Clinical efficacy of pulpotomy in elderly patients
Objective To evaluate the clinical efficacy of pulpotomy in elderly patients with caries-related exposed pulp.Methods A randomized controlled study was conducted at the Department of General Dentistry,Peking University Stomatology Hospital from October 2019 to March 2022.The study included 46 elderly patients with carious exposure,who were randomly divided into two groups:an experimental group with 22 cases and a control group with 24 cases.The teeth in the experimental group underwent pulpotomy,while the teeth in the control group underwent root canal treatment.The patients in both groups were followed up at 1 week,6 months,and 12 months after the operation.Self-perceived pain symptoms were assessed using a visual analogue scale(VAS)before and 1 week after treatment in the experimental group,and before,at the second visit(visit 1),at the third visit(visit 2),and 1 week after treatment in the control group.Results The mean preoperative pain score of the patients,as measured by the VAS scale,was(1.09±1.19)in the experimental group.There was no statistically significant difference when compared to the control group(1.13±1.23)(t=-0.096,P=0.924).The postoperative pain score of the experimental group was(0.27±0.77).On the other hand,the average overall pain score of the control group after treatment(visit 1,visit 2,and 1 week postoperatively)was(1.19±1.82).The postoperative pain score of the experimental group was significantly lower than that of the control group(t=-3.416,P=0.001).The effective rates were 95.24％(20/21)(experimental group)and 100％(22/22)(control group)respectively.There was no significant difference between the cure rates of the two groups(X2=1.458,P=0.488).Conclusions The findings suggest that pulpotomy can be an effective method for managing elderly patients with exposed pulp due to caries.
万方数据
维普
