Assessment of alternative emergency treatments for symptomatic irreversible pulpitis: a randomized clinical trial

Abstract

As emergency treatments for teeth having signs of irreversible pulpitis, pulpotomy, partial pulpectomy and total pulpectomy were comparable with respect to relieving clinical symptoms. Pulpotomy may be preferred because it requires significantly less time and is a simple technique that relieves symptoms quickly and effectively.

Analysis of survival and factors associated with failure of primary tooth pulpectomies performed under general anaesthesia in children from South China

“…The survival curve turned steeper abruptly from the third year of follow‐up. The probability of recovery decreased to 30% from the fourth year of follow‐up, which is lower than that in other studies . Notably, the material used for canal filling in our cases was ‘Vitapex’, which is widely used in pulpectomy and contains 30.3% calcium hydroxide, 40.4% iodoform, 27.4% silicone oil, and 6.9% inert matter.…”

“…The probability of recovery decreased to 30% from the fourth year of follow-up, which is lower than that in other studies. [7][8][9] Notably, the material used for canal filling in our cases was 'Vitapex', which is widely used in pulpectomy and contains 30.3% calcium hydroxide, 40.4% iodoform, 27.4% silicone oil, and 6.9% inert matter. Owing to the high solubility of calcium hydroxide, the reaction time is shorter, but strength of chelation is slightly lower, leading to more rapid degradation.…”

“…Although most randomised clinical trials have reported satisfactory success rates for primary tooth pulpectomy, these studies included procedures performed without sedation or general anaesthesia. Thus, the results may have been influenced by the cooperation and compliance of the patients.…”

“…4,5 The main goal of this endodontic intervention is to recover the function of the affected tooth by treating or preserving the integrity of the periapical tissue and to prevent subsequent reinfection by eliminating microorganisms from root canals. 6 Although most randomised clinical trials have reported satisfactory success rates for primary tooth pulpectomy, [7][8][9] these studies included procedures performed without sedation or general anaesthesia. Thus, the results may have been influenced by the cooperation and compliance of the patients.…”

Genetic and Epigenetic Characterization of Pulpal and Periapical Inflammation

“…Traditionally, carious pulp exposure was deemed a sign of irreversible pulp pathosis, regardless of symptoms. However, in the last decade, vital pulp therapy procedures have gained considerable popularity, with the realization that a carious pulp exposure does not automatically denote irreversible pulpitis (Bogen et al, 2008), that the pain from symptomatic pulpitis can be effectively managed with pulpotomy procedures (Eren et al, 2017;Galani et al, 2017), and that tricalcium silicates are effective materials for preserving the long-term vitality of the pulp (Schwendicke et al, 2016;Elmsmari et al, 2019;Li et al, 2019).…”