Evaluation of 3 different treatment modalities for conservative management of attrited, sensitive molar teeth - A...

Management of symptomatic attrited molar teeth presents various challenges. Aim of the study was to manage and evaluate the outcome of sensitive, attrited molar teeth using three different treatment options, including bioglass-containing desensitising toothpaste, Gluma desensitiser and coronal a pulpotomy using a calcium silicate-based product, Biodentine. A total of 61 attrited molar teeth, for which the patients had expressed tooth sensitivity, were included. Depending on the pulp status, treatment groups were allotted using block randomisation. Post-treatment sensitivity was assessed at 48 h, 4 and 12 weeks using 10-point visual analog scale (VAS) and Schiff Cold Air Sensitivity Scale (SCASS). Data were analysed using non-parametric statistical tests. Pulpotomies achieved significantly the least post-treatment sensitivity scores at all scheduled recalls. This interim 12-week report on management concludes that a pulpotomy, using Biodentine, was able to achieve significantly higher number of asymptomatic teeth when compared to other treatment choices.