PRE-OPERATIVE PAIN: A NOVEL INDICATOR TO GOVERN THE CHOICE OF PULPOTOMY AGENT IN PRIMARY TEETH. A RETROSPECTIVE STUDY
The aim of the study is to evaluate whether the presence of pre-operative pain affects the success of pulpotomy in primary teeth and whether either Formocresol (FC) or Mineral Trioxide Aggregate (MTA) performs better in patients with positive history of pain. 120 cases were selected for the study, 6...
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| description | The aim of the study is to evaluate whether the presence of pre-operative pain affects the success of pulpotomy in primary teeth and whether either Formocresol (FC) or Mineral Trioxide Aggregate (MTA) performs better in patients with positive history of pain. 120 cases were selected for the study, 60 with and 60 without history of pre-operative pain associated with the pulpotomized tooth, further sub-divided into FC and MTA groups, 30 cases each. Sample size was calculated to be 29, with 95% confidence level and 5% margin of error, taking the success of formocresol pulpotomy as 98.1% [15], so that a sample size of 30 cases for each group was considered. 120 cases were included, 60 with positive history of pre-operative pain and 60 without any history of pre-operative pain. Uni-variant analysis was done to compare the clinical and radiographic outcomes of both agents in the respective groups, a p-value |
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A RETROSPECTIVE STUDY</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Babar, Palwasha</creator><creatorcontrib>Babar, Palwasha</creatorcontrib><description>The aim of the study is to evaluate whether the presence of pre-operative pain affects the success of pulpotomy in primary teeth and whether either Formocresol (FC) or Mineral Trioxide Aggregate (MTA) performs better in patients with positive history of pain. 120 cases were selected for the study, 60 with and 60 without history of pre-operative pain associated with the pulpotomized tooth, further sub-divided into FC and MTA groups, 30 cases each. Sample size was calculated to be 29, with 95% confidence level and 5% margin of error, taking the success of formocresol pulpotomy as 98.1% [15], so that a sample size of 30 cases for each group was considered. 120 cases were included, 60 with positive history of pre-operative pain and 60 without any history of pre-operative pain. Uni-variant analysis was done to compare the clinical and radiographic outcomes of both agents in the respective groups, a p-value <0.05 being considered significant. 3.RESULTS The age of the patients included in the study was 4-8 years, with a mean of 5,9 years (SD+1,18), The overall success rate of the pulpotomized teeth at the end of one year was 78,3% clinically and 65% radiographically, The results showed a positive association between pre-operative (pre-op) pain and clinical and radiographic success at the end of 12 months, The clinical success rate of pulpotomy in teeth without pre-op pain was 86,7% (n=52), and 70% (n=42) in those with positive history of pre-op pain with a p-value of 0,117, which is statistically not significant. Root resorption was associated with 20% (n=12/60) teeth without pre-op pain, being observed in 36,7% (n=22/ 60) teeth with positive history of pre-op pain, It was noted that 53,3% (n=16/30) of the teeth with pre-op pain treated with FC showed root resorption, but in only 20% (n=6/30) of the teeth treated with MTA, The calculated p-value was 0,058, which was marginally statistically significant. 4.DISCUSSION One of the main goals in pediatric dentistry is to retain the primary teeth in the mouth until they exfoliate in their due time [1], Over the years, researchers have tried to search for an ideal pulpotomy agent capable of healing residual pulp [16], MTA has revolutionized modern endodontics with its regenerative properties, Multiple clinical trials have proven its success over FC, which was considered a gold-standard agent for pulpotomy in primary molars [17], meeting all requirements of an ideal pulpotomy agent, Among the many factors reported in literature regarding the failure of pulpotomy in primary teeth, the main are undiagnosed inflammation of the radicular pulp, lack of isolation and incomplete removal of the coronal pulp [18], One of the most significant factors leading to failure is the incorrect diagnosis of inflamed radicular pulp [19].