Short‐Term Pain Evolution and Treatment Success of Pulpotomy as Irreversible Pulpitis Permanent Treatment: A Non‐Randomized Clinical Study

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Abstract

The objective of this work was to evaluate (1) the short‐term evolution of pain and (2) the treatment success of full pulpotomy as permanent treatment of irreversible pulpitis in mature molars. The study consisted of a non‐randomized comparison between a test group (n = 44)—full pulpotomy performed by non‐specialist junior practitioners, and a control group (n = 40)—root canal treatments performed by specialized endodontists. Short‐term pain score (Heft–Parker scale) was recorded pre‐operatively, then at 24 hours and 7 days post‐operatively. Three outcomes were considered for treatment success: radiographic, clinical and global success. For short‐term evolution of pain, a non‐parametric Wilcoxon test was performed (significance level = 0.05). For treatment success, a Pearson Chi square or Fisher test were performed (significance level = 0.017–Bonferroni correction). There was no significant difference between test and control groups neither regarding short term evolution of pain at each time point, nor regarding clinical (80% and 90%, respectively) or global success (77% and 67%, respectively). However, a significant difference in radiographic success was observed (94% and 69%, respectively). The present work adds to the existing literature to support that pulpotomy as permanent treatment could be considered as an acceptable and conservative treatment option, potentially applied by a larger population of dentists.

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Beauquis, J., Setbon, H. M., Dassargues, C., Carsin, P., Aryanpour, S., Van Nieuwenhuysen, J. P., & Leprince, J. G. (2022). Short‐Term Pain Evolution and Treatment Success of Pulpotomy as Irreversible Pulpitis Permanent Treatment: A Non‐Randomized Clinical Study. Journal of Clinical Medicine, 11(3). https://doi.org/10.3390/jcm11030787

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