed tomography (CBCT) is vital to prevent inferior alveolar nerve injury during oral and maxillofacial procedures. Manual segmentation is time-consuming and operator-dependent, while artificial intelligence (AI) offers automated, reproducible alternatives. This study compared the accuracy of automated MC segmentation across five AI platforms using standardized quantitative and qualitative evaluations.</div></div><div><h3>Methods</h3><div>A total of 120 anonymized CBCT scans (240 MCs) were analyzed using five fully automated AI-based segmentation platforms: Atomica (Atomica AI, USA), BlueSkyPlan (Blue Sky Bio, USA), Craniocatch (Craniocatch, Türkiye), 3D Slicer (open-source, USA), and Relu Creator (Relu BV, Belgium). Expert-annotated models served as reference. Accuracy was quantified as unsigned mean surface deviation and categorized as optimal (&lt;0.5 mm), acceptable (0.5–2.0 mm), or unacceptable (&gt;2.0 mm). Qualitative evaluation employed a five-point anatomical fidelity scale. Segment-wise, laterality, and scanner-wise effects were also assessed.</div></div><div><h3>Results</h3><div>Significant performance differences were observed among platforms (p &lt; 0.001). Relu Creator and 3D Slicer achieved the highest overall accuracy (≈0.5 mm) with no &gt;2.0 mm deviations in the complete-canal analysis. Craniocatch showed moderate accuracy, while Atomica and BlueSkyPlan exhibited greater variability and more deviations &gt; 2.0 mm. Qualitative scores reflected similar trends. Regionally, middle canal segments showed the best accuracy, with higher deviations near the mandibular and mental foramina. Scanner- and side-related effects were statistically significant but clinically negligible.</div></div><div><h3>Conclusion</h3><div>AI-based MC segmentation accuracy varies across platforms. Relu Creator and 3D Slicer achieved near-expert performance suitable for clinical use, while others require expert verification. Independent benchmarking and multi-scanner validation are essential for safe implementation.</div></div><div><h3>Clinical significance</h3><div>This study provides evidence-based guidance on the accuracy of AI tools for automated MC segmentation, supporting safer surgical planning by identifying which AI-generated outputs can be trusted and where expert verification remains essential to prevent nerve injury.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106345"},"PeriodicalIF":5.5,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145944235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the influence of parathyroid hormone-doped nanoparticles on resin-dentin interface strength and composition","authors":"Raquel Osorio,&nbsp;Fátima S. Aguilera,&nbsp;Enrique Fernández-Romero,&nbsp;Raquel Toledano,&nbsp;María T. Osorio,&nbsp;Manuel Toledano,&nbsp;Estrella Osorio","doi":"10.1016/j.jdent.2026.106340","DOIUrl":"10.1016/j.jdent.2026.106340","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to determine the remineralization capacity of etched dentin treated with polymeric nanoparticles (NPs) functionalized with parathyroid hormone (PTH) (PTH-NPs).</div></div><div><h3>Methods</h3><div>Dentin etched surfaces were treated with NPs and PTH-NPs. Treated interfaces were 24 h stored and, then, mechanically or thermally loaded. Interfaces were assessed through modulus of Young, Raman analysis and Masson’s trichrome staining microscopy.</div></div><div><h3>Results</h3><div>Specimens treated with PTH-NPs infiltration which were load cycled attained the highest modulus of Young. Remineralization throughout the total resin-dentin interface, referred to both phosphate and carbonate ions was unveiled in presence of PTH and dynamic loading, forming peritubular and intertubular dentin. The absence of NPs at the interface conditioned a scarce remineralization. After thermocycling, phosphate remineralization diminished at the interface in all groups, and carbonate only increased in the control group. Load cycling produced a higher minerals content and a major collagen crosslinking, contributing to generally augment both the mineral to matrix ratio and crystallinity.