{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:29:27Z","timestamp":1790263767833,"version":"4.1.0"},"reference-count":42,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T00:00:00Z","timestamp":1690934400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Aim: There needs to be more general agreement on the most effective treatment for the emergency patient with Symptomatic Irreversible Pulpitis (SIP). This equivalence randomised clinical study compared the clinical efficiency, as an urgent treatment, of pulpotomy (POT) and pulpectomy (PEC) in the permanent teeth with SIP. The primary outcome was pain management, and the secondary outcome was the patient\u2019s perception of duration, comfort, and satisfaction. Material &amp; Methods: 80 patients were blindly and randomly allocated into two equal parallel groups, the control group treated by PEC and the test group by POT. Data were collected through numerical rating scales (NRS) during the intervention and 6, 24, and 72 h post-op. Non-parametric tests were used to analyse the data. The Brunner-Longer models were adopted for longitudinal data and the analysis of variance (ANOVA)-type statistical was used. Results: The mean preoperative pain levels for the whole sample scored 5.8 \u00b1 2.8 and significantly decreased to 2.1 \u00b1 2.4 at 6 h, 1.5 \u00b1 2.1 at 24 h, and 1.3 \u00b1 2 at 72 h, without any differences between the groups. No significant differences were found in the patient\u2019s perception of treatment discomfort or duration between the groups. Three days after the intervention, patient satisfaction was high, with 9.2 \u00b1 1.7 and 9.1 \u00b1 2 in the PEC and POT groups, respectively. Self-reported pain was the only variable penalising the patient\u2019s final satisfaction. Conclusions: The current randomised control trial (RCT) showed that both pulpectomy and pulpotomy effectively eliminate pain and achieve high levels of patient satisfaction. Furthermore, the patient\u2019s perceptions of the duration and discomfort of the two treatments were similar. Given that pulpotomy is a faster and more straightforward technique, it may be recommended as a viable and pragmatic option for treating emergency patients with symptomatic irreversible pulpitis.<\/jats:p>","DOI":"10.3390\/clinpract13040082","type":"journal-article","created":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T11:24:26Z","timestamp":1690975466000},"page":"898-913","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Pulpectomy vs. Pulpotomy as Alternative Emergency Treatments for Symptomatic Irreversible Pulpitis\u2014A Multicenter Comparative Randomised Clinical Trial on Patient Perceptions"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6426-0950","authenticated-orcid":false,"given":"Guillem","family":"Esteve-Pardo","sequence":"first","affiliation":[{"name":"Group Aula Dental Avanzada, 03001 Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1067-2153","authenticated-orcid":false,"given":"Pedro","family":"Barreiro-Gabeiras","sequence":"additional","affiliation":[{"name":"Group Aula Dental Avanzada, 03001 Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lino","family":"Esteve-Colomina","sequence":"additional","affiliation":[{"name":"Group Aula Dental Avanzada, 03001 Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1111\/iej.13678","article-title":"Present status and future directions: Managing endodontic emergencies","volume":"55","author":"Abbott","year":"2022","journal-title":"Int. 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