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BMC Oral Health. 2006 Jan 21;6:1.

Emergency pulpotomy in relieving acute dental pain among Tanzanian patients.

Author information

1
Department of Oral Surgery and Oral Pathology School of Dentistry, Muhimbili University College of Health Sciences, P. O. Box 65014, Dar Es Salaam, Tanzania. jnyerere@muchs.ac.tz

Abstract

BACKGROUND:

In Tanzania, oral health services are mostly in the form of dental extractions aimed at alleviating acute dental pain. Conservative methods of alleviating acute dental pain are virtually non-existent. Therefore, it was the aim of this study to determine treatment success of emergency pulpotomy in relieving acute dental pain.

METHODS:

SETTING:

School of Dentistry, Muhimbili National Hospital, Dar es Salaam, Tanzania.

STUDY DESIGN:

Longitudinal study.

PARTICIPANTS:

180 patients who presented with dental pain due to acute irreversible pulpitis during the study period between July and August 2001. Treatment and evaluation: Patients were treated by emergency pulpotomy on permanent posterior teeth and were evaluated for pain after one, three and six week's post-treatment. Pain, if present, was categorised as either mild or acute.

RESULTS:

Of the patients with treated premolars, 25 (13.9%) patients did not experience pain at all while 19 (10.6%) experienced mild pain. None of the patients with treated premolars experienced acute pain. Among 136 patients with treated molars 56 (31%) did not experience any pain, 76 (42.2%) experienced mild pain and the other 4 (2.2%) suffered acute pain.

CONCLUSION:

The short term treatment success of emergency pulpotomy was high being 100% for premolars and 97.1% for molars, suggesting that it can be recommended as a measure to alleviate acute dental pain while other conservative treatment options are being considered.

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