Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial
Irreversible pulpitis is an extremely painful dental pathology. Its emergency treatment, pulpotomy, should include the use of a pulp dressing in the pulp chamber until the final treatment. Various antalgic products have been suggested as efficient medications to relieve the patient’s pain and are co...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/11/7/167 |
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| author | Fernandez De Grado Gabriel Bourdin Clément Fioretti Florence Musset Anne-Marie Offner Damien |
| author_facet | Fernandez De Grado Gabriel Bourdin Clément Fioretti Florence Musset Anne-Marie Offner Damien |
| author_sort | Fernandez De Grado Gabriel |
| collection | DOAJ |
| description | Irreversible pulpitis is an extremely painful dental pathology. Its emergency treatment, pulpotomy, should include the use of a pulp dressing in the pulp chamber until the final treatment. Various antalgic products have been suggested as efficient medications to relieve the patient’s pain and are commonly used, but data for scientific validation are scarce. Objective: We evaluated the efficacy of articaine or eugenol in the diminution of pain after pulpotomy. Design: We included 100 patients with irreversible pulpitis and evaluated their initial pain levels. Pain was measured using a 0–10 numeric rating scale. After treatment through pulpotomy, we randomized them into two groups using either articaine or eugenol as a pulp dressing and evaluated their pain level at 1, 3 and 7 days. Results: Initial pain levels were severe (7.53). The use of painkillers was not associated with lower levels of pain. Both treatments showed great efficiency on day 1, with stronger efficiency of eugenol than articaine, showing a decrease of 6.24 versus 4.89 (<i>p</i> = 0.025). Both treatments were efficient, whatever the age or sex of the patient, the initial pain level, and the causal tooth. Conclusion: Pulpotomy is an efficient way to relieve pain, using either articaine or eugenol. When choosing a pulp dressing, eugenol should be the first choice. |
| first_indexed | 2024-03-11T01:10:13Z |
| format | Article |
| id | doaj.art-e78ab8ceb2554d87afa87e794f940d50 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-11T01:10:13Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-e78ab8ceb2554d87afa87e794f940d502023-11-18T18:56:42ZengMDPI AGDentistry Journal2304-67672023-07-0111716710.3390/dj11070167Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical TrialFernandez De Grado Gabriel0Bourdin Clément1Fioretti Florence2Musset Anne-Marie3Offner Damien4I INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative Nanomedicine (RNM), FMTS, CRBS, 1 Rue Emile Boeckel, 67084 Strasbourg, FranceUniversité de Strasbourg, Faculté de Chirurgie Dentaire, 8 rue Ste Elisabeth, 67000 Strasbourg, FranceI INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative Nanomedicine (RNM), FMTS, CRBS, 1 Rue Emile Boeckel, 67084 Strasbourg, FranceI INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative Nanomedicine (RNM), FMTS, CRBS, 1 Rue Emile Boeckel, 67084 Strasbourg, FranceI INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative Nanomedicine (RNM), FMTS, CRBS, 1 Rue Emile Boeckel, 67084 Strasbourg, FranceIrreversible pulpitis is an extremely painful dental pathology. Its emergency treatment, pulpotomy, should include the use of a pulp dressing in the pulp chamber until the final treatment. Various antalgic products have been suggested as efficient medications to relieve the patient’s pain and are commonly used, but data for scientific validation are scarce. Objective: We evaluated the efficacy of articaine or eugenol in the diminution of pain after pulpotomy. Design: We included 100 patients with irreversible pulpitis and evaluated their initial pain levels. Pain was measured using a 0–10 numeric rating scale. After treatment through pulpotomy, we randomized them into two groups using either articaine or eugenol as a pulp dressing and evaluated their pain level at 1, 3 and 7 days. Results: Initial pain levels were severe (7.53). The use of painkillers was not associated with lower levels of pain. Both treatments showed great efficiency on day 1, with stronger efficiency of eugenol than articaine, showing a decrease of 6.24 versus 4.89 (<i>p</i> = 0.025). Both treatments were efficient, whatever the age or sex of the patient, the initial pain level, and the causal tooth. Conclusion: Pulpotomy is an efficient way to relieve pain, using either articaine or eugenol. When choosing a pulp dressing, eugenol should be the first choice.https://www.mdpi.com/2304-6767/11/7/167painpulpitisanalgesiaarticaineeugenolemergency treatment |
| spellingShingle | Fernandez De Grado Gabriel Bourdin Clément Fioretti Florence Musset Anne-Marie Offner Damien Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial Dentistry Journal pain pulpitis analgesia articaine eugenol emergency treatment |
| title | Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial |
| title_full | Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial |
| title_fullStr | Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial |
| title_full_unstemmed | Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial |
| title_short | Efficacy of Articaine or Eugenol for Pain Relief after Emergency Coronal Pulpotomy in Teeth with Irreversible Pulpitis: A Randomized Clinical Trial |
| title_sort | efficacy of articaine or eugenol for pain relief after emergency coronal pulpotomy in teeth with irreversible pulpitis a randomized clinical trial |
| topic | pain pulpitis analgesia articaine eugenol emergency treatment |
| url | https://www.mdpi.com/2304-6767/11/7/167 |
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