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

Beauquis, Julien;Setbon, Hugo;Dassargues, Charles;Carsin, Pierre;Leprince, Julian;et.al.
(2022) Journal of Clinical Medicine — Vol. 11, n° 3, p. 787 [1-14] (2022)

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Authors
  • Author
  • Setbon, HugoUCLouvain
    Author
  • Dassargues, CharlesUCLouvain
    Author
  • Carsin, PierreUCLouvain
    Author
  • Aryanpour, SamUCLouvain
    Author
  • Van Nieuwenhuysen, Jean-PierreUCLouvain
    Author
  • Leprince, Julianorcid-logoUCLouvain
    Author
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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 ( = 44)-full pulpotomy performed by non-specialist junior practitioners, and a control group ( = 40)-root canal treatments performed by specialized endodontists. Short-term pain score (Heft-Parker scale) was recorded pre-operatively, then at 24 h and 7 days post-operatively. Three outcomes were considered for treatment success: , and 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 and control groups neither regarding short term evolution of pain at each time point, nor regarding (80% and 90%, respectively) or success (77% and 67%, respectively). However, a significant difference in 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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Citations

Beauquis, J., Setbon, H., Dassargues, C., Carsin, P., Aryanpour, S., Van Nieuwenhuysen, J.-P., & Leprince, J. (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), 787 [1-14]. https://doi.org/10.3390/jcm11030787 (Original work published 2022)