</div></div><div><h3>Conclusions</h3><div>PTH-NPs provoked a higher modulus of Young and a lower unprotected collagen web after conditioning and further resin infiltration, in load cycled samples. After dynamic load cycling, amorphous mineral was lower at the resin dentin interface, and crystallinity relative to phosphate was also greater after thermocycling at both hybrid layer and bottom of hybrid layer in case of PTH-NPs infiltration.</div></div><div><h3>Clinical significance</h3><div>Parathyroid hormone dentin infiltration, after phosphoric acid conditioning, has facilitated the reparative dentin formation at the resin-dentin interface, based on the nucleation of a more mature and soluble hydroxyapatite which facilitated remineralization.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106340"},"PeriodicalIF":5.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From peri-implant mucositis to peri-implantitis: Incidence and risk indicators in a university dental hospital sample with up to 10 years of follow-up","authors":"Ahmad Alahmari ,&nbsp;Amir Arsalan-Askarizadeh ,&nbsp;Rui Figueiredo ,&nbsp;Marta García-García ,&nbsp;Xavier Costa-Berenguer ,&nbsp;Miquel Sales-Collado ,&nbsp;Eduard Valmaseda-Castellón ,&nbsp;Alba Sánchez-Torres","doi":"10.1016/j.jdent.2026.106339","DOIUrl":"10.1016/j.jdent.2026.106339","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the proportion of patients with peri‑implant mucositis who develop peri‑implantitis over a 1- to 10-year follow-up period, and to identify the variables associated with this progression.</div></div><div><h3>Materials and Methods</h3><div>A retrospective cohort study was conducted including 97 patients with 204 dental implants diagnosed with peri‑implant mucositis. Clinical and radiographic examinations were performed, and compliance with supportive peri‑implant care (SPIC) was recorded. A multilevel multinomial logistic regression model was developed to identify the predictors of disease progression.</div></div><div><h3>Results</h3><div>After a mean follow-up of 49.8 months, 23.7% of patients initially diagnosed with peri‑implant mucositis became healthy, 57.7% showed no change and remained with peri‑implant mucositis, while 18.5% progressed to peri‑implantitis. A history of periodontitis significantly increased the odds of presenting peri‑implant disease at the last follow-up appointment (<em>p</em> &lt; 0.001). Conversely, regular compliance with SPIC, prostheses with an adequate design, and single-unit restorations significantly reduced the risk of progression (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Almost one fifth of patients with dental implants with peri‑implant mucositis are likely to develop peri‑implantitis after a mean follow-up of 4 years. A history of periodontitis, irregular supportive peri‑implant care and inadequate prosthetic design increase the likelihood of bone loss and progression to peri‑implantitis.</div></div><div><h3>Clinical Significance</h3><div>This study emphasizes the importance of regular supportive peri‑implant care and appropriate prosthetic design to prevent progression from peri‑implant mucositis to peri‑implantitis, especially in patients with a history of periodontitis.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106339"},"PeriodicalIF":5.5,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-driven gingival segmentation on CBCT: Validation using delineation by intraoral scanning and CBCT-based cotton roll separation","authors":"Fernanda Bulhões Fagundes ,&nbsp;Dhanaporn Papasratorn ,&nbsp;Bahaaeldeen M. Elgarba ,&nbsp;Rocharles Cavalcante Fontenele ,&nbsp;Frederico Sampaio Neves ,&nbsp;Reinhilde Jacobs","doi":"10.1016/j.jdent.2026.106331","DOIUrl":"10.1016/j.jdent.2026.106331","url":null,"abstract":"<div><h3>Objectives</h3><div>To validate a novel AI approach for automated gingival segmentation directly from cone beam computed tomography (CBCT) scans acquired with cotton roll separation.