E-ISSN 2548-0839
European Endodontic Journal Effect of Pulpotomy Procedures With Mineral Trioxide Aggregate and Dexamethasone on Post-endodontic Pain in Patients with Irreversible Pulpitis: A Randomized Clinical Trial []
. 2019; 4(2): 69-74 | DOI: 10.14744/eej.2019.91885

Effect of Pulpotomy Procedures With Mineral Trioxide Aggregate and Dexamethasone on Post-endodontic Pain in Patients with Irreversible Pulpitis: A Randomized Clinical Trial

Mona Bagheri1, Hussein Khimani2, Lida Pishbin3, Hassan Shahabinejad4
1Department of Endodontics, Kerman Dental School, Kerman, Iran
2Department of Endodontics, Boston University, Henry M Goldman School of Dental Medicine, Boston, USA
3Department of Pediatric Dentistry, Boston University, Henry M Goldman School of Dental Medicine, Boston, USA
4Department of Endodontics, Boston University, Henry M Goldman School of Dental Medicine, Boston, USA

Objective: Endodontic post-treatment pain continues to be one of the main problems encountered by dental professionals. Therefore, pain control during and after endodontic treatment is one of the most important issues in endodontics. The purpose of this clinical trial was to compare postoperative pain relief achieved with dexamethasone (DEX) and mineral trioxide aggregate (MTA) used as pulp coverage after pulpotomy in human molars with irreversible pulpitis.
Methods: This prospective double-blind study was conducted on 54 patients complaining of dental pain due to irreversible pulpitis. The standard pulpotomy procedure was performed by the same dentist in all patients. At the time of the cotton pellet placement, patients were randomly divided into three groups: those in whom a sterile dry cotton (DC) pellet was used, patients treated with a cotton pellet soaked in MTA, and those who were treated with a cotton pellet soaked in DEX. After completion of the treatment, patients received rescue medication every 6 hours for the first day. Postoperative pain was assessed at 6-hour intervals for 24 hours, and then every day until day 7 using a visual analog scale.
Results: In general, patients treated with MTA suffered the lowest levels of pain at all time intervals. Post-pulpotomy pain was significantly reduced at 18 and 24 hours and from days 2 to 7 post-treatment in the MTA group. DEX lowered the pain level more than the DC pellet. However, the differences observed in the mean pain scores of the DEX and DC pellet groups at all-time intervals were not statistically significant.
Conclusion: Pulpotomy procedures can reduce pain related irreversible pulpitis. Pulpotomy with MTA-soaked cotton pellet significantly reduces pain intensity in patients with irreversible pulpitis.

Keywords: Dexamethasone, irreversible pulpitis, mineral trioxide aggregate, pulpotomy, postoperative endodontic pain, visual analog scale

Mona Bagheri, Hussein Khimani, Lida Pishbin, Hassan Shahabinejad. Effect of Pulpotomy Procedures With Mineral Trioxide Aggregate and Dexamethasone on Post-endodontic Pain in Patients with Irreversible Pulpitis: A Randomized Clinical Trial. . 2019; 4(2): 69-74

Corresponding Author: Hassan Shahabinejad

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