Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study.

Giampiero Rossi-Fedele,Mohmed Isaqali Karobari,Mohamad Arif Awang Nawi,Giuseppe Alessandro Scardina,Tahir Yusuf Noorani,Pietro Messina,Manahil Maqbool,Norsamsu Arni Samsudin

doi:10.3390/ijerph18157970

Abstract

There is a paucity of information concerning vital pulp treatment outcomes in the undergraduate teaching setting. This study aimed to determine which type of deciduous molar, arch location, type of vital pulp therapy, and the number of carious surfaces involved had a better prognosis when carried out by undergraduate dental students. The method used was the review of clinical records of 590 patients with 600 deciduous molars, that visited the outpatient undergraduate dental clinics for vital pulp therapy. Statistical analysis used to determine the associations of tooth type, arch location, treatment type, and the number of carious surfaces involved in successful outcomes was logistic regression analysis with significance set at p < 0.05. According to the regression analysis model results, there was a significant association based on tooth type (p < 0.05) and arch location (p = 0.003). In addition, there was a significant association based on the type of treatment performed (p = 0.036). However, there was no significant association in success rates based on the number of carious surfaces involved (p = 0.873). In conclusion, second deciduous molars and maxillary deciduous molars had a better overall prognosis, and indirect pulp therapy was revealed to be more highly associated with successful treatment outcomes in comparison to ferric sulfate pulpotomy in our setting.

Highlights

The major factors in the success of a vital pulp therapy (VPT) procedure are the adequate diagnosis of the pulp and surrounding peri-radicular status, pulpal vitality preservation, and adequate vascularization of the pulp tissue [1]
The initial univariate logistic regression model for all variables associated with treatment outcomes of VPT is shown in
It should be highlighted that all of the operators in this study were appropriately trained UG dental students who were very efficient on how to conduct the two types of VPT as well as how Treatments were performed by year four and five UG dental students

Summary

Introduction

The major factors in the success of a vital pulp therapy (VPT) procedure are the adequate diagnosis of the pulp and surrounding peri-radicular status, pulpal vitality preservation, and adequate vascularization of the pulp tissue [1].

Objectives

Methods

Results

Discussion

Conclusion