</div></div><div><h3>Methods</h3><div>One hundred and eighty arches (101 CBCT) were split into: ground truth (90 arches), internal validation [AI vs manual segmentation (MS); 30 arches], and clinical validation [AI vs expert refinement (R-AI); 60 arches]. Ground truth consisted of manually segmented gingival models from CBCT with cotton roll separation, using intraoral scan outlines as references. AI gingival segmentation was generated from CBCT acquired with cotton roll separation, uploaded to a cloud-based platform (Virtual Patient Creator, Relu, Belgium). R-AI was performed by refining the AI segmentation according to CBCT outlines. The performance was evaluated using voxel-wise and surface-based comparisons. Additionally, time efficiency and consistency were evaluated.</div></div><div><h3>Results</h3><div>AI gingiva achieved high overlap with MS, with Dice score (DSC) of 80 ± 4 % and minor surface discrepancies, with median surface distance (MSD) of 0.02 ± 0.09 mm. Similarly, DSC between AI and R-AI was high (91 ± 4 %), and MSD was small (0.07 ± 0.07 mm). Significant differences between arches were found in AI vs R-AI; however, these differences were not clinically relevant (∆DSC∼2 %, ∆MSD∼0.00 mm, <em>p</em> &lt; 0.05). Evaluator consistency was high, whereas AI achieved perfect reproducibility and significantly increased time efficiency (6.7 s) compared to R-AI (1090 s) and MS (4344 s), <em>p</em> &lt; 0.001.</div></div><div><h3>Conclusion</h3><div>The presently validated cloud-based AI model achieved fast, accurate, and consistent gingiva segmentation from CBCTs comparable to expert-level performance using CBCT-based cotton roll separation with delineation by intraoral scanning as a clinical reference.</div></div><div><h3>Clinical significance</h3><div>Automated 3D gingival models may assist efficient diagnosis, treatment planning, and outcome visualization in esthetic dentistry, orthodontic treatment planning, and periodontal assessment. This approach has strong potential to transform digital dentistry workflows.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106331"},"PeriodicalIF":5.5,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of an image processing model to estimate tooth width and space requirements","authors":"Rebecca Toner ,&nbsp;Moses Eribo ,&nbsp;Bahman Honari ,&nbsp;Kieran Daly ,&nbsp;Padhraig S. Fleming","doi":"10.1016/j.jdent.2026.106330","DOIUrl":"10.1016/j.jdent.2026.106330","url":null,"abstract":"<div><h3>Objectives</h3><div>The advent of machine and deep learning has raised the possibility of increased efficiency and indeed improved accuracy in relation to the interpretation of clinical images. Moreover, the use of deep learning has become imbedded within orthodontics with attempts to utilise this approach in informing treatment planning. The aim of this study was to develop and test an AI-based tool capable of measuring tooth width and dental crowding.</div></div><div><h3>Methodology</h3><div>Sets of pre and post treatment plaster study models were acquired of 245 patients who had treatment completed in a specialist orthodontic practice by a single orthodontist. These models were scanned to create stereolithography (STL) files. These files were used to train an AI tool capable of calculating the mesio-distal widths of each of the teeth in the arches. To test the validity of this model, direct comparison was made between the AI tool and human raters. A sample of twelve sets of pre-treatment study models were known as the “test data”. The test data was analysed by a group of five orthodontic clinicians at two separate time intervals 6 weeks apart.</div></div><div><h3>Results</h3><div>Statistical analysis confirmed a high level of agreement between human raters and also in relation to the novel AI-based tool. Inter-rater reliability among the human raters was high with Intraclass correlation coefficients (ICCs) ranging from 0.911 to 0.946 between the intervals. Manual measurements also demonstrated a high level of agreement with the AI tool (ICC= 0.956; Mean absolute difference= 0.4 mm).</div></div><div><h3>Conclusions</h3><div>The novel AI-based tool demonstrated reliability in calculating mesiodistal widths of teeth in an untreated arch. This tool will be further developed to incorporate other parameters such as arch levelling, to provide a means to calculate the overall space requirement within the dental arches.