International Journal of Oral Science (Jan 2025)
Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis
- Lu Zhang,
- Chen Lin,
- Zhuo Chen,
- Lin Yue,
- Qing Yu,
- Benxiang Hou,
- Junqi Ling,
- Jingping Liang,
- Xi Wei,
- Wenxia Chen,
- Lihong Qiu,
- Jiyao Li,
- Yumei Niu,
- Zhengmei Lin,
- Lei Cheng,
- Wenxi He,
- Xiaoyan Wang,
- Dingming Huang,
- Zhengwei Huang,
- Weidong Niu,
- Qi Zhang,
- Chen Zhang,
- Deqin Yang,
- Jinhua Yu,
- Jin Zhao,
- Yihuai Pan,
- Jingzhi Ma,
- Shuli Deng,
- Xiaoli Xie,
- Xiuping Meng,
- Jian Yang,
- Xuedong Zhou,
- Zhi Chen
Affiliations
- Lu Zhang
- Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University
- Chen Lin
- Department of Endodontics, Stomatological Hospital of Xiamen Medical College
- Zhuo Chen
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine
- Lin Yue
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials
- Qing Yu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University
- Benxiang Hou
- Center for Microscope Enhanced Dentistry, Beijing Stomatological Hospital, Capital Medical University
- Junqi Ling
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University
- Jingping Liang
- Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, National Clinical Research Center for Oral Diseases, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University
- Xi Wei
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University
- Wenxia Chen
- College & Hospital of Stomatology, Guangxi Medical University
- Lihong Qiu
- Department of Endodontics, School of Stomatology, China Medical University
- Jiyao Li
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University
- Yumei Niu
- School of Stomatology, The First Affiliated Hospital of Harbin Medical University, Harbin Medical University
- Zhengmei Lin
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University
- Lei Cheng
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University
- Wenxi He
- Department of Stomatology, Air Force Medical Center, The Air Force Medical University
- Xiaoyan Wang
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials
- Dingming Huang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University
- Zhengwei Huang
- Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, National Clinical Research Center for Oral Diseases, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University
- Weidong Niu
- School of Stomatology, Dalian Medical University
- Qi Zhang
- Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration
- Chen Zhang
- Department of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
- Deqin Yang
- Department of Conservative Dentistry and Endodontics, Shanghai Stomatological Hospital, School of Stomatology, Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University
- Jinhua Yu
- Department of Endodontics, Institute of Stomatology, Affiliated Hospital of Stomatology, Nanjing Medical University
- Jin Zhao
- Department of Endodontics, The First Affiliated Hospital of Xinjiang Medical University
- Yihuai Pan
- Department of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University
- Jingzhi Ma
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
- Shuli Deng
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine
- Xiaoli Xie
- Department of Endodontology, Hunan Xiangya Stomatological Hospital, Central South University
- Xiuping Meng
- Department of Endodontics, School and Hospital of Stomatology, Jilin University
- Jian Yang
- Department of Endodontics, The Affiliated Stomatological Hospital of Nanchang University
- Xuedong Zhou
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University
- Zhi Chen
- Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University
- DOI
- https://doi.org/10.1038/s41368-024-00333-9
- Journal volume & issue
-
Vol. 17,
no. 1
pp. 1 – 8
Abstract
Abstract Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth. Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality, the overall treatment plan, the patient’s general health status, and pulp inflammation reassessment during operation. This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics, Chinese Stomatological Association. It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment (RCT) on mature permanent teeth with pulpitis from a biological basis, the development of capping biomaterial, and the diagnostic considerations to evidence-based medicine. This expert statement intends to provide a clinical protocol of pulpotomy, which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field.
