EFFICACY OF VARIOUS VITAL PULP TREATMENT PROCEDURES IN MANAGING CARIOUS PULP EXPOSURE IN PERMANENT TEETH WITH IRREVERSIBLE PULPITIS: A SYSTEMATIC REVIEW

Abstract

This systematic review aimed to evaluate the outcomes of vital pulp treatments, including direct pulp capping, partial pulpotomy, and full pulpotomy in permanent teeth with irreversible pulpitis. A comprehensive literature search was performed using PubMed, the Cochrane database, and Scopus, complemented by a manual search. The risk of bias was assessed. The pooled success rates were calculated for each vital pulp treatment procedure. Overall, among thirteen included studies, full pulpotomy showed more effective than the other vital pulp treatment procedure. Prior to the clinical recommendation, randomized clinical trials with long-term follow-up comparing the outcomes of different vital pulp treatments on teeth with carious pulp exposure is needed. Additionally, calcium silicate-based cement demonstrated greater success than calcium hydroxide in vital pulp treatment.