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

• Published in: Journal of clinical medicine 2022-01, Vol.11 (3), p.787
• Main Authors: Beauquis, Julien, Setbon, Hugo M, Dassargues, Charles, Carsin, Pierre, Aryanpour, Sam, Van Nieuwenhuysen, Jean-Pierre, Leprince, Julian G
• Format: Article
• Language: English
• Subjects: Clinical medicine; Compliance; Design; Endodontics; Pain; Patients; Success; Teeth
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm11030787

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.