Treatment efficacy of reversible and initial forms of pulpitis (retrospective analysis); [Эффективность лечения обратимых и начальных форм пульпита витальными методами (ретроспективный анализ)]

The aim of study is to determine the effectiveness of treatment of reversible and initial forms of pulpitis by direct pulp coating (PPP) in various age groups. Materials and methods. A retrospective study was conducted of 116 people aged 15 to 74 years with initial forms of pulpitis, who were treated with an autopsy of the tooth cavity from 2010 to 2022. The patients were divided into 4 age groups: 15-17 (25 teeth), 18-44 years (63 teeth), 45-59 years (16 teeth) and 60-74 years (12 teeth). Patients were examined 6 months after PPD and annually: vital tests and X-ray examination were performed. Materials based on MTA were used for the PPP: ProRoot (Dentsplay, USA), RutDent (Technodent, RF), Trioxident (Vladmiva, RF) - and a material based on tricalcium silicate cement Biodentine (Septodont, France). Results. In the adolescent group, 3 cases of complications were identified during the follow-up period, the success rate of PPD was 88%. In the 18-44-year-old group, there were 3 cases of complications during the same followup period, the success rate of treatment was 95%. Among people aged 45-59 years, the success rate of treatment was 94%. In elderly patients, complications occurred in 5 cases after the PPP, the success rate of treatment was 58%. Conclusion. The effectiveness of treatment of reversible pulpitis by the PPP method among adults decreased with age and was significantly lower in elderly patients - 88% (p<0.05). There are no significant differences in efficiency between the materials based on MTA and Biodentine. © 2022 Clinical Dentistry LLC. All Rights Reserved.