乳磨牙牙髓切断术的研究进展

doi:10.13591/j.cnki.kqyx.2025.10.009

Abstract

Abstract:

Pulpotomy of primary molars is a minimally invasive clinical treatment for deep caries or pulpitis in primary molars, which involves the removal of the diseased or infected coronal pulp to preserve the healthy radicular pulp. In recent years, with in-depth study on the biological characteristics of primary molar pulp and the rapid development of treatment techniques and biomaterials, pulpotomy of primary molars has been widely applied in clinical pediatric dentistry. This article reviews the indications, factors affecting success rates, and efficacy evaluation of pulpotomy for primary molars.

Key words: primary molars, pulp preservation, pulpotomy

CLC Number:

R788.1

MA Ruijie, SHAO Jiaqi. Progress of research on pulpotomy of primary molars[J]. Stomatology, 2025, 45(10): 771-775.

References 36

[1]	王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 12-17.
[2]	Petersen PE, Ogawa H. Prevention of dental caries through the use of fluoride: The WHO approach[J]. Community Dent Health, 2016, 33(2): 66-68. pmid: 27352461
[3]	Leroy R, Cecere S, Lesaffre E, et al. Caries experience in primary molars and its impact on the variability in permanent tooth emergence sequences[J]. J Dent, 2009, 37(11): 865-871. doi: 10.1016/j.jdent.2009.06.019 pmid: 19643523
[4]	Nematollahi H, Noorollahian H, Bagherian A, et al. Mineral trioxide aggregate partial pulpotomy versus formocresol pulpotomy: A randomized, split-mouth, controlled clinical trial with 24 months follow-up[J]. Pediatr Dent, 2018, 40(3): 184-189. pmid: 29793564
[5]	Sabbagh S, Bahrololoomi Z, Sarraf Shirazi A, et al. Comparative evaluation of cervical pulpotomy and pulpectomy for primary molars with irreversible pulpitis: A multicentre randomised controlled trial[J]. Eur Arch Paediatr Dent, 2024, 25(2): 255-265. doi: 10.1007/s40368-024-00880-z pmid: 38488954
[6]	Tang YX, Xu WT. Therapeutic effects of Pulpotomy and pulpectomy on deciduous molars with deep caries[J]. Pak J Med Sci, 2017, 33(6): 1468-1472. doi: 10.12669/pjms.336.13488 pmid: 29492080
[7]	Çelik BN, Mutluay MS, Arıkan V, et al. The evaluation of MTA and Biodentine as a pulpotomy materials for carious exposures in primary teeth[J]. Clin Oral Investig, 2019, 23(2): 661-666.
[8]	El Meligy OAES, Alamoudi NM, Allazzam SM, et al. Biodentine^TM versus formocresol pulpotomy technique in primary molars: A 12-month randomized controlled clinical trial[J]. BMC Oral Health, 2019, 19(1): 3. doi: 10.1186/s12903-018-0702-4 pmid: 30612569
[9]	Coll JA, Dhar V, Chen CY, et al. Use of vital pulp therapies in primary teeth 2024[J]. Pediatr Dent, 2024, 46(1): 13-26. pmid: 38449041
[10]	Bagher SM, Sabbagh HJ. A literature review of clinical efficiency, patient satisfaction, and future preference of Isolite and DryShield dental isolation systems among pediatric patients[J]. J Clin Pediatr Dent, 2023, 47(4): 1-8.
[11]	Mattar RE, Sulimany AM, Binsaleh SS, et al. Comparison of fissure sealant chair time and patients’ preference using three different isolation techniques[J]. Children (Basel), 2021, 8(6): 444.
[12]	Sadaf D. Success of coronal pulpotomy in permanent teeth with irreversible pulpitis: An evidence-based review[J]. Cureus, 2020, 12(1): e6747.
