TY - JOUR
A2 - Kasai, Shinya
AU - Eghbal, Mohammad Jafar
AU - Haeri, Ali
AU - Shahravan, Arash
AU - Kazemi, Ali
AU - Moazami, Fariborz
AU - Mozayeni, Mohammad Ali
AU - Saberi, Eshaghali
AU - Samiei, Mohammad
AU - Vatanpour, Mehdi
AU - Akbarzade Baghban, Alireza
AU - Fazlyab, Mahta
AU - Parhizkar, Ardavan
AU - Ahmadi, Mahboobe
AU - Akbarian Rad, Nazila
AU - Bijari, Shima
AU - Bineshmarvasti, Delaram
AU - Davoudi, Paria
AU - Dehghan, Roya
AU - Dehghani, Mandana
AU - Ebrahimi, Habibollah
AU - Emami, Nafiseh
AU - Farajian, Nafiseh
AU - Fereidooni, Rahim
AU - Ghobadi, Gelareh
AU - Ghodrati, Mostafa
AU - Gohari, Atefeh
AU - Hashemi, Azadeh
AU - Hosseini, Mohammadreza
AU - Karami, Elham
AU - Kheirabadi, Nasir
AU - Kozegari, Sepideh
AU - Labaf Ghasemi, Hadi
AU - Majidi, Alireza
AU - Malekzadeh, Parastu
AU - Mehrabi, Vahid
AU - Mohammadi, Mehrnush
AU - Moradi Eslami, Leila
AU - Noghani, Atefeh
AU - Omatali, Negin
AU - Pourhatami, Negar
AU - Rahbani Nobar, Behnam
AU - Rahmani, Saeid
AU - Shafaq, Parviz
AU - Soofiabadi, Sara
AU - Teimoori, Somaye
AU - Vatandoost, Farzaneh
AU - Asgary, Saeed
PY - 2020
DA - 2020/06/30
TI - Postendodontic Pain after Pulpotomy or Root Canal Treatment in Mature Teeth with Carious Pulp Exposure: A Multicenter Randomized Controlled Trial
SP - 5853412
VL - 2020
AB - This equivalence, randomized, clinical trial aimed to compare the postoperative pain of root canal therapy (RCT) with pulpotomy with mineral trioxide aggregate (PMTA) or calcium-enriched mixture (PCEM) in permanent mature teeth. In seven academic centers, 550 cariously exposed pulps were included and randomly allocated into PMTA (n = 188), PCEM (n = 194), or RCT (n = 168) arms. Preoperative “Pain Intensity” (PI) on Numerical Rating Scale and postoperative PIs until day 7 were recorded. Patients’ demographic and pre-/intra-/postoperative factors/conditions were recorded/analysed. The arms were homogeneous in terms of demographics. The mean preoperative PIs were similar (P=0.998), the mean sum PIs recorded during 10 postoperative intervals were comparable (P=0.939), and the trend/changes in pain relief were parallel (P=0.821) in all study arms. The incidences of preoperative moderate-severe pain in RCT, PMTA, and PCEM arms were 56.5%, 55.7%, and 56.7%, which after 24 hours considerably decreased to 13.1%, 10.6%, and 12.9%, respectively (P=0.578). The time span of endodontic procedures was statistically different; RCT = 69.73, PMTA = 35.37, and PCEM = 33.62 minutes (P<0.001). Patients with greater preoperative pain, symptomatic apical periodontitis, or presence of PDL widening suffered more pain (P=0.002, 0.035, and 0.023, resp.); however, other pre-/intra-/postoperative factors/conditions were comparable. Pulpotomy with MTA/CEM and RCT demonstrate comparable and effective postoperative pain relief.
SN - 1203-6765
UR - https://doi.org/10.1155/2020/5853412
DO - 10.1155/2020/5853412
JF - Pain Research and Management
PB - Hindawi
KW -
ER -