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106330"},"PeriodicalIF":5.5,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the use of intermediate abutments impact screw-retained implant-supported fixed partial prostheses outcomes? A systematic review and meta-analysis of randomized controlled trials","authors":"Pedro Molinero-Mourelle ,&nbsp;Alvaro Limones ,&nbsp;Seyed Ali Mosaddad ,&nbsp;Gabriela Panca Sabatini ,&nbsp;Maria Menini ,&nbsp;Paolo Pesce ,&nbsp;Andrea Roccuzzo","doi":"10.1016/j.jdent.2026.106328","DOIUrl":"10.1016/j.jdent.2026.106328","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the impact of intermediate abutments on screw-retained implant-supported fixed dental prostheses (FDPs), primarily assessing marginal bone loss (MBL) and secondarily probing depth (PD), bleeding on probing (BoP), implant survival, mechanical complications, and patient satisfaction.</div></div><div><h3>Data</h3><div>Random-effects meta-analyses were conducted using weighted mean differences (MD) for continuous outcomes and risk differences for dichotomous outcomes. Risk of bias was assessed using the Cochrane RoB 2 tool, and the certainty of evidence (CoE) using the GRADE approach.</div></div><div><h3>Sources</h3><div>A systematic search was conducted up to May 2025 across MEDLINE (PubMed), Scopus, Web of Science, Cochrane Library, Embase, and Google Scholar.</div></div><div><h3>Study selection</h3><div>Randomized controlled trials (RCTs) with ≥6 months of follow-up comparing abutment-level (AL) versus implant-level (IL) connections in partially edentulous patients rehabilitated with screw-retained FDPs.</div></div><div><h3>Results</h3><div>Three RCTs (8 publications) with different follow-up periods, involving a total of 126 patients and 341 implants, were included. A statistically significant reduction in MBL was observed at 36 months at implant level (MD:-0.13 mm; 95% CI: −0.23 to −0.03; <em>p</em>=0.01; 2 RCTs; 162 implants; moderate CoE). No significant differences in MBL were observed at 12 or 60 months. PD was significantly reduced in the AL group at 36 months (MD:−0.66 mm; 95% CI: −1.13 to −0.19; <em>p</em>=0.01; 2 RCTs; 187 implants; low CoE) and at 60 months (MD:−0.60 mm; 95% CI: −0.91 to −0.29; <em>p</em>&lt;0.001; 1 RCT; 115 implants; low CoE). No significant differences were found in BoP, implant survival, mechanical complications, or patient satisfaction at any follow-up time point.</div></div><div><h3>Conclusions</h3><div>Intermediate abutments may improve soft-tissue health by reducing PD without increasing complications or implant failure. Despite a minor, non-clinically relevant reduction in MBL, they remain a viable option for screw-retained FDPs.</div></div><div><h3>Clinical Relevance</h3><div>Intermediate abutments slightly reduce probing depth and marginal bone loss in multi-unit implant prostheses, but the clinical impact is minimal, with no effect on implant survival or mechanical complications.</div></div><div><h3>PROSPERO registration</h3><div>CRD42023475778.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106328"},"PeriodicalIF":5.5,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bio-inspired nacre-like glass flake/polymer composites with antibacterial function and translucent appearance","authors":"Huijun Sun ,&nbsp;Aukrit Luangpattarawong ,&nbsp;Parinaz Tabrizian ,&nbsp;Aqsa Qambrani ,&nbsp;Tan Sui ,&nbsp;Angela H. Nobbs ,&nbsp;Tony Ireland ,&nbsp;Bo Su","doi":"10.1016/j.jdent.2025.106327","DOIUrl":"10.1016/j.jdent.2025.106327","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to develop a bio-inspired nacre-like glass flake/polymer composite with enhanced mechanical properties, antibacterial function, and aesthetic appearance for potential dental applications.</div></div><div><h3>Methods</h3><div>Self-assembly via vacuum filtration was used to align glass flakes into a layered structure. After heat treatment, monomers containing methyl methacrylate (MMA), acrylic acid (AA) and dimethylaminohexadecyl methacrylate (DMAHDM) were infiltrated into the glass flake scaffold and polymerised in situ. The nacre-like microstructure of the composites was characterised and mechanical tests, including flexural strength, elastic modulus and fracture toughness, were conducted to optimise the DMAHDM content (0, 1.5wt%, and 3 wt%). The antibacterial function of the optimised composite with 1.5 wt% DMAHDM was measured by viable colony-forming unit (CFU) count. Finally, the translucency of the composite with 1.5 wt% DMAHDM was determined.