Evolución del uso de la pulpotomía parcial y total. Una revisión

Abstract

Record: pulpotomy is a treatment that promotes pulp healing. Objective: To the aim of this review was to assess the progress of partial pulpotomy treatment in the last 10 years. Selection criteria: analytical articles, experimental studies CCT (Controled Clinical Trial), systematic reviews of partial or total pulpotomy. Articles with moderate to high evidence level and follow-up, clinical and radiographic control in teeth treated with pulpotomy published from 2011 to 2022. Data collection and analysis: the evaluation of methodological quality, risk of bias and data extraction was carried out independently. Methodological quality was assessed with the PRISMA guide for systematic reviews and meta-analyzes, CONSORT for randomized clinical trials and STROBE for observational studies. Risk of bias analysis in observational studies was assessed using the Newcastle-Ottawa Scale tool and systematic reviews using the Cochrane (RoB2) tool. Results: from 54 studies selected, 11 were systematic reviews, 33 randomized clinical trials and 10 observational studies. Good prognosis was observed in teeth with closed apex, the most used anesthetic was with vasoconstrictor, sodium hypochlorite is the most used irrigant and hemostatic and the Bioceramic cements presented the best success rate. Conclusions: the findings of the review indicate high success rates for pulpotomy; however, there is a moderate risk of bias in the included studies, so the overall results should be interpreted with caution.