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Success of endodontic management of compromised first permanent molars in children: A systematic review
Author(s) -
Taylor Greig D.,
Vernazza Christopher R.,
Abdulmohsen Bana
Publication year - 2020
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12599
Subject(s) - medicine , dentistry , pulpotomy , molar , pulpectomy , paediatric dentistry , cochrane library , medline , permanent teeth , coronal plane , endodontic therapy , orthodontics , randomized controlled trial , surgery , root canal , political science , law , radiology
Background Endodontic therapies may be required in the management of compromised first permanent molar teeth; their success in children, however, is unknown. Aim To determine the success of endodontic therapies used on first permanent molar teeth in children aged sixteen and under. Design MEDLINE, Embase, Cochrane library, CENTRAL, Clinicaltrials.gov, and the ISRCTN registry as well as relevant paediatric, endodontic, and traumatology journal were searched using a detailed search strategy. References of included studies were hand‐searched. A PICOS question was formulated: (P): children aged sixteen and under; (I): endodontic therapies (not pulp capping) on a first permanent molar tooth; (C): no treatment; (O): clinical success of endodontic therapy; and (S): all study types included. Bias was assessed using the Cochrane and Robins‐I risk tools. Quality of evidence was assessed using the GRADE approach. Significant heterogeneity precluded meta‐analysis. Results 4172 studies were retrieved and eleven were included in the narrative review. Partial and coronal pulpotomies have high success rates in the short term and long term. Limited evidence is available for conventional pulpectomy or regenerative techniques. Conclusions Partial and coronal pulpotomies are successful endodontic therapies for use in a compromised child's first permanent molar.