Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review

Dental caries is the most common non-communicable disease in children with significant aesthetic, functional, and quality of life deterioration. Depending on the depth, two approaches may be considered in primary dentition: vital pulp therapy (VPT) or non-vital therapy (NPT). This umbrella review ai...

Full description

Bibliographic Details
Main Authors: Luísa Bandeira Lopes, Catarina Calvão, Filipa Salema Vieira, João Albernaz Neves, José João Mendes, Vanessa Machado, João Botelho
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/1/85
_version_ 1797498691500638208
author Luísa Bandeira Lopes
Catarina Calvão
Filipa Salema Vieira
João Albernaz Neves
José João Mendes
Vanessa Machado
João Botelho
author_facet Luísa Bandeira Lopes
Catarina Calvão
Filipa Salema Vieira
João Albernaz Neves
José João Mendes
Vanessa Machado
João Botelho
author_sort Luísa Bandeira Lopes
collection DOAJ
description Dental caries is the most common non-communicable disease in children with significant aesthetic, functional, and quality of life deterioration. Depending on the depth, two approaches may be considered in primary dentition: vital pulp therapy (VPT) or non-vital therapy (NPT). This umbrella review aimed to critically assess the available systematic reviews (SRs) on VPT and NPT. An electronic database search was conducted (PubMed, Embase, Scopus, Cochrane, Web of Science, and LILACS) until June 2021. The Risk of Bias (RoB) of SRs was analyzed using the Measurement Tool to Assess SRs criteria 2 (AMSTAR2). From 272 entries, 33 SRs were included. Regarding the methodological quality, three studies were critically low, nine low, seventeen moderate, and six were rated as high quality. The quality of evidence produced by the available SRs was moderate. Future high standard SRs and well-designed clinical trials are warranted to better elucidate the clinical protocols and outcomes of VPT and NPT.
first_indexed 2024-03-10T03:36:58Z
format Article
id doaj.art-b3d1ff39a40f4177ab877649bb6ca1e4
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T03:36:58Z
publishDate 2021-12-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-b3d1ff39a40f4177ab877649bb6ca1e42023-11-23T11:43:25ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011118510.3390/jcm11010085Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella ReviewLuísa Bandeira Lopes0Catarina Calvão1Filipa Salema Vieira2João Albernaz Neves3José João Mendes4Vanessa Machado5João Botelho6Dental Pediatrics Department, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalDental Pediatrics Department, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalDental Pediatrics Department, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalClinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalClinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalClinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalClinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Almada, PortugalDental caries is the most common non-communicable disease in children with significant aesthetic, functional, and quality of life deterioration. Depending on the depth, two approaches may be considered in primary dentition: vital pulp therapy (VPT) or non-vital therapy (NPT). This umbrella review aimed to critically assess the available systematic reviews (SRs) on VPT and NPT. An electronic database search was conducted (PubMed, Embase, Scopus, Cochrane, Web of Science, and LILACS) until June 2021. The Risk of Bias (RoB) of SRs was analyzed using the Measurement Tool to Assess SRs criteria 2 (AMSTAR2). From 272 entries, 33 SRs were included. Regarding the methodological quality, three studies were critically low, nine low, seventeen moderate, and six were rated as high quality. The quality of evidence produced by the available SRs was moderate. Future high standard SRs and well-designed clinical trials are warranted to better elucidate the clinical protocols and outcomes of VPT and NPT.https://www.mdpi.com/2077-0383/11/1/85endodonticspediatric dentistryoral healthdental medicinesystematic reviewumbrella review
spellingShingle Luísa Bandeira Lopes
Catarina Calvão
Filipa Salema Vieira
João Albernaz Neves
José João Mendes
Vanessa Machado
João Botelho
Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review
Journal of Clinical Medicine
endodontics
pediatric dentistry
oral health
dental medicine
systematic review
umbrella review
title Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review
title_full Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review
title_fullStr Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review
title_full_unstemmed Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review
title_short Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review
title_sort vital and nonvital pulp therapy in primary dentition an umbrella review
topic endodontics
pediatric dentistry
oral health
dental medicine
systematic review
umbrella review
url https://www.mdpi.com/2077-0383/11/1/85
work_keys_str_mv AT luisabandeiralopes vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview
AT catarinacalvao vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview
AT filipasalemavieira vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview
AT joaoalbernazneves vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview
AT josejoaomendes vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview
AT vanessamachado vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview
AT joaobotelho vitalandnonvitalpulptherapyinprimarydentitionanumbrellareview