James A Coll, Vineet Dhar, Chia-Yu Chen, Yasmi O Crystal, Marcio Guelmann, Abdullah A Marghalani, Shahad AlShamali, Zheng Xu, Gerald Glickman, Rachel Wedeward
Purpose: to update the 2016 systematic review evidence for vital pulp therapy (VPT) for primary teeth affected by caries or trauma. Methods: The population, intervention, comparison, outcomes, and study (PICOS) design inclusion/exclusion was used for multiple databases. Risk of bias, meta-analyses using RevMan, and certainty of evidence was created. Results: A total of 299 studies were included; no trauma was found. Indirect pulp treatment (IPT) resulted in 97 percent success. Two calcium silicate cement (CSC) pulpotomies' success using mineral trioxide aggregate (MTA) and Biodentine® were 94 percent and 90 percent, respectively, greater than for direct pulp capping (DPC; 86 percent) and other pulpotomies (moderate certainty)...
November 15, 2023: Pediatric Dentistry