Volume 13, Issue 2 (4-2024)
Caspian J Dent Res 2024, 13(2): 92-101 |
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Ethics code: IR.TUMS.DENTISTRREC.1402.074
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Mahlegha M, Salehi Shahrabi M, Paryab M, Askari Anaraki E, Kharrazi Fard M J. Relationship of preoperative clinical signs and symptoms with the bleeding of the pulp during pulpotomy of primary molars. Caspian J Dent Res 2024; 13 (2) :92-101
URL: http://cjdr.ir/article-1-454-en.html
URL: http://cjdr.ir/article-1-454-en.html
Mahsa Mahlegha 
, Marzieh Salehi Shahrabi , Mehrsa Paryab * , Elnaz Askari Anaraki , Mohammad Javad Kharrazi Fard
, Marzieh Salehi Shahrabi , Mehrsa Paryab * , Elnaz Askari Anaraki , Mohammad Javad Kharrazi Fard
Dental School, Tehran University of Medical Sciences, Tehran, Iran , m-paryab@tums.ac.ir
Abstract: (14 Views)
Introduction: The presence/absence of pain history in primary teeth may not be compatible with perioperative clinical and radiographic findings. The aim of this study was to evaluate the predictive value of preoperative clinical symptoms in predicting the final treatment plan.
Materials and Methods: This study was conducted on 107 children requiring pulpotomy and restoration of primary first molars. Pain history and sensitivity to percussion and palpation were assessed. Pain at the time of pulp exposure, color of exposed pulp tissue, and hemostasis after 3 minutes were recorded during the procedure. The relationship between preoperative symptoms and perioperative findings was analyzed using the Wilson method to calculate the sensitivity, specificity and predictive value of perioperative symptoms (confidence interval (CI) %95).
Results: Spontaneous (88.5%) and nocturnal (88.2%) pain had the highest positive predictive value (PPV) for darker color of bleeding. Nocturnal pain and pain during percussion had a PPV of 52.9% and 52.6% for pain during pulp exposure, respectively. Pain during mastication had the highest PPV for hemostasis after 3 minutes (79%).
Conclusion: Among the preoperative symptoms reported by patients, spontaneous pain and pain in response to a cold stimulus may indicate pain during pulp exposure and darker bleeding during pulpotomy.
Keywords: Dental Pulp; Tooth; Deciduous; Pain; Symptom assessment, bleeding time.
Materials and Methods: This study was conducted on 107 children requiring pulpotomy and restoration of primary first molars. Pain history and sensitivity to percussion and palpation were assessed. Pain at the time of pulp exposure, color of exposed pulp tissue, and hemostasis after 3 minutes were recorded during the procedure. The relationship between preoperative symptoms and perioperative findings was analyzed using the Wilson method to calculate the sensitivity, specificity and predictive value of perioperative symptoms (confidence interval (CI) %95).
Results: Spontaneous (88.5%) and nocturnal (88.2%) pain had the highest positive predictive value (PPV) for darker color of bleeding. Nocturnal pain and pain during percussion had a PPV of 52.9% and 52.6% for pain during pulp exposure, respectively. Pain during mastication had the highest PPV for hemostasis after 3 minutes (79%).
Conclusion: Among the preoperative symptoms reported by patients, spontaneous pain and pain in response to a cold stimulus may indicate pain during pulp exposure and darker bleeding during pulpotomy.
Keywords: Dental Pulp; Tooth; Deciduous; Pain; Symptom assessment, bleeding time.
Type of Study: Research Paper |
Subject:
Pedodontics
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