{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:16:44Z","timestamp":1792095404154,"version":"4.4.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008375","name":"Universit\u00e4t Basel","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Oral Invest"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to retrospectively evaluate clinical and radiographic outcomes of partial pulpotomy performed in permanent teeth with carious pulp exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Records of patients undergoing treatment at an undergraduate dental clinic between 2010 and 2019 were screened for partial pulpotomies in teeth with a presumptive diagnosis of normal pulp or reversible pulpitis. The follow-up had to be\u2009\u2265\u20091\u00a0year. Patient data were retrieved and analyzed using Mantel-Cox chi square tests and Kaplan\u2013Meier statistics. The level of significance was set at \u03b1\u2009=\u20090.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Partial pulpotomy was performed in 111 cases, of which 64 (58%) fulfilled the eligibility criteria. At the time of partial pulpotomy, the mean age was 37.3 (\u00b1\u200913.5) years (age range 18\u201385). The mean observation period was 3.1 (\u00b1\u20092.0) years. Two early failures (3.1%) and five late failures (7.7%) were recorded. The overall success rate of maintaining pulp vitality was 89.1%, with 98.4% tooth survival. The cumulative pulp survival rates of partial pulpotomy in patients aged\u2009&lt;\u200930\u00a0years, between 30 and 40\u00a0years, and\u2009&gt;\u200940\u00a0years were 100%, 75.5%, and 90.5%, respectively, with no significant difference between the age groups (p\u2009=\u20090.225). At follow-up, narrowing of the pulp canal space and tooth discoloration were observed in 10.9% and 3.1% of cases, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Across age groups, partial pulpotomy achieved favorable short and medium-term outcomes in teeth with carious pulp exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical relevance<\/jats:title>\n                    <jats:p>Adequate case selection provided, partial pulpotomy is a viable operative approach to treat permanent teeth with deep carious lesions irrespective of patients\u2019 age.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-021-04007-2","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T04:03:06Z","timestamp":1622606586000},"page":"365-373","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Partial pulpotomy without age restriction: a retrospective assessment of permanent teeth with carious pulp exposure"],"prefix":"10.1007","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6185-1480","authenticated-orcid":false,"given":"Florin","family":"Eggmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J. W.","family":"Gasser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanjo","family":"Hecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Amato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Weiger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia K.","family":"Zaugg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"issue":"3","key":"4007_CR1","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1111\/j.1600-0722.2010.00731.x","volume":"118","author":"L Bj\u00f8rndal","year":"2010","unstructured":"Bj\u00f8rndal L, Reit C, Bruun G, Markvart M, Kjaeldgaard M, N\u00e4sman P, Thordrup M, Dige I, Nyvad B, Fransson H, Lager A, Ericson D, Petersson K, Olsson J, Santimano EM, Wennstr\u00f6m A, Winkel P, Gluud C (2010) Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci 118(3):290\u2013297. https:\/\/doi.org\/10.1111\/j.1600-0722.2010.00731.x","journal-title":"Eur J Oral Sci"},{"issue":"7","key":"4007_CR2","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1111\/iej.13128","volume":"52","author":"L Bj\u00f8rndal","year":"2019","unstructured":"Bj\u00f8rndal L, Simon S, Tomson PL, Duncan HF (2019) Management of deep caries and the exposed pulp. Int Endod J 52(7):949\u2013973. https:\/\/doi.org\/10.1111\/iej.13128","journal-title":"Int Endod J"},{"issue":"12","key":"4007_CR3","doi-asserted-by":"publisher","first-page":"1932","DOI":"10.1016\/j.joen.2014.08.010","volume":"40","author":"D Ricucci","year":"2014","unstructured":"Ricucci D, Loghin S, Siqueira JF Jr (2014) Correlation between clinical and histologic pulp diagnoses. J Endod 40(12):1932\u20131939. https:\/\/doi.org\/10.1016\/j.joen.2014.08.010","journal-title":"J Endod"},{"issue":"2","key":"4007_CR4","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1111\/j.1752-7325.2005.tb02792.x","volume":"65","author":"DJ Caplan","year":"2005","unstructured":"Caplan DJ, Cai J, Yin G, White BA (2005) Root canal filled versus non-root canal filled teeth: a retrospective comparison of survival times. J Public Health Dent 65(2):90\u201396. https:\/\/doi.org\/10.1111\/j.1752-7325.2005.tb02792.x","journal-title":"J Public Health Dent"},{"issue":"5","key":"4007_CR5","doi-asserted-by":"publisher","first-page":"271","DOI":"10.3109\/00016358609004733","volume":"44","author":"K Randow","year":"1986","unstructured":"Randow K, Glantz PO (1986) On cantilever loading of vital and non-vital teeth. An experimental clinical study. Acta Odontol Scand 44(5):271\u2013277. https:\/\/doi.org\/10.3109\/00016358609004733","journal-title":"Acta Odontol Scand"},{"issue":"2","key":"4007_CR6","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1177\/0022034516639271","volume":"28","author":"F Schwendicke","year":"2016","unstructured":"Schwendicke F, Frencken JE, Bj\u00f8rndal L, Maltz M, Manton DJ, Ricketts D, van Landuyt K, Banerjee A, Campus G, Dom\u00e9jean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona AF, Innes NPT (2016) Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res 28(2):58\u201367. https:\/\/doi.org\/10.1177\/0022034516639271","journal-title":"Adv Dent Res"},{"issue":"11","key":"4007_CR7","doi-asserted-by":"publisher","first-page":"1296","DOI":"10.1016\/j.joen.2019.07.005","volume":"45","author":"F