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dc.contributor.authorBirgul, Eren
dc.contributor.authorOnay, Emel Olga
dc.contributor.authorUngor, Mete
dc.date.accessioned2019-05-12T15:39:36Z
dc.date.available2019-05-12T15:39:36Z
dc.date.issued2018
dc.identifier.issn0143-2885
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/pdf/10.1111/iej.12851
dc.identifier.urihttp://hdl.handle.net/11727/3269
dc.description.abstractAim To evaluate three emergency procedures for their ability to alleviate clinical symptoms associated with symptomatic teeth having signs of (at least) partial irreversible pulpitis. Methodology Sixty-six maxillary and mandibular molars were randomly assigned to a total pulpectomy group (TP; n = 22), partial pulpectomy group (PP; n = 22) or pulpotomy group (P; n = 22). Procedure durations were recorded. Patients answered a questionnaire on daily analgesic requirements and about clinical symptoms (pain intensity, chewing sensitivity and thermal sensitivity) after the anaesthetic effect had disappeared (Day 0) and on Days 1, 3 and 7 post-treatment. Results The total pulpectomy group was associated with the longest procedures (median, 24 min), followed by the partial pulpectomy and pulpotomy groups (P < 0.001 for all). In all three groups, pain intensity, thermal sensitivity and chewing sensitivity decreased significantly from the preoperative time-point to Day 7 (P < 0.001 for all). The total pulpectomy group reported greater reductions in pain intensity than the pulpotomy group between Days 0 and 7, Days 1 and 3, and Days 1 and 7 (P < 0.001 for all). No other intergroup differences were noted regarding reductions in pain intensity, and none were observed with respect to changes in prevalence of thermal sensitivity and chewing sensitivity. There were also no significant intergroup differences regarding the analgesic requirements throughout the 7days. Conclusion 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.en_US
dc.language.isoengen_US
dc.relation.isversionof10.1111/iej.12851en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency treatmenten_US
dc.subjectEndodonticsen_US
dc.subjectIrreversible pulpitisen_US
dc.subjectPainen_US
dc.subjectPulpotomyen_US
dc.subjectTreatment modalitiesen_US
dc.titleAssessment of alternative emergency treatments for symptomatic irreversible pulpitis: a randomized clinical trialen_US
dc.typearticleen_US
dc.relation.journalINTERNATIONAL ENDODONTIC JOURNALen_US
dc.identifier.volume51en_US
dc.identifier.startpageE227en_US
dc.identifier.endpageE237en_US
dc.identifier.wos000430389700007


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