Vital pulp therapy—Factors influencing decision‐making for permanent mature teeth with irreversible pulpitis: A systematic review

作者：Yasmen Alfaisal, Ghassan Idris, Ove Andreas Peters, Sobia Zafar, Venkateshbabu Nagendrababu, Christine I. Peters · 发表于：International Endodontic Journal · 年份：2024 · DOI：10.1111/iej.14036 · 被引用次数：26 · 研究领域：Endodontics and Root Canal Treatments、Dental materials and restorations、Dental Erosion and Treatment

BACKGROUND: There is an increased tendency towards adopting minimally invasive interventions in dentistry, supported by advancement in materials and techniques. However, the decision-making process in choosing conservative or invasive treatments is influenced by several factors, particularly in permanent teeth with irreversible pulpitis. OBJECTIVES: The objective of the study was to systematically review the literature regarding factors that influence decision-making for vital pulp therapy (VPT) as definitive treatment option in permanent mature teeth diagnosed with irreversible pulpitis. METHODS: Two independent reviewers searched five electronic databases (PubMed, Embase, Web of Science, Scopus and Cochrane Library). Grey literature was searched through Google Scholar and contact with experts. Defined search keys were applied, and all peer-reviewed literature published with no language nor publication date limits were included. The All studies investigating the factors influencing treatment decision-making in mature permanent teeth with irreversible pulpitis were included. The quality of included studies was assessed by two independent reviewers using the Joanna Briggs Institute quality assessment tool. RESULTS: Six articles were included in the review. All included studies used questionnaires to characterize clinician preferences and attitudes in choosing treatment options for mature permanent teeth with irreversible pulpitis. The available evidence suggests that dentist-r...