Elmsmari","year":"2019","unstructured":"Elmsmari F, Ruiz X-F, Mir\u00f3 Q, Feijoo-Pato N, Dur\u00e1n-Sindreu F, Olivieri JG (2019) Outcome of partial pulpotomy in cariously exposed posterior permanent teeth: a systematic review and meta-analysis. J Endod 45(11):1296-1306.e3. https:\/\/doi.org\/10.1016\/j.joen.2019.07.005","journal-title":"J Endod"},{"issue":"9S","key":"4007_CR8","doi-asserted-by":"publisher","first-page":"S33","DOI":"10.1016\/j.joen.2020.06.025","volume":"46","author":"NA Taha","year":"2020","unstructured":"Taha NA, About I, Sedgley CM, Messer HH (2020) Conservative management of mature permanent teeth with carious pulp exposure. J Endod 46(9S):S33\u2013S41. https:\/\/doi.org\/10.1016\/j.joen.2020.06.025","journal-title":"J Endod"},{"issue":"5","key":"4007_CR9","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1016\/j.joen.2010.12.004","volume":"37","author":"P Aguilar","year":"2011","unstructured":"Aguilar P, Linsuwanont P (2011) Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod 37(5):581\u2013587. https:\/\/doi.org\/10.1016\/j.joen.2010.12.004","journal-title":"J Endod"},{"key":"4007_CR10","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.jdent.2019.05.022","volume":"86","author":"D Ricucci","year":"2019","unstructured":"Ricucci D, Siqueira JF, JR, Li Y, Tay FR, (2019) Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent 86:41\u201352. https:\/\/doi.org\/10.1016\/j.jdent.2019.05.022","journal-title":"J Dent"},{"issue":"2","key":"4007_CR11","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s00784-014-1244-z","volume":"19","author":"S Asgary","year":"2015","unstructured":"Asgary S, Eghbal MJ, Fazlyab M, Baghban AA, Ghoddusi J (2015) Five-year results of vital pulp therapy in permanent molars with irreversible pulpitis: a non-inferiority multicenter randomized clinical trial. Clin Oral Investig 19(2):335\u2013341. https:\/\/doi.org\/10.1007\/s00784-014-1244-z","journal-title":"Clin Oral Investig"},{"issue":"2","key":"4007_CR12","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.joen.2016.10.027","volume":"43","author":"P Linsuwanont","year":"2017","unstructured":"Linsuwanont P, Wimonsutthikul K, Pothimoke U, Santiwong B (2017) Treatment outcomes of mineral trioxide aggregate pulpotomy in vital permanent teeth with carious pulp exposure: the retrospective study. J Endod 43(2):225\u2013230. https:\/\/doi.org\/10.1016\/j.joen.2016.10.027","journal-title":"J Endod"},{"issue":"7","key":"4007_CR13","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1111\/iej.13080","volume":"52","author":"HF Duncan","year":"2019","unstructured":"Duncan HF, Galler KM, Tomson PL, Simon S, El-Karim I, Kundzina R, Krastl G, Dammaschke T, Fransson H, Markvart M, Zehnder M, Bj\u00f8rndal L (2019) European Society of Endodontology position statement: management of deep caries and the exposed pulp. Int Endod J 52(7):923\u2013934. https:\/\/doi.org\/10.1111\/iej.13080","journal-title":"Int Endod J"},{"key":"4007_CR14","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.jdent.2016.07.015","volume":"60","author":"C-M Kang","year":"2017","unstructured":"Kang C-M, Sun Y, Song JS, Pang N-S, Roh B-D, Lee C-Y, Shin Y (2017) A randomized controlled trial of various MTA materials for partial pulpotomy in permanent teeth. J Dent 60:8\u201313. https:\/\/doi.org\/10.1016\/j.jdent.2016.07.015","journal-title":"J Dent"},{"issue":"8","key":"4007_CR15","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1016\/j.joen.2016.05.008","volume":"42","author":"M Zanini","year":"2016","unstructured":"Zanini M, Hennequin M, Cousson P-Y (2016) A review of criteria for the evaluation of pulpotomy outcomes in mature permanent teeth. J Endod 42(8):1167\u20131174. https:\/\/doi.org\/10.1016\/j.joen.2016.05.008","journal-title":"J Endod"},{"key":"4007_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jdent.2015.12.005","volume":"44","author":"H Alqaderi","year":"2016","unstructured":"Alqaderi H, Lee C-T, Borzangy S, Pagonis TC (2016) Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: a systematic review and meta-analysis. J Dent 44:1\u20137. https:\/\/doi.org\/10.1016\/j.jdent.2015.12.005","journal-title":"J Dent"},{"issue":"3","key":"4007_CR17","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/j.joen.2018.11.006","volume":"45","author":"T Connert","year":"2019","unstructured":"Connert T, Krug R, Eggmann F, Emsermann I, ElAyouti A, Weiger R, K\u00fchl S, Krastl G (2019) Guided endodontics versus conventional access cavity preparation: a comparative study on substance loss using 3-dimensional-printed teeth. J Endod 45(3):327\u2013331. https:\/\/doi.org\/10.1016\/j.joen.2018.11.006","journal-title":"J Endod"}],"container-title":["Clinical Oral Investigations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-021-04007-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00784-021-04007-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-021-04007-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T01:20:01Z","timestamp":1643160001000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00784-021-04007-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,2]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["4007"],"URL":"https:\/\/doi.org\/10.1007\/s00784-021-04007-2","relation":{},"ISSN":["1432-6981","1436-3771"],"issn-type":[{"value":"1432-6981","type":"print"},{"value":"1436-3771","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,2]]},"assertion":[{"value":"6 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective study involving human participants was conducted in accordance with the ethical standards of the institutional and national research committee and with the Declaration of Helsinki (2013). The local Ethics Committee (EKNZ) approved this retrospective study (EKNZ 2020-01512).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed general consent was obtained from all individual participants whose data were included in this retrospective study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}