POST-OPERATIVE PAIN FOLLOWING USE OF SILVER DIAMINE FLUORIDE MODIFIED HALL TECHNIQUE VERSUS CONVENTIONAL PULPOTOMY OF CARIOUS PRIMARY MOLARS: A RANDOMIZED CLINICAL TRIAL

Document Type : Original Article

Authors

Pediatric Dentistry and Dental Public Health, Faculty of Dentistry Cairo university, Egypt

Abstract

Aim: This study aims to assess and compare the possible postoperative pain and child cooperation utilizing the Silver Diamine Fluoride modified Hall Technique versus the Conventional pulpotomy technique.
Methodology: This is a randomized clinical trial design with two arms, parallel groups, and a 1:1 allocation ratio. Two groups of forty-two primary molars with deep caries and vital pulp were created: Study group: Silver Diamine Fluoride modified Hall Technique was done, in which only gross debris were eliminated before the application of Silver Diamine Fluoride and Stainless-Steel Crown. No caries removal was done during this procedure. Control group: Conventional pulpotomy was performed. Post-operative pain using the Faces Pain Scale-Revised was recorded after 24 hours. Child behavioral cooperation using the Frankl behavior rating scale was recorded during the treatment visit.
Results: Silver Diamine Fluoride modified Hall Technique and conventional pulpotomy groups, showed no statistically significant difference in post-operative pain scores (P-value = 0.407, Effect size = 0.203). There was no statistically significant difference between child cooperation in the two groups (P-value = 0.671, Effect size = 0.124).
Conclusion: Regarding post-operative pain and child cooperation, the study's findings confirm that Silver Diamine Fluoride modified Hall Technique equally effective as Conventional pulpotomy.

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