A comparison of pulpectomy alone versus pulpectomy with trephination for the relief of pain

Journal of Endodontics
H L MoosJ O Roahen

Abstract

Patients who when initially seen have pain of endodontic origin have a higher incidence of posttreatment pain than those who are pain-free pretreatment. The purpose of this study was to compare two methods of treatment--pulpectomy alone or pulpectomy with trephination--for the reduction of posttreatment pain in patients presenting with acute periradicular pain of pulpal origin. Seventeen patients with pretreatment pain were studied. Eleven received a pulpectomy to the radiographically determined working length. Six patients received a pulpectomy and trephination using a #4 round bur through a vertical incision. Visual analog scales were used preoperatively to measure pain intensity and unpleasantness, and postoperatively to measure intensity, unpleasantness, and pain relief at 4, 8, 16, 24, 48, 72, and 96 h. Analysis of preoperative data showed no difference between control and experimental groups. Posttreatment, at 4 h, the trephination group reported significantly more pain intensity and unpleasantness and less pain relief than the control group. Pulpectomy alone provided significantly better postoperative pain relief at 4 h compared with pulpectomy with trephination. At no time interval did the trephination group have less p...Continue Reading

References

Jun 1, 1976·Pain·J Scott, E C Huskisson
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Citations

Jun 12, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Pia López-JornetAscensión Martinez-Canovas
Dec 14, 2007·The British Journal of Oral & Maxillofacial Surgery·Fabio Camacho-Alonso, Pía Lopez-Jornet
Oct 12, 2000·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·V HouckJ Weaver
Jan 26, 2008·International Endodontic Journal·E KostiT Lambrianidis
Nov 19, 2013·Journal of Endodontics·Amir AzarpazhoohShimon Friedman
Dec 14, 2007·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Ernest H EhrmannRobert M Clark
Dec 28, 2019·Journal of Oral Rehabilitation·Sayna ShamszadehSaeed Asgary
Mar 1, 2005·Journal of Endodontics·Mahmoud TorabinejadKhaled Bahjri

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