الفهرس | Only 14 pages are availabe for public view |
Abstract Aim: The purpose of this randomized study was to compare local anesthetic success, Pain intensity after 1st visit, post-obturation pain at 12, 24, 48,72 hours and number of analgesics taken by the patient during pulp extirpation versus emergency pulpotomy in endodontic treatment of mandibular molars teeth with symptomatic irreversible pulpitis. Methods: Seventy-eight patients with mandibular molar having vital pulps with symptomatic irreversible pulpitis were included in the study. After confirming the diagnosis clinically and radiographically, patients were randomly assigned into two groups (n=39) for each group. The control group treated by complete pulp extirpation and the intervention group treated by emergency pulpotomy. Every patient received 4% artiacine as inferior alveolar nerve block (IANB). Endodontic access was initiated after 10 minutes of anesthesia, lip numbness and electric pulp tester (EPT) reading. Pain during endodontic access cavity preparation for both groups and during pulp extirpation or pulpotomy according to each group was recorded by verbal rating scale (VRS). When patients needed, they received buccal infiltration or intraligamentary or intra-pulpal anesthesia of the same anesthetic solution as supplemental. Data were collected through verbal rating scales (VRS) during the intervention to assess the anesthetic success, pain intensity at 12, 24,48,72 hours and the number of analgesics taken. The second visit was scheduled after one week to complete the treatment for both groups, the post obturation pain was recorded at 12, 24,48 and 72 hours. All the data were collected and tabulated. Statistical analysis was performed by mean, standard deviation for each group, Kolmogorov-Smirnov, Shapiro- Wilk tests, Independent-sample t-test, Mann Whitney test. and the significance level was set to (P≤0.05). Results: There was no statistically significant difference between pulp extirpation group and pulpotomy group (p=0.795) in success of pain control during access cavity preparation and during |