The treatment of mature permanent teeth with irreversible pulpitis by cervical pulpotomy: A systematic review.

Pulpotomy has been used in primary teeth and immature permanent teeth. However, with the advent of new bioactive material, the procedure is shifting towards permanent teeth with mature apices of roots. The objective of this systematic review was to evaluate the success of pulpotomy on mature permanent teeth with acute irreversible pulpitis and to compare it with root canal treatment or between the effectiveness of the bioactive material used. The following databases were searched: PubMed, Cochrane Library: Cochrane Central Register of Controlled Trials, Embase, ClinicalTrials.gov, International Clinical Trials Registry Platform. After using the keywords predefined, the electronic search yielded a total of 86 articles. After undergoing a thorough screening and eligibility process, only four articles were finally selected. Unexpectedly, pulpotomy demonstrated a better tendency for success in such cases over the years. This shows that pulpotomy is not inferior to root canal treatment for permanent treatment of irreversible pulpitis. In addition, the results obtained showed that pulpotomy is rapid, biologically reliable and more cost-effective in all situations compared to root canal therapy. Complete pulpotomy appears to have a high success rate as a permanent treatment of irreversible pulpitis and could be considered as an alternative to root canal therapy. Pulpotomy is not inferior to root canal treatment for a permanent treatment of irreversible pulpitis. In addition, the results obtained have shown that complete pulpotomy is faster and more profitable in all situations compared to root canal treatment. Furthermore, with the advent of new so-called bioactive materials, the use of this therapeutic is increasingly considered. This is why a review based on studies of reliable articles is above all necessary to be able to generalise the indication of this therapy.

Place de la radiologie dans la pratique des chirurgiens-dentistes sénégalais

L'odontologie a naturellement bénéficié des innovations en imagerie médicale. L'examen radiologique est devenu une partie intégrante de la prise en charge odontologique. Ce travail avait pour objectif d'évaluer la place de la radiologie dans la pratique des chirurgiens-dentistes sénégalais.Matériels et méthodes.Il s'agissait d'une étude transversale descriptive réalisée auprès des chirurgiens-dentistes exerçant dans les secteurs du privé, et du public de la région de Dakar. Des questionnaires auto-administrés ont été distribués afin de recueillir les informations suivantes : le secteur d'activité, l'importance de la radiologie dans la pratique quotidienne, l'équipement en appareil radiologique, la fréquence de prescription des examens radiologiques. Les données ont été analysées avec le test chi-deux.RésultatsAu total, 132 chirurgiens-dentistes ont répondu aux questionnaires. Parmi eux 42% exerçaient dans le secteur privé, 28% dans le public et 20% étaient des praticiens hospitalo-universitaires. Le sexe ratio était de 2,14 et la moyenne d'âge était de 37 ans ± 11.Plus de 90% des chirurgiens-dentistes accordaient une grande importance aux examens d'imagerie dans leur pratique, 6,84% une importance moyenne. Les films argentiques étaient les plus utilisés avec 75% contre 25% de récepteurs numériques. Les examens radiologiques n'étaient prescrits de manière systématique que par 6,87% des chirurgiens-dentistes alors que 64,84% les prescrivaient de manière sélective et 27% utilisaient rarement.Conclusion: Cette étude a montré une insuffisance d'équipement radiologique et une attitude inadéquate de prescription des examens radiologiques des chirurgiens-dentistes de la région de Dakar Des formations continues en radiologie dentaire s'avèrent nécessaire pour une meilleure connaissance des examens radiologiques

One-year clinical evaluation of the bonding effectiveness of a one-step, self-etch adhesive in noncarious cervical lesion therapy.

This study evaluated the one-year clinical performance of a one-step, self-etch adhesive (Optibond All-in-One, Kerr, CA, USA) combined with a composite (Herculite XRV Ultra, Kerr Hawe, CA, USA) to restore NCCLs with or without prior acid etching. Restorations performed by the same practitioner were evaluated at baseline and after 3, 6, and 12 months using modified USPHS criteria. At 6 months, the recall rate was 100%. The retention rate was 84.2% for restorations with prior acid etching, but statistically significant differences were observed between baseline and 6 months. Without acid etching, the retention rate was 77%, and no statistically significant difference was noted between 3 and 6 months. Marginal integrity (93.7% with and 87.7% without acid etching) and discoloration (95.3% with and 92.9% without acid etching) were scored as Alpha or Bravo, with better results after acid etching. After one year, the recall rate was 58.06%. Loss of pulp vitality, postoperative sensitivity, or secondary caries were not observed. After one year retention rate was of 90.6% and 76.9% with and without acid conditioning. Optibond All-in-One performs at a satisfactory clinical performance level for restoration of NCCLs after 12 months especially after acid etching.