Emergency pulpotomy in relieving acute dental pain among Tanzanian patients

Joachim W Nyerere, Mecky I Matee, Elison N M Simon, Joachim W Nyerere, Mecky I Matee, Elison N M Simon

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.

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.

References

    1. Van Paleinstein Helderman WH, Nathoo ZA. Dental treatment demands among patients in Tanzania. Community Dent Oral Epidemiol. 1990;18:85–87.
    1. Matee M, Simon E. Utilization of dental services in Tanzania before and after introduction of cost sharing. Int Dent J. 2000;50:69–72.
    1. Hasselgren G, Reit C. Emergency Pulpotomy: Pain relieving effect with and without the use of sedative dressings. J Endod. 1989;15:254–256.
    1. Oguntebi BR, Deshepper EJ, Taylor TS, White CL, Pink FE. Postoperative pain incidence related to the type of emergency treatment of symptomatic pulpitis. Oral Surg Oral Med Oral Pathol. 1992;73:479–483.
    1. Swartz DB, Skidmore AE, Griffin JA., Jr Twenty years of endodontic success and failure. J Endod. 1983;9:198–202.
    1. The United Republic of Tanzania Ministry of Health. Dar es Salaam; 2001. Standard Treatment Guidelines for Oral Health Care in Tanzania.
    1. McDougal RA, Delano EO, Caplan D, Sigurdsson A, Trope M. Success of an Alternative for Interim Management of Irreversible Pulpitis. J Am Dent Ass. 2004;135:1707–1712.
    1. Strange DM, Seale NS, Nunn ME, Strange M. Outcome of formocresol/ZOE sub-base pulpotomies utilizing alternative radiographic success criteria. Pediatr Dent. 2001;23:331–6.
    1. Guelmann M, Fair J, Turner C, Courts FJ. The success of emergency pulpotomies in primary molars. Pediatr Dent. 2002;24:217–20.
    1. Matee M, Nguvumali H, Lembariti B, Kalyanyama B, Shubi F, Scheutz F. HIV infection, dental treatment demands and needs among patients seeking dental services at the Muhimbili Medical Centre in Dar-es-Salaam, Tanzania. Int Dent J. 1999;49:153–8.
    1. Ntabaye MK, Scheutz F, Poulsen S. Patient satisfaction with emergency oral health care in rural Tanzania. Community Dent Oral Epidemiol. 1998;26:289–295.

Source: PubMed

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