A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services
Symptomatic irreversible pulpitis is a common dental disease for which root canal treatment (RCT) has been the standard treatment. However, in many countries, RCT is considered a high-cost treatment that is not covered by public healthcare services; this forces patients to have dental extraction as...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/12/2350 |
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| author | Roberto Gustavo Sánchez-Lara y Tajonar Jaime Vicente Vergara-Tinoco Till Dammaschke Rubén Abraham Domínguez-Pérez |
| author_facet | Roberto Gustavo Sánchez-Lara y Tajonar Jaime Vicente Vergara-Tinoco Till Dammaschke Rubén Abraham Domínguez-Pérez |
| author_sort | Roberto Gustavo Sánchez-Lara y Tajonar |
| collection | DOAJ |
| description | Symptomatic irreversible pulpitis is a common dental disease for which root canal treatment (RCT) has been the standard treatment. However, in many countries, RCT is considered a high-cost treatment that is not covered by public healthcare services; this forces patients to have dental extraction as their only option to relieve pain. In the last decade, several investigations have provided evidence that an alternative treatment known as full pulpotomy (FP) could be an alternative for patients who could not afford the cost of an RCT. Nevertheless, evidence is lacking on the success rate that could be obtained if it is performed in a public dental care clinic (PDCC). The present investigation has two main objectives. To be the first approach of a multicentric feasibility study to find out whether an FP performed by a general practice dentist (GPD) in a PDCC could be suitable and establish its success rate and patient satisfaction. Patients attending a PDCC with symptoms of irreversible pulpitis were invited to participate. FP was performed and followed up at 1, 3, 6, 9, and 12 months. The treatment success was assessed by combining three variables, patient satisfaction, clinical, and radiographic outcomes. Forty-one patients from 17 to 78 years old received the intervention. In total, 97.5% were completely satisfied with the treatment and were considered successful since none of the clinical or radiographic variables were present in any of the follow-ups. An FP performed by a GPD in a PDCC could be suitable as a routine treatment for symptomatic irreversible pulpitis due to the excellent success rate and patient satisfaction. |
| first_indexed | 2024-03-09T16:25:44Z |
| format | Article |
| id | doaj.art-91dca4273f7342c690b4a1a52bb9eb69 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T16:25:44Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-91dca4273f7342c690b4a1a52bb9eb692023-11-24T15:08:27ZengMDPI AGHealthcare2227-90322022-11-011012235010.3390/healthcare10122350A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare ServicesRoberto Gustavo Sánchez-Lara y Tajonar0Jaime Vicente Vergara-Tinoco1Till Dammaschke2Rubén Abraham Domínguez-Pérez3Department of Endodontics, Faculty of Medicine, Universidad Autónoma de Querétaro, Santiago de Querétaro 76176, MexicoSocial Service Intern of the Public Dentalcare Clinic “La Negreta”, Jurisdicción Sanitaria N° 1, del Estado de Querétaro 76070, MexicoDepartment of Periodontology and Operative Dentistry, Westphalian Wilhelms-University, 48149 Münster, GermanyDepartment of Endodontics, Faculty of Medicine, Universidad Autónoma de Querétaro, Santiago de Querétaro 76176, MexicoSymptomatic irreversible pulpitis is a common dental disease for which root canal treatment (RCT) has been the standard treatment. However, in many countries, RCT is considered a high-cost treatment that is not covered by public healthcare services; this forces patients to have dental extraction as their only option to relieve pain. In the last decade, several investigations have provided evidence that an alternative treatment known as full pulpotomy (FP) could be an alternative for patients who could not afford the cost of an RCT. Nevertheless, evidence is lacking on the success rate that could be obtained if it is performed in a public dental care clinic (PDCC). The present investigation has two main objectives. To be the first approach of a multicentric feasibility study to find out whether an FP performed by a general practice dentist (GPD) in a PDCC could be suitable and establish its success rate and patient satisfaction. Patients attending a PDCC with symptoms of irreversible pulpitis were invited to participate. FP was performed and followed up at 1, 3, 6, 9, and 12 months. The treatment success was assessed by combining three variables, patient satisfaction, clinical, and radiographic outcomes. Forty-one patients from 17 to 78 years old received the intervention. In total, 97.5% were completely satisfied with the treatment and were considered successful since none of the clinical or radiographic variables were present in any of the follow-ups. An FP performed by a GPD in a PDCC could be suitable as a routine treatment for symptomatic irreversible pulpitis due to the excellent success rate and patient satisfaction.https://www.mdpi.com/2227-9032/10/12/2350full pulpotomyirreversible pulpitispermanent teethpublic health systemroutine treatment |
| spellingShingle | Roberto Gustavo Sánchez-Lara y Tajonar Jaime Vicente Vergara-Tinoco Till Dammaschke Rubén Abraham Domínguez-Pérez A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services Healthcare full pulpotomy irreversible pulpitis permanent teeth public health system routine treatment |
| title | A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services |
| title_full | A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services |
| title_fullStr | A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services |
| title_full_unstemmed | A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services |
| title_short | A Pilot Feasibility Study to Establish Full Pulpotomy in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis as a Routine Treatment in Mexican Public Healthcare Services |
| title_sort | pilot feasibility study to establish full pulpotomy in mature permanent teeth with symptomatic irreversible pulpitis as a routine treatment in mexican public healthcare services |
| topic | full pulpotomy irreversible pulpitis permanent teeth public health system routine treatment |
| url | https://www.mdpi.com/2227-9032/10/12/2350 |
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