Clinical efficacy observation of vital pulp therapy for mature permanent teeth with carious irreversible pulpitis
10.3969/j.issn.1672-8467.2025.02.013
- VernacularTitle:成熟恒牙龋源性不可复性牙髓炎活髓保存治疗的临床疗效观察
- Author:
Zhi-ming QIN
1
;
Jia-yang LI
1
;
Hua-xing XU
1
;
Zhi-fei MA
1
;
Xiao-ling WEI
1
Author Information
1. 上海市口腔医院·复旦大学附属口腔医院牙体牙髓病科 上海 201102;上海市颅颌面发育与疾病重点实验室 上海 201102
- Publication Type:Journal Article
- Keywords:
irreversible pulpitis;
mature permanent teeth;
vital pulp therapy;
root canal treatment
- From:
Fudan University Journal of Medical Sciences
2025;52(2):263-269
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the pain relief and long-term clinical success rate of vital pulp therapy and root canal treatment in mature permanent teeth with carious irreversible pulpitis.Methods A total of 90 patients diagnosed with carious irreversible pulpitis in mature permanent teeth were collected at Shanghai Stomatological Hospital from Jan 2021 to Jun 2022.They were randomly divided into two groups:test group(n=45)undergoing vital pulp therapy(VPT)and control group(n=45)undergoing root canal treatment(RCT).Pain scores were recorded before treatment,24 hours after operation and 7 days after operation.We conducted clinical evaluation and imaging analysis at 1,6,and 12 months after the surgery,then compared the pain scores and treatment success rates between the two groups.Results Eighty-one patients,including 39 patients in group VPT aged(31.00±1.43)years old and 42 patients in group RCT aged(30.60±1.54)years old,received follow-up for more than 1 year,and the success rate of the test group and control was 97.44%and 95.24%.The pain degree of the two groups was reduced at 24 hours and 7 days after operation(P<0.05),and the pain score of the test group was reduced compared with that in the control group 7 days after operation(P<0.01).Conclusion Compared with root canal treatment,vital pulp therapy for mature permanent teeth with carious irreversible pulpitis can achieve good results in short-term pain evolution and long-term clinical success.
