Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis
Abstract Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into parti...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Publishing Group
2025-01-01
|
| Series: | International Journal of Oral Science |
| Online Access: | https://doi.org/10.1038/s41368-024-00333-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544921188663296 |
|---|---|
| author | Lu Zhang Chen Lin Zhuo Chen Lin Yue Qing Yu Benxiang Hou Junqi Ling Jingping Liang Xi Wei Wenxia Chen Lihong Qiu Jiyao Li Yumei Niu Zhengmei Lin Lei Cheng Wenxi He Xiaoyan Wang Dingming Huang Zhengwei Huang Weidong Niu Qi Zhang Chen Zhang Deqin Yang Jinhua Yu Jin Zhao Yihuai Pan Jingzhi Ma Shuli Deng Xiaoli Xie Xiuping Meng Jian Yang Xuedong Zhou Zhi Chen |
| author_facet | Lu Zhang Chen Lin Zhuo Chen Lin Yue Qing Yu Benxiang Hou Junqi Ling Jingping Liang Xi Wei Wenxia Chen Lihong Qiu Jiyao Li Yumei Niu Zhengmei Lin Lei Cheng Wenxi He Xiaoyan Wang Dingming Huang Zhengwei Huang Weidong Niu Qi Zhang Chen Zhang Deqin Yang Jinhua Yu Jin Zhao Yihuai Pan Jingzhi Ma Shuli Deng Xiaoli Xie Xiuping Meng Jian Yang Xuedong Zhou Zhi Chen |
| author_sort | Lu Zhang |
| collection | DOAJ |
| description | Abstract Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth. Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality, the overall treatment plan, the patient’s general health status, and pulp inflammation reassessment during operation. This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics, Chinese Stomatological Association. It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment (RCT) on mature permanent teeth with pulpitis from a biological basis, the development of capping biomaterial, and the diagnostic considerations to evidence-based medicine. This expert statement intends to provide a clinical protocol of pulpotomy, which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field. |
| format | Article |
| id | doaj-art-24612687d6bc4a6fa80d2dec663a3881 |
| institution | Kabale University |
| issn | 2049-3169 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | International Journal of Oral Science |
| spelling | doaj-art-24612687d6bc4a6fa80d2dec663a38812025-01-12T12:10:24ZengNature Publishing GroupInternational Journal of Oral Science2049-31692025-01-011711810.1038/s41368-024-00333-9Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitisLu Zhang0Chen Lin1Zhuo Chen2Lin Yue3Qing Yu4Benxiang Hou5Junqi Ling6Jingping Liang7Xi Wei8Wenxia Chen9Lihong Qiu10Jiyao Li11Yumei Niu12Zhengmei Lin13Lei Cheng14Wenxi He15Xiaoyan Wang16Dingming Huang17Zhengwei Huang18Weidong Niu19Qi Zhang20Chen Zhang21Deqin Yang22Jinhua Yu23Jin Zhao24Yihuai Pan25Jingzhi Ma26Shuli Deng27Xiaoli Xie28Xiuping Meng29Jian Yang30Xuedong Zhou31Zhi Chen32Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan UniversityDepartment of Endodontics, Stomatological Hospital of Xiamen Medical CollegeStomatology Hospital, School of Stomatology, Zhejiang University School of MedicineDepartment of Cariology and Endodontology, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical UniversityCenter for Microscope Enhanced Dentistry, Beijing Stomatological Hospital, Capital Medical UniversityDepartment of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen UniversityDepartment of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, National Clinical Research Center for Oral Diseases, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong UniversityDepartment of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen UniversityCollege & Hospital of Stomatology, Guangxi Medical UniversityDepartment of Endodontics, School of Stomatology, China Medical UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversitySchool of Stomatology, The First Affiliated Hospital of Harbin Medical University, Harbin Medical UniversityDepartment of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityDepartment of Stomatology, Air Force Medical Center, The Air Force Medical UniversityDepartment of Cariology and Endodontology, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityDepartment of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, National Clinical Research Center for Oral Diseases, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong UniversitySchool of Stomatology, Dalian Medical UniversityDepartment of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and RegenerationDepartment of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical UniversityDepartment of Conservative Dentistry and Endodontics, Shanghai Stomatological Hospital, School of Stomatology, Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan UniversityDepartment of Endodontics, Institute of Stomatology, Affiliated Hospital of Stomatology, Nanjing Medical UniversityDepartment of Endodontics, The First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Endodontics, School and Hospital of Stomatology, Wenzhou Medical UniversityDepartment of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyStomatology Hospital, School of Stomatology, Zhejiang University School of MedicineDepartment of Endodontology, Hunan Xiangya Stomatological Hospital, Central South UniversityDepartment of Endodontics, School and Hospital of Stomatology, Jilin UniversityDepartment of Endodontics, The Affiliated Stomatological Hospital of Nanchang UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityDepartment of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan UniversityAbstract Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth. Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality, the overall treatment plan, the patient’s general health status, and pulp inflammation reassessment during operation. This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics, Chinese Stomatological Association. It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment (RCT) on mature permanent teeth with pulpitis from a biological basis, the development of capping biomaterial, and the diagnostic considerations to evidence-based medicine. This expert statement intends to provide a clinical protocol of pulpotomy, which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field.https://doi.org/10.1038/s41368-024-00333-9 |
| spellingShingle | Lu Zhang Chen Lin Zhuo Chen Lin Yue Qing Yu Benxiang Hou Junqi Ling Jingping Liang Xi Wei Wenxia Chen Lihong Qiu Jiyao Li Yumei Niu Zhengmei Lin Lei Cheng Wenxi He Xiaoyan Wang Dingming Huang Zhengwei Huang Weidong Niu Qi Zhang Chen Zhang Deqin Yang Jinhua Yu Jin Zhao Yihuai Pan Jingzhi Ma Shuli Deng Xiaoli Xie Xiuping Meng Jian Yang Xuedong Zhou Zhi Chen Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis International Journal of Oral Science |
| title | Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis |
| title_full | Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis |
| title_fullStr | Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis |
| title_full_unstemmed | Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis |
| title_short | Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis |
| title_sort | expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis |
| url | https://doi.org/10.1038/s41368-024-00333-9 |
| work_keys_str_mv | AT luzhang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT chenlin expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT zhuochen expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT linyue expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT qingyu expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT benxianghou expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT junqiling expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT jingpingliang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT xiwei expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT wenxiachen expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT lihongqiu expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT jiyaoli expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT yumeiniu expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT zhengmeilin expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT leicheng expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT wenxihe expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT xiaoyanwang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT dingminghuang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT zhengweihuang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT weidongniu expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT qizhang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT chenzhang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT deqinyang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT jinhuayu expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT jinzhao expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT yihuaipan expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT jingzhima expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT shulideng expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT xiaolixie expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT xiupingmeng expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT jianyang expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT xuedongzhou expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis AT zhichen expertconsensusonpulpotomyinthemanagementofmaturepermanentteethwithpulpitis |