A pulpotomy is currently considered an increasingly used approach to treat teeth with incomplete roots. Extirpating pulpal tissue is deemed to be expensive and time-consuming when used for permanent teeth in addition to its technical difficulties. Yet data on the use of pulpotomy in permanent teeth is still unclear. This study aims at examining the medical literature to evaluate the success of pulpotomy in permanent mature teeth with irreversible pulpitis. The literature was reviewed through Medline, PubMed, Embase, and Ovid database in the duration between 2009 and 2019. Searching terms included were a combination of "pulpotomy" AND "permanent teeth" AND "irreversible pulpitis." Following this, results were filtered to include only original research articles investigating the use of pulpotomy to treat permanent teeth with irreversible pulpitis. Selected trials mentioned the type of teeth and type of performed pulpotomy. A total of 714 articles were retrieved. Following the exclusion of items on animals and including only trials on humans, 52 articles appeared. A total of eight articles were identified as eligible, covering a total of 1,547 patients undergoing pulpotomy. All the studies were prospective. Pulpotomy procedure was found a promising treatment for teeth with permanent pulpitis, especially molar teeth. The procedure proved to be more successful, cost-effective, and time-saving compared to traditional therapy.
Key words: Pulpotomy, permanent teeth, irreversible pulpitis, treatment
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