Beauquis Julien, Setbon Hugo M, Dassargues Charles, Carsin Pierre, Aryanpour Sam, Van Nieuwenhuysen Jean-Pierre, Leprince Julian G
Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium.
DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium.
J Clin Med. 2022 Jan 31;11(3):787. 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.
（1）疼痛的短期演变情况；（2）在成熟磨牙中，作为不可逆性牙髓炎的永久性治疗方法，完全牙髓切断术的治疗成功率。该研究包括一个试验组（n = 44，由非专科初级从业者进行完全牙髓切断术）和一个对照组（n = 40，由专科牙髓病医生进行根管治疗）之间的非随机比较。术前、术后24小时和7天记录短期疼痛评分（Heft-Parker量表）。治疗成功考虑三个结果：A、B和C成功。对于疼痛的短期演变，进行非参数Wilcoxon检验（显著性水平 = 0.05）。对于治疗成功，进行Pearson卡方检验或Fisher检验（显著性水平 = 0.017 - Bonferroni校正）。试验组和对照组在每个时间点的疼痛短期演变、A成功（分别为80%和90%）或B成功（分别为77%和67%）方面均无显著差异。然而，在C成功方面观察到显著差异（分别为94%和69%）。本研究补充了现有文献，以支持牙髓切断术作为永久性治疗方法可被视为一种可接受的保守治疗选择，可能被更多的牙医应用。