[13]	Lai GY, Sheng K, Zhao J, et al. A retrospective study on the outcome of pulpotomy with iRoot BP plus in primary molars and its relationship with hemostasis time[J]. BMC Oral Health, 2024, 24(1): 1134. doi: 10.1186/s12903-024-04816-3 pmid: 39333974
[14]	Mainkar A, Kim SG. Diagnostic accuracy of 5 dental pulp tests: A systematic review and meta-analysis[J]. J Endod, 2018, 44(5): 694-702. doi: S0099-2399(18)30079-7 pmid: 29571914
[15]	Zanini M, Meyer E, Simon S. Pulp inflammation diagnosis from clinical to inflammatory mediators: A systematic review[J]. J Endod, 2017, 43(7): 1033-1051. doi: S0099-2399(17)30249-2 pmid: 28527838
[16]	Chandran V, Ramanarayanan V, Menon M, et al. Effect of LASER therapy vs. conventional techniques on clinical and radiographic outcomes of deciduous molar pulpotomy: A systematic review and meta-analysis[J]. J Clin Exp Dent, 2020, 12(6): e588-e596.
[17]	Wang JH, Chen YJ, Zhang BZ, et al. Clinical efficacy of Er: YAG laser application in pulpotomy of primary molars: A 2-year follow-up study[J]. Lasers Med Sci, 2022, 37(9): 3705-3712.
[18]	Satyarth S, Alkhamis AM, Almunahi HF, et al. Comparative evaluation of mineral trioxide aggregate pulpotomy and laser-assisted mineral trioxide aggregate pulpotomy: An original research article[J]. J Microsc Ultrastruct, 2021, 9(1): 7-11. doi: 10.4103/JMAU.JMAU_54_19 pmid: 33850706
[19]	Fadhil WA, Noori AJ. Clinical and radiographic evaluation of diode and Er, Cr: YSGG lasers as an alternative to formocresol and sodium hypochlorite for pulpotomy techniques in primary molars: A randomized controlled clinical trial[J]. Cureus, 2024, 16(7): e65902.
[20]	Jasani B, Musale P, Jasani B. Efficacy of Biodentine versus formocresol in pulpotomy of primary teeth: A systematic review and meta-analysis[J]. Quintessence Int, 2022, 53(8): 698-705. doi: 10.3290/j.qi.b3240043 pmid: 35976738
[21]	Silva LLCE, Cosme-Silva L, Sakai VT, et al. Comparison between calcium hydroxide mixtures and mineral trioxide aggregate in primary teeth pulpotomy: A randomized controlled trial[J]. J Appl Oral Sci, 2019, 27: e20180030.
[22]	Vilella-Pastor S, Sáez S, Veloso A, et al. Long-term evaluation of primary teeth molar pulpotomies with Biodentine and MTA: A CONSORT randomized clinical trial[J]. Eur Arch Paediatr Dent, 2021, 22(4): 685-692. doi: 10.1007/s40368-021-00616-3 pmid: 33683572
[23]	Brar KA, Kratunova E, Avenetti D, et al. Success of biodentine and ferric sulfate as pulpotomy materials in primary molars: A retrospective study[J]. J Clin Pediatr Dent, 2021, 45(1): 22-28.
[24]	Guang JX, Li JK, Hao LL. Clinical observation and histopathological evaluation of pulp after pulpotomy of primary teeth with formocresol and biodentine[J]. Cell Mol Biol (Noisy-le-grand), 2022, 68(5): 83-88. doi: 10.14715/cmb/2022.68.5.11 pmid: 36029512
[25]	An Y, Ferretti M, Bresler R, et al. Biodentine as a pulpotomy medicament for primary molars: A retrospective chart review[J]. J Clin Pediatr Dent, 2024, 48(1): 85-90.
[26]	Firoozi P, Salman BN, Aslaminabadi N. Clinical and radiographic comparison of biodentine and formocresol: An updated meta-analysis with trial sequential analysis[J]. Eur Arch Paediatr Dent, 2022, 23(6): 855-867. doi: 10.1007/s40368-022-00715-9 pmid: 35596042
