Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology
The American Association of Endodontists (AAE) Consensus Conference Recommended Diagnostic Terminology states that mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with pulpectomy and root canal filling because inflamed vital pulp is not capable of healing. Histolog...
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| Veröffentlicht in: | Australian endodontic journal 2020-04, Vol.46 (1), p.154-166 |
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| container_title | Australian endodontic journal |
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| creator | Lin, Louis M. Ricucci, Domenico Saoud, Tarek M. Sigurdsson, Asgeir Kahler, Bill |
| description | The American Association of Endodontists (AAE) Consensus Conference Recommended Diagnostic Terminology states that mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with pulpectomy and root canal filling because inflamed vital pulp is not capable of healing. Histological studies have demonstrated that clinically diagnosed irreversible pulpitis does not involve the entire pulp. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with irreversible pulpitis is predictable if correctly diagnosed and properly treated. A narrative review was undertaken to outline the correlation between the clinical symptoms/signs and pulp sensibility testing and the histological findings of the pulp. Treatment procedures for permanent teeth are outlined. |
| doi_str_mv | 10.1111/aej.12392 |
| format | Article |
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Histological studies have demonstrated that clinically diagnosed irreversible pulpitis does not involve the entire pulp. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with irreversible pulpitis is predictable if correctly diagnosed and properly treated. A narrative review was undertaken to outline the correlation between the clinical symptoms/signs and pulp sensibility testing and the histological findings of the pulp. 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Histological studies have demonstrated that clinically diagnosed irreversible pulpitis does not involve the entire pulp. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with irreversible pulpitis is predictable if correctly diagnosed and properly treated. A narrative review was undertaken to outline the correlation between the clinical symptoms/signs and pulp sensibility testing and the histological findings of the pulp. Treatment procedures for permanent teeth are outlined.</description><subject>Dental Pulp</subject><subject>Dentistry</subject><subject>Dentition, Permanent</subject><subject>Endodontics</subject><subject>Humans</subject><subject>Inflammation</subject><subject>irreversible pulpitis</subject><subject>mature permanent teeth</subject><subject>pulp sensibility tests</subject><subject>Pulpitis</subject><subject>root canal therapy</subject><subject>Root canals</subject><subject>Teeth</subject><subject>Terminology</subject><subject>vital pulp therapy</subject><issn>1329-1947</issn><issn>1747-4477</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kT1PwzAQhi0EoqUw8AdQJBYY0sZxEsdjVZUvVWIB1shJLtSVUwfbaZV_j9MUBiQ82B6ee3R3L0LXOJhid2YcNlMcEhaeoDGmEfWjiNJT9ych8zGL6AhdGLMJgjAiFJ-jEcFpEichGyP5ISyXXtPKxrNr0LzpPFV5NbetBq8BXfMtbK1nAeza2wt3Ca1hB9qIXMKhUFhhvEqrujf0NaaBwood9KaDORdKqs_uEp1VXBq4Or4T9P6wfFs8-avXx-fFfOUXJCahXwCmtALOyyJJGWcl8JxUDCDmZZrGFQ9c7zyiOY1YTmJGioJzmlIIy6CEnJAJuhu8jVZfLRib1cIUIKWbRbUmCwkJgoSQNHHo7R90o1q9dd05ilGcuC1FjrofqEIrYzRUWaNFzXWX4SDrI8hcBNkhAsfeHI1tXkP5S_7s3AGzAdgLCd3_pmy-fBmU32H5kmU</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Lin, Louis M.</creator><creator>Ricucci, Domenico</creator><creator>Saoud, Tarek M.</creator><creator>Sigurdsson, Asgeir</creator><creator>Kahler, Bill</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4181-3871</orcidid><orcidid>https://orcid.org/0000-0003-0637-6722</orcidid></search><sort><creationdate>202004</creationdate><title>Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology</title><author>Lin, Louis M. ; Ricucci, Domenico ; Saoud, Tarek M. ; Sigurdsson, Asgeir ; Kahler, Bill</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-ce177feaadc689a9deab3f9ee5ad885fa0562a47b749b3593ccaa787e2d0deb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Dental Pulp</topic><topic>Dentistry</topic><topic>Dentition, Permanent</topic><topic>Endodontics</topic><topic>Humans</topic><topic>Inflammation</topic><topic>irreversible pulpitis</topic><topic>mature permanent teeth</topic><topic>pulp sensibility tests</topic><topic>Pulpitis</topic><topic>root canal therapy</topic><topic>Root canals</topic><topic>Teeth</topic><topic>Terminology</topic><topic>vital pulp therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Louis M.</creatorcontrib><creatorcontrib>Ricucci, Domenico</creatorcontrib><creatorcontrib>Saoud, Tarek M.</creatorcontrib><creatorcontrib>Sigurdsson, Asgeir</creatorcontrib><creatorcontrib>Kahler, Bill</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Australian endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Louis M.</au><au>Ricucci, Domenico</au><au>Saoud, Tarek M.</au><au>Sigurdsson, Asgeir</au><au>Kahler, Bill</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology</atitle><jtitle>Australian endodontic journal</jtitle><addtitle>Aust Endod J</addtitle><date>2020-04</date><risdate>2020</risdate><volume>46</volume><issue>1</issue><spage>154</spage><epage>166</epage><pages>154-166</pages><issn>1329-1947</issn><eissn>1747-4477</eissn><abstract>The American Association of Endodontists (AAE) Consensus Conference Recommended Diagnostic Terminology states that mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with pulpectomy and root canal filling because inflamed vital pulp is not capable of healing. 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Treatment procedures for permanent teeth are outlined.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31865629</pmid><doi>10.1111/aej.12392</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-4181-3871</orcidid><orcidid>https://orcid.org/0000-0003-0637-6722</orcidid></addata></record> |
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| ispartof | Australian endodontic journal, 2020-04, Vol.46 (1), p.154-166 |
| issn | 1329-1947 1747-4477 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Dental Pulp Dentistry Dentition, Permanent Endodontics Humans Inflammation irreversible pulpitis mature permanent teeth pulp sensibility tests Pulpitis root canal therapy Root canals Teeth Terminology vital pulp therapy |
| title | Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology |
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