Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis.

Lu ZHANG; Chen LIN; Zhuo CHEN; Lin YUE; Qing YU; Benxiang HOU; Junqi LING; Jingping LIANG; Xi WEI; Wenxia CHEN; Lihong QIU; Jiyao LI; Yumei NIU; Zhengmei LIN; Lei CHENG; Wenxi HE; Xiaoyan WANG; Dingming HUANG; Zhengwei HUANG; Weidong NIU; Qi ZHANG; Chen ZHANG; Deqin YANG; Jinhua YU; Jin ZHAO; Yihuai PAN; Jingzhi MA; Shuli DENG; Xiaoli XIE; Xiuping MENG; Jian YANG; Xuedong ZHOU; Zhi CHEN

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Expert consensus on pulpotomy in the management of mature permanent teeth with pulpitis.

Author: Lu ZHANG ¹ ; Chen LIN ² ; Zhuo CHEN ³ ; Lin YUE ⁴ ; Qing YU ⁵ ; Benxiang HOU ⁶ ; Junqi LING ⁷ ; Jingping LIANG ⁸ ; Xi WEI ⁷ ; Wenxia CHEN ⁹ ; Lihong QIU ¹⁰ ; Jiyao LI ¹¹ ; Yumei NIU ¹² ; Zhengmei LIN ⁷ ; Lei CHENG ¹¹ ; Wenxi HE ¹³ ; Xiaoyan WANG ⁴ ; Dingming HUANG ¹¹ ; Zhengwei HUANG ⁸ ; Weidong NIU ¹⁴ ; Qi ZHANG ¹⁵ ; Chen ZHANG ¹⁶ ; Deqin YANG ¹⁷ ; Jinhua YU ¹⁸ ; Jin ZHAO ¹⁹ ; Yihuai PAN ²⁰ ; Jingzhi MA ²¹ ; Shuli DENG ³ ; Xiaoli XIE ²² ; Xiuping MENG ²³ ; Jian YANG ²⁴ ; Xuedong ZHOU ²⁵ ; Zhi CHEN ²⁶
Author Information

1. Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
2. Department of Endodontics, Stomatological Hospital of Xiamen Medical College, Xiamen, China.
3. Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou, China.
4. Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, China.
5. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, Xián, China.
6. Center for Microscope Enhanced Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.
7. Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, China.
8. Department of Endodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, National Clinical Research Center for Oral Diseases, National Center for Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University, Shanghai, China.
9. College & Hospital of Stomatology, Guangxi Medical University, Nanning, China.
10. Department of Endodontics, School of Stomatology, China Medical University, Shenyang, China.
11. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China.
12. School of Stomatology, The First Affiliated Hospital of Harbin Medical University, Harbin Medical University, Harbin, China.
13. Department of Stomatology, Air Force Medical Center, The Air Force Medical University, Beijing, China.
14. School of Stomatology, Dalian Medical University, Dalian, China.
15. Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
16. Department of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University, Beijing, China.
17. Department of Conservative Dentistry and Endodontics, Shanghai Stomatological Hospital, School of Stomatology, Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China.
18. Department of Endodontics, Institute of Stomatology, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.
19. Department of Endodontics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
20. Department of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
21. Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
22. Department of Endodontology, Hunan Xiangya Stomatological Hospital, Central South University, Changsha, China.
23. Department of Endodontics, School and Hospital of Stomatology, Jilin University, Changchun, China.
24. Department of Endodontics, The Affiliated Stomatological Hospital of Nanchang University, Nanchang, China.
25. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China. zhouxd@scu.edu.cn.
26. Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China. zhichen@whu.edu.cn.
Publication Type:Consensus Development Conference
MeSH: Humans; Calcium Compounds/therapeutic use*; Consensus; Dental Pulp; Dentition, Permanent; Oxides/therapeutic use*; Pulpitis/therapy*; Pulpotomy/standards*
From: International Journal of Oral Science 2025;17(1):4-4
CountryChina
Language:English
Abstract: Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth. Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality, the overall treatment plan, the patient's general health status, and pulp inflammation reassessment during operation. This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics, Chinese Stomatological Association. It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment (RCT) on mature permanent teeth with pulpitis from a biological basis, the development of capping biomaterial, and the diagnostic considerations to evidence-based medicine. This expert statement intends to provide a clinical protocol of pulpotomy, which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field.