الفهرس 
ABSTRACTOnly 14 pages are availabe for public view
 |  | from | 166 |  |  |
| | | from | 166 | | |
Abstract
Aim: The purpose of this randomized study was to compare local anesthetic success, Pain intensity
after 1st visit, post-obturation pain at 12, 24, 48,72 hours and number of analgesics taken by the
patient during pulp extirpation versus emergency pulpotomy in endodontic treatment of mandibular
molars teeth with symptomatic irreversible pulpitis.
Methods: Seventy-eight patients with mandibular molar having vital pulps with symptomatic
irreversible pulpitis were included in the study. After confirming the diagnosis clinically and
radiographically, patients were randomly assigned into two groups (n=39) for each group. The
control group treated by complete pulp extirpation and the intervention group treated by emergency
pulpotomy. Every patient received 4% artiacine as inferior alveolar nerve block (IANB). Endodontic
access was initiated after 10 minutes of anesthesia, lip numbness and electric pulp tester (EPT)
reading. Pain during endodontic access cavity preparation for both groups and during pulp
extirpation or pulpotomy according to each group was recorded by verbal rating scale (VRS). When
patients needed, they received buccal infiltration or intraligamentary or intra-pulpal anesthesia of
the same anesthetic solution as supplemental. Data were collected through verbal rating scales
(VRS) during the intervention to assess the anesthetic success, pain intensity at 12, 24,48,72 hours
and the number of analgesics taken. The second visit was scheduled after one week to complete the
treatment for both groups, the post obturation pain was recorded at 12, 24,48 and 72 hours. All the
data were collected and tabulated. Statistical analysis was performed by mean, standard deviation
for each group, Kolmogorov-Smirnov, Shapiro- Wilk tests, Independent-sample t-test, Mann
Whitney test. and the significance level was set to (P≤0.05).
Results: There was no statistically significant difference between pulp extirpation group and
pulpotomy group (p=0.795) in success of pain control during access cavity preparation and during