Intraosseous Methylprednisolone Injection is effective for emergency treatment of acute Pulpitis Pain

Khaly Bane, Emmanuel Charpentier, François Bronnec, Vianney Descroix, Fatou Gaye-N'diaye, Abdoul Wahabe Kane, Rafael Toledo, Pierre Machtou, Jean Azérad

Randomized Clinical Trial of Intraosseous Methylprednisolone Injection for Acute Pulpitis Pain.

Authors:
Jean Azerad, PhD, MD, DDS
Jean Azerad, PhD, MD, DDS
University Paris VII - Denis Diderot
Professor
Endodontics, dental implantology
PARIS, France | France

J Endod 2016 Jan 18;42(1):2-7. Epub 2015 Nov 18.

Service d'Odontologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France; UFR d'Odontologie, Université Denis Diderot, Paris, France.

Introduction: The present study reports the results of a randomized clinical trial comparing local intraosseous methylprednisolone injection and emergency pulpotomy in the management of acute pulpitis on efficacy, safety, and efficiency end points.

Methods: After providing prior informed written consent, 94 patients consulting for acute irreversible pulpitis pain at university-affiliated teaching hospital dental clinics in Dakar, Senegal were randomly assigned to either the methylprednisolone treatment group (n = 47) or the pulpotomy treatment group (n = 47). Patients were followed up at 1 week and assessed 6 months later to evaluate the therapeutic outcome of their treatment.

Results: At day 7 the patients in the methylprednisolone group reported less intense spontaneous and percussion pain in the day 0-day 7 period than the patients in the pulpotomy group. Methylprednisolone treatment took approximately 7 minutes (4.6-9.3) less to accomplish than pulpotomy (or about half the time). No difference in the therapeutic outcome was found between the 2 treatment groups at 6 months (all credible intervals span 0).

Conclusions: This study establishes that methylprednisolone injection for acute pulpitis is relieved by a minimally invasive pharmacologic approach more effectively than by the reference pulpotomy and conserves scarce dental resources (ie, endodontic equipment and supplies, dental surgeon's time).

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Source
http://dx.doi.org/10.1016/j.joen.2015.09.003DOI Listing
January 2016
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