</description><identifier>ISSN: 2066-6063</identifier><identifier>EISSN: 2392-8018</identifier><language>eng</language><publisher>Iasi: Apollonia University of Iasi, Medical Dentistry Faculty</publisher><subject>Clinical trials ; Dental pulp ; Dentistry ; Inflammation ; Molars ; Pain ; Patients ; Pediatrics ; Root resorption ; Statistical analysis ; Success ; Teeth</subject><ispartof>International journal of medical dentistry, 2023-04, Vol.27 (2), p.263-267</ispartof><rights>2023. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Babar, Palwasha</creatorcontrib><title>PRE-OPERATIVE PAIN: A NOVEL INDICATOR TO GOVERN THE CHOICE OF PULPOTOMY AGENT IN PRIMARY TEETH. A RETROSPECTIVE STUDY</title><title>International journal of medical dentistry</title><description>The aim of the study is to evaluate whether the presence of pre-operative pain affects the success of pulpotomy in primary teeth and whether either Formocresol (FC) or Mineral Trioxide Aggregate (MTA) performs better in patients with positive history of pain. 120 cases were selected for the study, 60 with and 60 without history of pre-operative pain associated with the pulpotomized tooth, further sub-divided into FC and MTA groups, 30 cases each. Sample size was calculated to be 29, with 95% confidence level and 5% margin of error, taking the success of formocresol pulpotomy as 98.1% [15], so that a sample size of 30 cases for each group was considered. 120 cases were included, 60 with positive history of pre-operative pain and 60 without any history of pre-operative pain. Uni-variant analysis was done to compare the clinical and radiographic outcomes of both agents in the respective groups, a p-value <0.05 being considered significant. 3.RESULTS The age of the patients included in the study was 4-8 years, with a mean of 5,9 years (SD+1,18), The overall success rate of the pulpotomized teeth at the end of one year was 78,3% clinically and 65% radiographically, The results showed a positive association between pre-operative (pre-op) pain and clinical and radiographic success at the end of 12 months, The clinical success rate of pulpotomy in teeth without pre-op pain was 86,7% (n=52), and 70% (n=42) in those with positive history of pre-op pain with a p-value of 0,117, which is statistically not significant. Root resorption was associated with 20% (n=12/60) teeth without pre-op pain, being observed in 36,7% (n=22/ 60) teeth with positive history of pre-op pain, It was noted that 53,3% (n=16/30) of the teeth with pre-op pain treated with FC showed root resorption, but in only 20% (n=6/30) of the teeth treated with MTA, The calculated p-value was 0,058, which was marginally statistically significant. 4.DISCUSSION One of the main goals in pediatric dentistry is to retain the primary teeth in the mouth until they exfoliate in their due time [1], Over the years, researchers have tried to search for an ideal pulpotomy agent capable of healing residual pulp [16], MTA has revolutionized modern endodontics with its regenerative properties, Multiple clinical trials have proven its success over FC, which was considered a gold-standard agent for pulpotomy in primary molars [17], meeting all requirements of an ideal pulpotomy agent, Among the many factors reported in literature regarding the failure of pulpotomy in primary teeth, the main are undiagnosed inflammation of the radicular pulp, lack of isolation and incomplete removal of the coronal pulp [18], One of the most significant factors leading to failure is the incorrect diagnosis of inflamed radicular pulp [19].</description><subject>Clinical trials</subject><subject>Dental pulp</subject><subject>Dentistry</subject><subject>Inflammation</subject><subject>Molars</subject><subject>Pain</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Root resorption</subject><subject>Statistical analysis</subject><subject>Success</subject><subject>Teeth</subject><issn>2066-6063</issn><issn>2392-8018</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqNTcuKAjEQDLKCsvoPDZ5Hkpkhjt5CbJ2ApkNshTmJBz2I-Brn_zcs-wFblyqquqt6YpgX8zyrpKq-kpZaZ1rqYiDGbXuVCfNSFUoNRRciZhQwGnYHhGCcX4ABTwfcgPNLZw1TBCZYJyt64BrB1uQsAq0g7DeBmLYNmDV6Th8Qotua2AAjcj1NXRE50i6g_V3Y8X7ZjET_crq15_Eff4vJCtnW2fP9eHXn9nO8Prr3PUXHvCqVKqXUs-J_Vz9D9ULA</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Babar, Palwasha</creator><general>Apollonia University of Iasi, Medical Dentistry Faculty</general><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20230401</creationdate><title>PRE-OPERATIVE PAIN: A NOVEL