The effect of pulpotomy using a calcium-enriched mixture cement versus one-visit root canal therapy on postoperative pain relief in irreversible pulpitis: a randomized clinical trial.

Odontology
Saeed Asgary, Mohammad Jafar Eghbal

Abstract

The purpose of this noninferiority trial was to compare postoperative pain relief after one-visit root canal therapy (ORCT) with a pulpotomy performed with a new endodontic calcium-enriched mixture cement (PCEM) in human permanent molars with irreversible pulpitis. A total of 407 selected patients were randomly allocated into the ORCT group (n = 202) or the PCEM group (n = 205). Numerical Rating Scale questionnaires were used to record pain intensity (PI) by the patients during the first 7 days after treatment. While there was no statistically significant difference in the mean PI at baseline between the two study groups (P = 0.45), changes in mean PI were significantly different between them (P < 0.001). In the ORCT group, pain relief was achieved after 36 h [95% confidence interval (CI), 27.00-45.00], compared to 18 h in the PCEM group (95% CI, 15.00-21.00), a significant difference (P < 0.01). Comparison of the mean PI sum recorded over 7 days showed that patients in the ORCT group experienced significantly more pain than those in the PCEM group (P < 0.001); a similar difference was observed for pain in response to percussion tests (P < 0.001). Treatment with PCEM thus had the better pain-reducing effects than ORCT in irreve...Continue Reading

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Citations

Jun 1, 2013·Medicina oral, patología oral y cirugía bucal·Mohammad-Ali SaghiriKaveh Khezri-Boukani
Dec 6, 2011·Medical Hypotheses·Saeed Asgary, Maryam Ahmadyar
Jul 26, 2012·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Mohammad A MozayeniSaeed Asgary
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Dec 28, 2019·Journal of Oral Rehabilitation·Sayna ShamszadehSaeed Asgary
Jul 18, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Mohammad Jafar EghbalSaeed Asgary

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