Pulpectomy – studies on outcome

Abstract

This review is about treatment measures, which may impact outcome of the pulpectomy procedure in endodontic therapy. Clinical trials, conducted over the years, formed the basis for the analysis. While hardly any of the studies reviewed satisfied modern high demands on a controlled desing, reports infer that pulpectomy may be carried out at a very high success provided wound infection is prevented. Under this proviso the management and the level of the apical wound as well as the number of appointments to complete the treatment do not seem to play decisive roles. No scientific basis exists in the literature to support the notion that apical foramen should be pierced and root canals be overfilled for a successful outcome.