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Comparing Patient Outcomes for Teeth Treated with Traditional Root Canal Therapy Versus Pulpotomy: A Randomized
Madhura Pawar1, Muhammed Atif S Agwan2, Shweta Nishikant Lokhande3
1Department of Pediatric and Preventive Dentistry, Dr D Y Patil Dental College and Hospital, Dr D Y Patil Vidyapeeth, Pune, Maharashtra, India.
Journal of Pharmacy & Bioallied Sciences
|April 10, 2024
Summary
Root canal therapy (RCT) provides superior pain relief and infection resolution compared to pulpotomy. RCT also leads to significantly better tooth survival rates, making it the preferred treatment for dental pulp infections.
Area of Science:
- Endodontics
- Dental Public Health
Background:
- Dental pulp infections require effective management.
- Root canal therapy (RCT) and pulpotomy are common treatments.
- Comparative patient outcomes between RCT and pulpotomy are not well-established.
Purpose of the Study:
- To compare patient outcomes between traditional root canal therapy (RCT) and pulpotomy.
- To evaluate pain levels, infection resolution, and tooth survival rates.
Main Methods:
- A single-center randomized controlled trial (RCT) involving 120 patients.
- Patients were randomized to either RCT or pulpotomy groups.
- Outcomes assessed at 6 months and 1 year post-treatment.
Main Results:
- RCT group reported significantly lower pain scores at 6 months (2.5 vs. 4.3, P < 0.001).
- Higher infection resolution in RCT group (92% vs. 78% at 6 months).
- Significantly higher tooth survival rates for RCT at 1 year (95% vs. 81%, P < 0.05).
Conclusions:
- Traditional root canal therapy (RCT) is superior to pulpotomy.
- RCT offers better pain reduction, infection resolution, and tooth survival.
- RCT is the recommended treatment for dental pulp infections.
