The success rates of pulpotomy in mature permanent teeth with irreversible pulpitis have garnered significant interest in recent dental research. This study aims to evaluate the outcomes of pulpotomy over various follow-up periods, focusing particularly on one-year results and extending to long-term follow-ups beyond five years. A comprehensive review of clinical studies and systematic reviews reveals that pulpotomy achieves favourable outcomes, with success rates remaining high at both the one-year mark and beyond. However, the durability of these outcomes is influenced by several critical factors. Chief among these is the integrity of the coronal restoration, as microleakage due to defective restorations is a primary cause of treatment failure. The application of bioactive materials for adequate sealing and meticulous coronal restoration plays a pivotal role in the success of vital pulp therapy. This review underscores the need for high-quality randomized controlled trials to further substantiate the long-term efficacy of pulpotomy and to optimize treatment protocols for mature permanent teeth with irreversible pulpitis.
Keywords: Irreversible pulpitis, Pulpotomy, Pulpotomy agents, Success rate, Vital pulp therapy