[27]	Wong BJ, Fu E, Mathu-Muju KR. Thirty-month outcomes of biodentine pulpotomies in primary molars: A retrospective review[J]. Pediatr Dent, 2020, 42(4): 293-299.
[28]	Stringhini Junior E, Dos Santos MGC, Oliveira LB, et al. MTA and biodentine for primary teeth pulpotomy: A systematic review and meta-analysis of clinical trials[J]. Clin Oral Investig, 2019, 23(4): 1967-1976.
[29]	Chen XX, Zhang HM, Zhong J, et al. Comparison of indirect pulp treatment and iRoot BP Plus pulpotomy in primary teeth with extremely deep caries: A prospective randomized trial[J]. Clin Oral Investig, 2021, 25(5): 3067-3076.
[30]	Mahgoub N, Alqadasi B, Aldhorae K, et al. Comparison between iRoot BP plus (EndoSequence root repair material) and mineral trioxide aggregate as pulp-capping agents: A systematic review[J]. J Int Soc Prev Community Dent, 2019, 9(6): 542-552. doi: 10.4103/jispcd.JISPCD_249_19 pmid: 32039073
[31]	Sanz JL, Forner L, Llena C, et al. Cytocompatibility and bioactive properties of hydraulic calcium silicate-based cements (HCSCs) on stem cells from human exfoliated deciduous teeth (SHEDs): A systematic review of in vitro studies[J]. J Clin Med, 2020, 9(12): 3872.
[32]	Wang HH, Sarmast ND, Shadmehr E, et al. Application of enamel matrix derivative (emdogain) in endodontic therapy: A comprehensive literature review[J]. J Endod, 2018, 44(7): 1066-1079. doi: S0099-2399(18)30091-8 pmid: 29580724
[33]	Kaur K, Suneja B, Jodhka S, et al. Comparison between restorative materials for pulpotomised deciduous molars: A randomized clinical study[J]. Children (Basel), 2023, 10(2): 284.
[34]	张琼, 汪俊, 夏斌, 等. 低龄儿童龋的临床管理专家共识[J]. 华西口腔医学杂志, 2022, 40(5): 495-503.
[35]	Chouchene F, Oueslati A, Masmoudi F, et al. Efficacy of non-instrumental Endodontic treatment in primary teeth: A systematic review of clinical randomized trials[J]. Syst Rev, 2024, 13(1): 112. doi: 10.1186/s13643-024-02505-4 pmid: 38664717
[36]	Hassanpour S, Aminabadi NA, Rahbar M, et al. Comparison between the radiographic and clinical rates of success for TheraCal and MTA in primary tooth pulpotomy within a 12-month follow-up: A split-mouth clinical trial[J]. Biomed Res Int, 2023, 2023: 8735145.

Progress of research on pulpotomy of primary molars

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 36

Related Articles 5

Recommended Articles

Metrics

Comments

[1]	LIU Hongyan, ZHENG Siyi, WEI Xi. New advances in vital pulp therapy for the treatment of irreversible pulpitis: From biological basic to clinical perspective [J]. Stomatology, 2024, 44(6): 401-407.
[2]	WU Cui, LI Changshun, ZHANG Xin. A randomized controlled trial of Theracal LC compared to MTA for pulpotomy in immature permanent teeth with complica-ted crown fracture [J]. Stomatology, 2024, 44(10): 753-758.
[3]	WANG Yunqin, CAI Yixin, ZHANG Min, LI Jin. Clinical effects of pulpotomy in the treatment of teeth with severe wear in the middle-aged and elderly [J]. Stomatology, 2022, 42(6): 534-539.
[4]	. Efficacy observation of Carisolv minimally invasive treatment of deep caries in primary deciduous molars [J]. , 2018, 38(8): 720-723.
[5]	. A preliminary study of pulpotomy in cariously exposed permanent teeth [J]. , 2018, 38(11): 980-984.