The impact of pulpotomy on the long-term prognosis and survival of young permanent teeth

Waleed Khalid Alshargawi; Ganem Fahaad Alsubaie; Abdullah Yahya Altayiar; Naif Mutlaq Alshammari; Shatha Abdulkhalik Aljunaidi; Saad Abdullah Alqahtani; Sahar Mohammed Aljaffan; Luluh Ahmed Alsulami; Reyof Mohammed Ghazi; Zainab Yaseen Alshabib; Israa Yahya Alkabsi

doi:10.18203/2394-6040.ijcmph20232867

Authors

Waleed Khalid Alshargawi Department of Endodontics, Al Thager Hospital, Jeddah, Saudi Arabia
Ganem Fahaad Alsubaie Family Dental Medicine, Dental Medical Complex in West of Riyadh, Riyadh, Saudi Arabia
Abdullah Yahya Altayiar Hail Dental Center, Hail, Saudi Arabia
Naif Mutlaq Alshammari College of Dentistry, University of Hail, Hail, Saudi Arabia
Shatha Abdulkhalik Aljunaidi West Riyadh Dental Center, Dental Medical Complex in West of Riyadh, Riyadh, Saudi Arabia
Saad Abdullah Alqahtani College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Sahar Mohammed Aljaffan West Riyadh Dental Center, Dental Medical Complex in West of Riyadh, Riyadh, Saudi Arabia
Luluh Ahmed Alsulami Family Dental Medicine, Dental Medical Complex in West of Riyadh, Riyadh, Saudi Arabia
Reyof Mohammed Ghazi College of Dentistry, King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia
Zainab Yaseen Alshabib Hail Dental Center, Hail, Saudi Arabia
Israa Yahya Alkabsi General Dentist, Suleiman Mohammed Haptar Dental Clinic, Abha, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232867

Keywords:

Pulpotomy, Long-term prognosis, Survival, Primary teeth, Young permanent teeth, Apexogenesis

Abstract

This review explores the impact of pulpotomies on the long-term prognosis and survival of primary and young permanent teeth. Pulpotomy is a vital pulp therapy procedure aiming to preserve pulp health and functions. The review covers various vital pulp therapy techniques, including indirect pulp treatment, direct pulp treatment, partial pulpotomy, and full pulpotomy. Apexogenesis, a procedure promoting root end formation, is also discussed. Long-term success in endodontic therapy requires an effective coronal seal to prevent microleakage and bacterial ingress into root canals. The study's methodology involved a comprehensive literature search to gather information on pulpotomy's effects on tooth prognosis and survival. Factors influencing the success of vital pulp therapy, such as the size of the exposure, the state of the pulp, and the choice of capping material, are analyzed. Bacterial contamination is identified as a crucial factor affecting the therapy's prognosis. Strategies to improve pulp healing and treatment outcomes are explored, offering insights into clinical decision-making for pulpotomy procedures.

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