RESTORATIVE STRATEGIES FOLLOWING VITAL PULP THERAPY: DOES THE CORONAL RESTORATION DETERMINE SUCCESS?

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Güney E. N.

10TH INTERNATIONAL CONGRESS ON CURRENT APPROACHES IN MEDICINE, NURSING, MIDWIFERY, AND HEALTH SCIENCES, İzmir, Türkiye, 16 - 18 Eylül 2026, ss.848, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Doi Numarası: 10.30546/19023.978-9952-610-90-1.2026.100.1147
  • Basıldığı Şehir: İzmir
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.848
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

Background and aim: Vital pulp therapy (VPT) aims to preserve pulp vitality, but long-term success may also depend on the definitive coronal restoration. This scoping review mapped randomized clinical evidence on coronal restorative strategies used with VPT, with emphasis on restoration performance and its relationship with VPT success. Methods: The final searches of PubMed/MEDLINE, Scopus, and the Web of Science Core Collection were completed on 1 August 2026. Randomized controlled clinical trials involving primary or permanent teeth treated with VPT and reporting at least one coronal restoration-related clinical outcome were included. The review followed the PRISMA Extension for Scoping Reviews, and findings were synthesized descriptively. Results: Thirteen randomized clinical studies met the eligibility criteria. Restorative approaches included stainless steel crowns, glass-ionomer-based restorations, composite resin, Cention-N, amalgam, modified open-sandwich restorations, 3D-printed resin crowns, zirconia crowns, and lithium-disilicate endocrowns. Stainless steel crowns showed favorable restorative performance in several primary molar studies, and some trials reported higher treatment survival or pulpotomy success than with glass ionomer or amalgam. Other studies found no significant differences in VPT success between restorative strategies. In several trials, restoration deterioration did not correspond with biological VPT failure, or this relationship was not directly analyzed. Conclusion: Coronal restoration is an important component of VPT, but restorative performance and biological VPT success are distinct outcomes. Current evidence does not support a universally superior restorative strategy after VPT. Future trials should evaluate both outcomes separately using standardized criteria and longer follow-up.