Vital and nonvital pulp therapy in primary dentition: An umbrella review

Luísa Bandeira Lopes; Catarina Calvão; Filipa Salema Vieira; João Albernaz Neves; José João Mendes; Vanessa Machado; João Botelho

doi:10.3390/jcm11010085

Vital and nonvital pulp therapy in primary dentition: An umbrella review

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Resumo

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.

Idioma original	???core.languages.en_GB???
Número do artigo	85
Revista	Journal of Clinical Medicine
Volume	11
Número de emissão	1
DOIs	https://doi.org/10.3390/jcm11010085
Estado da publicação	???researchoutput.status.published??? - 1 jan. 2022

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title = "Vital and nonvital pulp therapy in primary dentition: An umbrella review",

abstract = "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.",

keywords = "Dental medicine, Endodontics, Oral health, Pediatric dentistry, Systematic review, Umbrella review",

author = "Lopes, \{Lu{\'i}sa Bandeira\} and Catarina Calv{\~a}o and Vieira, \{Filipa Salema\} and Neves, \{Jo{\~a}o Albernaz\} and Mendes, \{Jos{\'e} Jo{\~a}o\} and Vanessa Machado and Jo{\~a}o Botelho",

note = "Funding Information: Funding: This work is financed by national funds through the FCT—Foundation for Science and Technology, I.P., under project UIDB/04585/2020. Funding Information: This work is financed by national funds through the FCT?Foundation for Science and Technology, I.P., under project UIDB/04585/2020. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/license s/by/4.0/).",

year = "2022",

month = jan,

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doi = "10.3390/jcm11010085",

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T1 - Vital and nonvital pulp therapy in primary dentition

T2 - An umbrella review

AU - Lopes, Luísa Bandeira

AU - Calvão, Catarina

AU - Vieira, Filipa Salema

AU - Neves, João Albernaz

AU - Mendes, José João

AU - Machado, Vanessa

AU - Botelho, João

N1 - Funding Information: Funding: This work is financed by national funds through the FCT—Foundation for Science and Technology, I.P., under project UIDB/04585/2020. Funding Information: This work is financed by national funds through the FCT?Foundation for Science and Technology, I.P., under project UIDB/04585/2020. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/license s/by/4.0/).

PY - 2022/1/1

Y1 - 2022/1/1

N2 - 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.

AB - 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.

KW - Dental medicine

KW - Endodontics

KW - Oral health

KW - Pediatric dentistry

KW - Systematic review

KW - Umbrella review

UR - https://www.scopus.com/pages/publications/85121612868

U2 - 10.3390/jcm11010085

DO - 10.3390/jcm11010085

M3 - Review article

AN - SCOPUS:85121612868

SN - 2077-0383

VL - 11

JO - Journal of Clinical Medicine

JF - Journal of Clinical Medicine

IS - 1

M1 - 85

ER -

Vital and nonvital pulp therapy in primary dentition: An umbrella review

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