Evidence map›Paper›PMID 39266985›Full record

Trial reportBMC oral health2024

Postoperative pain after total pulpotomy and root canal treatment in mature molars according to the new and traditional classifications of pulpitis: a prospective, randomized controlled trial.

Merve Sarı, Koray Yılmaz, Taha Özyürek

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05923619 (Comparison of Post-operative Pain After Total Pulpotomy and Root Canal Treatment in Mature Molars According to New and Traditional Classification of Pulpitis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05923619 nacompletednot on this map

Comparison of Post-operative Pain After Total Pulpotomy and Root Canal Treatment in Mature Molars According to New and Traditional Classification of Pulpitis: A Randomized Controlled Trial

TypeinterventionalSponsorMustafa Kemal UniversityRan2023 to 2023Enrolled64ConditionsPost-operative Pain, Pulpitis - IrreversibleArmsTotal pulpotomy, Root canal treatment
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Merve SarıDepartment of Endodontics, Faculty of Dentistry, Hatay Mustafa Kemal University, Hatay, Turkey. sarimerve94@outlook.com.ORCID http://orcid.org/0000-0002-9432-3809
Koray YılmazDepartment of Endodontics, Faculty of Dentistry, Hatay Mustafa Kemal University, Hatay, Turkey.ORCID http://orcid.org/0000-0001-6096-7385
Taha ÖzyürekDepartment of Endodontics, Faculty of Dentistry, Bahçeşehir University, İstanbul, Turkey.ORCID http://orcid.org/0000-0003-3299-3361

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare postoperative pain following total pulpotomy (TP) and root canal treatment (RCT) in mature molar teeth with irreversible pulpitis. To compare the traditional pulpitis classification system with the Wolters system in evaluating postoperative pain.

methodsEighty mandibular molars with irreversible pulpitis were included and classified according to the Wolters (moderate/severe pulpitis). The teeth were randomly assigned to two groups (RCT or TP). RCT was performed following standardized protocols. TP was performed to the level of the canal orifices, and hemostasis was achieved with 2.5% sodium hypochlorite. A 3 mm layer of MTA was placed as the pulpotomy material. The teeth were restored with glass ionomer cement followed by composite. Pain scores were recorded preoperatively and, at 6, 12, 24, 48, and 72 h and 7 days after the interventions. The data were statistically analyzed using the Mann-Whitney U test, the Friedman test, the Wilcoxon signed-rank test, and the Spearman's correlation test. The significance level was set at 0.05.

resultsSixty-four patients were analyzed at the one-week follow-up and all were diagnosed as irreversible pulpitis according to the AAE; 22 teeth were classified as moderate and 42 teeth were classified as severe pulpitis according to Wolters. There was no significant difference between TP and RCT in pain scores in moderate pulpitis patients (p > 0.05). There was a significant difference between TP and RCT at 24 and 72 h of severe pulpitis; higher pain scores were observed in the RCT (p < 0.05).

conclusionsIn patients with moderate pulpitis, the TP procedure allowed symptom relief more quickly than RCT. In patients with severe pulpitis, TP provided for significantly lower pain scores compared to RCT at both 24 and 72 h. CLINICAL

trial registrationThe study was retrospectively registered with ClinicalTrials.gov (NCT05923619). Date of Registration: 06/16/23.

Indexed as

MolarPain MeasurementPostoperative PainPulpitisPulpotomyRoot Canal TherapyAdultAluminum CompoundsCalcium CompoundsComposite ResinsDental Restoration, PermanentDrug CombinationsFemaleFollow-Up StudiesGlass Ionomer CementsHumansAluminum CompoundsCalcium CompoundsComposite ResinsDrug CombinationsGlass Ionomer Cementsmineral trioxide aggregateOxidesRoot Canal Filling MaterialsSilicatesSodium HypochloriteIrreversible pulpitisMature molarsMineral trioxide aggregatePost-operative painPulpotomy

Identifiers

PMID39266985
PMCPMC11391727

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.