INDICATOR TO GOVERN THE CHOICE OF PULPOTOMY AGENT IN PRIMARY TEETH. A RETROSPECTIVE STUDY</title><author>Babar, Palwasha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_28411400673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical trials</topic><topic>Dental pulp</topic><topic>Dentistry</topic><topic>Inflammation</topic><topic>Molars</topic><topic>Pain</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Root resorption</topic><topic>Statistical analysis</topic><topic>Success</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Babar, Palwasha</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>International journal of medical dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Babar, Palwasha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PRE-OPERATIVE PAIN: A NOVEL INDICATOR TO GOVERN THE CHOICE OF PULPOTOMY AGENT IN PRIMARY TEETH. A RETROSPECTIVE STUDY</atitle><jtitle>International journal of medical dentistry</jtitle><date>2023-04-01</date><risdate>2023</risdate><volume>27</volume><issue>2</issue><spage>263</spage><epage>267</epage><pages>263-267</pages><issn>2066-6063</issn><eissn>2392-8018</eissn><abstract>The aim of the study is to evaluate whether the presence of pre-operative pain affects the success of pulpotomy in primary teeth and whether either Formocresol (FC) or Mineral Trioxide Aggregate (MTA) performs better in patients with positive history of pain. 120 cases were selected for the study, 60 with and 60 without history of pre-operative pain associated with the pulpotomized tooth, further sub-divided into FC and MTA groups, 30 cases each. Sample size was calculated to be 29, with 95% confidence level and 5% margin of error, taking the success of formocresol pulpotomy as 98.1% [15], so that a sample size of 30 cases for each group was considered. 120 cases were included, 60 with positive history of pre-operative pain and 60 without any history of pre-operative pain. Uni-variant analysis was done to compare the clinical and radiographic outcomes of both agents in the respective groups, a p-value <0.05 being considered significant. 3.RESULTS The age of the patients included in the study was 4-8 years, with a mean of 5,9 years (SD+1,18), The overall success rate of the pulpotomized teeth at the end of one year was 78,3% clinically and 65% radiographically, The results showed a positive association between pre-operative (pre-op) pain and clinical and radiographic success at the end of 12 months, The clinical success rate of pulpotomy in teeth without pre-op pain was 86,7% (n=52), and 70% (n=42) in those with positive history of pre-op pain with a p-value of 0,117, which is statistically not significant. Root resorption was associated with 20% (n=12/60) teeth without pre-op pain, being observed in 36,7% (n=22/ 60) teeth with positive history of pre-op pain, It was noted that 53,3% (n=16/30) of the teeth with pre-op pain treated with FC showed root resorption, but in only 20% (n=6/30) of the teeth treated with MTA, The calculated p-value was 0,058, which was marginally statistically significant. 4.DISCUSSION One of the main goals in pediatric dentistry is to retain the primary teeth in the mouth until they exfoliate in their due time [1], Over the years, researchers have tried to search for an ideal pulpotomy agent capable of healing residual pulp [16], MTA has revolutionized modern endodontics with its regenerative properties, Multiple clinical trials have proven its success over FC, which was considered a gold-standard agent for pulpotomy in primary molars [17], meeting all requirements of an ideal pulpotomy agent, Among the many factors reported in literature regarding the failure of pulpotomy in primary teeth, the main are undiagnosed inflammation of the radicular pulp, lack of isolation and incomplete removal of the coronal pulp [18], One of the most significant factors leading to failure is the incorrect diagnosis of inflamed radicular pulp [19].</abstract><cop>Iasi</cop><pub>Apollonia University of Iasi, Medical Dentistry Faculty</pub><oa>free_for_read</oa></addata></record> |
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| subjects | Clinical trials Dental pulp Dentistry Inflammation Molars Pain Patients Pediatrics Root resorption Statistical analysis Success Teeth |
| title | PRE-OPERATIVE PAIN: A NOVEL INDICATOR TO GOVERN THE CHOICE OF PULPOTOMY AGENT IN PRIMARY TEETH. A RETROSPECTIVE STUDY |
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