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Pulp Therapy

330 - Clinical Outcomes of Partial Pulpotomies on Permanent Dentition: A One-Year Retrospective Chart Review

Friday, May 22, 2026
4:40 PM - 4:55 PM PST
Has Audio

    Presenting Author(s)

  • Mark Yusufov, DDS (he/him/his)

    Pediatric Dental Resident
    NYU Langone Dental Medicine, Brooklyn, NY
    Staten Island, New York, United States

    • Co-Author(s)

  • Anh Dam, DMD, MS

    PGY-2 Pediatric Dental Resident
    NYU Langone Dental Medicine, Brooklyn, NY
    NYU Langone Hospital -- Brooklyn

    • Research Mentor(s)

  • MG

    Meeta Grewal, DDS, MPH

    PGY-2 Pediatric Dental Resident
    NYU Langone Dental Medicine, Brooklyn, NY
    Brooklyn, New York, United States

    • Program Director(s)

  • DK

    Daniel J. Kane, DMD, MA

    Program Director
    NYU Langone Dental Medicine, Brooklyn, NY
    Brooklyn, New York, United States

Abstract:


Purpose: This study aims to assess the clinical and radiographic outcomes and success rate of partial (Cvek) pulpotomies performed on permanent molars on children ages 7-14 at NYU Langone–Brooklyn Hospital and its affiliated clinics over a one-year period.



Methods: A retrospective chart review was conducted of patients who received partial pulpotomy treatment on permanent teeth between August 2024 and October 2025 at NYU Langone –Brooklyn. Patient charts were reviewed for patient demographics (age), tooth type, pre-operative pulpal diagnosis, clinical signs and symptoms, pulp capping material used, type of definitive restoration, and follow-up duration. Clinical outcomes were evaluated based on reported symptoms and clinical signs, such as swelling, sinus tract, abnormal mobility, or need for further endodontic treatment. Radiographic outcomes were evaluated for root and conitnued apex development or evidence of periapical or furcal pathology. Treatment success was defined as no need for further endodontic intervention or extraction and absence of clinical or radiographic signs of failure at the most recent follow-up.



Results: From 32 charts that fit inclusion criteria, the success rate of partial pulpotomies was 75%. From the 8 failures, 1 was treated with apexification and 7 teeth were treated with root canal treatment. No extractions were reports from the included charts. 91% of teeth restored with composite as the definitive restoration were deemed as a success at the most recent follow-up vs. 75% of teeth restored with RMGI as the final restoration were deemed successful at the most recent follow-up.



Conclusions: Vital Pulp Therapy has emerged as a crucial technique to maintain pulpal vitality and to allow continued
apexogenesis in young, immature permanent teeth. The current guidelines for vital pulp therapy states for teeth
with deep carious lesions approaching the pulp and diagnosed with NP/RP there is no difference in success
between IPC, DPC, PP, or FP in success rates. This may suggest that less invasive pulpal treatment can also be
effective in management of deep caries. Further chart reviews should assess the success rates of indirect pulp
treatment to verify its effectiveness. .

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