Adrenaline in pulp capping treatment of reversible pulpitis  

作　　者：Si-Yun Yang Jin-Zhu Wang Hao Fan Min Chen 

机构地区：[1]Department of Stomatology,Anhui Jieshou People's Hospital,Fuyang 236500,Anhui Province,China [2]Department of Stomatology,Jiangsu Yancheng Maternal and Child Health Hospital,Yancheng 224000,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2024年第22期5024-5031,共8页世界临床病例杂志

基　　金：The study was reviewed and approved by Anhui Jieshou People's Hospital Institutional Review Board,No.2019-11-001.

摘　　要：BACKGROUND The role of epinephrine in the treatment of pulp capping in patients with reversible pulpitis is not clear.AIM To explore the role of epinephrine in the treatment of pulp capping in patients with reversible pulpitis.METHODS A total of 100 patients with reversible pulpitis who were treated in Anhui Jieshou People's Hospital from January 2020 to December 2021 were included in the study.They were categorized into an observation group(n=50;treatment with adrenaline)and a control group(n=50;treatment with zinc oxide eugenol paste).The 24-h postoperative pain,regression time of gingival congestion and redness,clinical efficacy,and incidence of adverse reactions were compared between the groups.Patients were further categorized into the ineffective and effective treatment groups based on clinical efficacy.Logistic multiple regression analysis explored factors affecting the efficacy of pulp capping treatment.RESULTS A significant difference in 24-h postoperative pain was observed between the groups(P<0.05),with a higher proportion of grade I pain noted in the observation group than in the control group(P<0.01).The regression time of gingival congestion and swelling was lower in the observation group(2.61±1.44 d and 2.73±1.36 d,respectively)than in the control group(3.85±1.47 d and 4.28±1.61 d,respectively)(P<0.05).The 2-wk postoperative total effective rate was lower in the control group(80.00%)than in the observation group(94.00%)(P<0.05).The incidence of adverse reactions was not significantly different between the control(14.00%)and observation(12.00%)groups(P>0.05).The proportion of adrenaline usage was lower(P<0.05)and that of anaerobic digestion by Streptococcus and Fusobacterium nucleatum was higher in the ineffective treatment group than in the effective treatment group(P<0.05).Logistic multiple regression analysis revealed adrenaline as a protective factor(P<0.05)and anaerobic digestion by Streptococcus and F.nucleatum as risk factors for pulp capping in reversible pulpitis(P<0.05).CONCLUSION Adre

关 键 词：ADRENALINE Reversible pulpitis Pulp capping EFFICACY SAFETY 

分 类 号：R781.31[医药卫生—口腔医学]