Clinical effects of pulpotomy in the treatment of teeth with irreversible pulpitis in elderly patients

ZHU Li-na; ZHENG You-yang; DENG Xue-tao; CHEN Zhen; QIAN Wen-hao

doi:10.19749/j.cn.cjgd.1672-2973.2024.01.003

Abstract：Objective To observe the clinical effects of pulpotomy in the treatment of teeth with irreversible pulpitis in elderly patients.Methods A total of 60 patients aged 60-80 years who had irreversible pulpitis caused by caries and could stop bleeding within 5 minutes after partial or total removal of crown pulp were selected.60 teeth were randomly divided into pulpotomy group and root canal therapy group respectively.The teeth in pulpotomy group were treated with pulpotomy using iRoot BP Plus as pulp capping material,and the teeth in root canal group were treated with root canal therapy.The visual analogue scale(VAS)score after 1 day to 7 days,the average treatment time,the clinical effects after 3 months,6 months,12 months were compared between groups.Results In pulptomy group,2 teeth had pulp infection,the clinical effects of 5 teeth was uncertain,the total success rate was 75.0%,while in root canal therapy group,1 teeth had fracture and 2 teeth had periapical periodontitis,the total success rate was 89.7%.The VAS scores of pulpotomy group were lower than root canal therapy group after 1 day to 7 days.There was no significant difference in success rate and VAS score between two groups(P>0.05).The average treatment time of pulpotomy group was 46.4 min,which was significantly shorter than time of root canal therapy group 112.5min(P<0.05).Conclusions Pulpotomy has a good short-term clinical effect on teeth with irreversible pulpitis in elderly patients,which can effectively reduce the postoperative pain and shorten the treatment time.Pulpotomy may become an alternative method for root canal therapy.