Success of an alternative for interim management of irreversible pulpitis

Roger A McDougal; E Olutayo Delano; Dan Caplan; Asgeir Sigurdsson; Martin Trope

doi:10.14219/jada.archive.2004.0123

Back

Success of an alternative for interim management of irreversible pulpitis

Journal article

Peer reviewed

Success of an alternative for interim management of irreversible pulpitis

Roger A McDougal, E Olutayo Delano, Dan Caplan, Asgeir Sigurdsson and Martin Trope

The Journal of the American Dental Association (1939), Vol.135(12), pp.1707-1712

12/2004

DOI: 10.14219/jada.archive.2004.0123

PMID: 15646604

View Online

Abstract

Extraction and endodontic therapy are treatment options for irreversible pulpitis. Extraction often is chosen for financial reasons. The authors conducted a study to investigate an alternative interim therapy. The authors recruited patients (N = 73) with irreversible pulpitis and whose teeth were restorable but who opted for extraction owing to financial reasons. After undergoing pulpotomy, the teeth were restored by random assignment with one of two intermediate restorative materials: Caulk IRM (Dentsply Caulk, Milford, Del.) (Group I, n = 38) or an IRM base with glass ionomer core (Fuji IX GP, GC America, Alsip, Ill.) (Group II, n = 35). The authors monitored the teeth over six and 12 months for pain, integrity of restoration and radiographic periapical status by densitometric analysis. By six months, 10 percent of subjects remaining in the study (Group I, n = 27; Group II, n = 25) reported pain; by 12 months, 22 percent (Group I, n = 22; Group II, n = 18) reported pain. A two-tailed Fisher exact test showed no significant difference (P > or = .05) between groups at either time interval. No apical radiographic change was noted in 49 percent of teeth at six months (Group I, n = 18; Group II, n = 19) and 42 percent at 12 months (Group I, n = 16; Group II, n = 15). Chi2 analysis demonstrated no significant differences (P > or = .05) between groups. Seven of 22 restorations in Group I and four of 18 in Group II required repair at 12 months with no statistical difference (chi2 analysis, P > or = .05). The interim treatment of eugenol pulpotomy using either restorative material reliably prevented pain for six months. For longer periods, both restorations may require repair. This option should preserve the integrity of the arch and extend the use of the tooth while the patient finds the means to finance complete endodontic treatment.

Follow-Up Studies

Humans

Middle Aged

Dental Pulp Capping

Treatment Outcome

Root Canal Filling Materials - therapeutic use

Absorptiometry, Photon

Pulpitis - therapy

Pulpotomy

Image Processing, Computer-Assisted

Adolescent

Adult

Methylmethacrylates - therapeutic use

Aged

Glass Ionomer Cements - therapeutic use

Dental Leakage - classification

Dental Restoration, Temporary

Pain Measurement

Zinc Oxide-Eugenol Cement - therapeutic use

Periapical Tissue - diagnostic imaging

Details

Title: Subtitle: Success of an alternative for interim management of irreversible pulpitis
Creators: Roger A McDougal - Department of Endodontics, University of North Carolina at Chapel Hill School of Dentistry, USA
E Olutayo Delano
Dan Caplan
Asgeir Sigurdsson
Martin Trope
Resource Type: Journal article
Publication Details: The Journal of the American Dental Association (1939), Vol.135(12), pp.1707-1712
DOI: 10.14219/jada.archive.2004.0123
PMID: 15646604
NLM abbreviation: J Am Dent Assoc
ISSN: 0002-8177
eISSN: 1943-4723
Publisher: American Dental Association; England
Language: English
Date published: 12/2004
Academic Unit: Preventive and Community Dentistry
Record Identifier: 9983917663102771

Metrics

18 Record Views

34 Times Cited - Web of Science