Fudan University Journal of Medical Sciences

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Clinical efficacy observation of vital pulp therapy for mature permanent teeth with carious irreversible pulpitis

Zhi-ming QIN, Jia-yang LI, Hua-xing XU, Zhi-fei MA, Xiao-ling WEI

Fudan University Journal of Medical Sciences, 2025, 52(02): 263-269. DOI: 10.3969/j.issn.1672-8467.2025.02.013

Fig 1 Examples of VPT procedures A: Complete removal of carious tissues; B: Extirpation of the infected dental pulp; C: Gentle pressure for hemostasis using a sodium hypochlorite-soaked cotton ball; D: Coverage of the pulp stump with iROOT BP Plus; E: Adhesive restoration with composite resin.

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Fig 2 Consort flowchart of patients throughout the trial VPT: Vital pulp therapy; RCT: Root canal treatment.
Tab 1 Patient clinical data [n(%) or $\bar x \pm s$]
Fig 3 Pain intensity in VPT and RCT groups ⁽¹⁾P < 0.01, ⁽²⁾P < 0.001, ns: No significance.
Fig 4 Preoperative and postoperative X-rays of case 1 A: Preoperative X-ray showed a high-density shadow of filling material on 26 occlusal and distal surface; B: Postoperative X-ray at 1 month; C: Postoperative X-ray at 6 month; D: Postoperative X-ray at 1 year.
Fig 5 Preoperative and postoperative X-rays of case 2 A: Preoperative X-ray showed a low-density shadow of filling material on 47 occlusal and distal surface; B: Postoperative X-ray at 1 month; C: Postoperative X-ray at 6 month; D: Postoperative X-ray at 1 year.

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