</div></div><div><h3>Results</h3><div>The glass flake/polymer composites with different DMAHDM contents all exhibited nacre-like layered microstructures. Adding 3 wt% DMAHDM was shown to significantly lower the flexural strength of the composites. The composite with 1.5 wt% DMAHDM exhibited a flexural strength of 126.97 MPa, comparable to the current benchmark aesthetic dental composite. Moreover, the elastic modulus of the composite with 1.5 wt% DMAHDM (24.75 GPa) was similar to that of human dentine, presenting bio-inspired mechanical property. Its unique crack resistance, characterised by a rising <em>R</em>-curve behaviour and a fracture toughness <em>K_J</em> up to 3.88 MPa.m^½, suggested excellent damage tolerance. With the addition of 1.5 wt% DMAHDM, the nacre-like composite demonstrated significant antibacterial function against <em>Streptococcus mutans</em>. Furthermore, the composite retained an aesthetic appearance with a translucency comparable to human enamel.</div></div><div><h3>Significance</h3><div>A bio-inspired nacre-like glass flake/polymer composite with good mechanical properties, unique crack resistance, antibacterial function and translucency has been developed for aesthetic dental applications.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106327"},"PeriodicalIF":5.5,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of pulpotomy compared with pulpectomy for irreversible pulpitis in primary teeth: A systematic review and meta-analysis","authors":"Shiwani Chawla ,&nbsp;Ruchi Singhal ,&nbsp;Ritu Namdev ,&nbsp;Adarsh Kumar ,&nbsp;Khusboo Chhanna ,&nbsp;Chanchal Kumari","doi":"10.1016/j.jdent.2026.106329","DOIUrl":"10.1016/j.jdent.2026.106329","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Pulpotomy is increasingly explored as a minimally invasive alternative to pulpectomy for managing irreversible pulpitis in primary teeth. However, its comparative effectiveness remains unclear. This systematic review aims to compare the clinical and radiographic success of pulpotomy versus pulpectomy in primary teeth with irreversible pulpitis.</div></div><div><h3>Study selection and sources</h3><div>A detailed search of six electronic databases up to April 2025 identified studies comparing pulpotomy and pulpectomy in primary teeth with symptomatic or asymptomatic irreversible pulpitis, excluding cases with swelling, sinus tract, furcal or periapical radiolucency, or root resorption, and with a minimum follow-up of 12 months. Two studies met the inclusion criteria: one randomized controlled trial (RCT) and one retrospective cohort study. Meta-analyses were done through random-effects model.</div></div><div><h3>Results</h3><div>For radiographic success, the pooled risk ratio (RR) was 1.35 (95 % CI: 0.67–2.73; p value = 0.40), with no significant difference between the two treatments. However, it showed very high heterogeneity, I² = 96 %. For clinical success, the pooled RR was 1.06 (95 % CI: 0.95–1.18; p value = 0.28), again showing no significant difference, with heterogeneity, I² = 66 %.</div></div><div><h3>Conclusions</h3><div>The review revealed no statistically significant difference between the two treatment modalities for managing irreversible pulpitis in primary teeth without clinical signs of swelling or radiographic evidence of periapical infection up to 12 months of follow-up. However, certainty of evidence was very low for both the outcomes.</div></div><div><h3>Clinical significance</h3><div>Pulpotomy appears to be an effective, minimally invasive alternative to pulpectomy in primary teeth with irreversible pulpitis. However, further well-designed, long-term studies are recommended.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"166 ","pages":"Article 106329"},"PeriodicalIF":5.5,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"164 ","pages":"Article 106249"},"PeriodicalIF":5.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146433444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"164 ","pages":"Article 106207"},"PeriodicalIF":5.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146433452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}