Abstract：
Symptomatic irreversible pulpitis is a common dental disease for which root canal treatment (RCT) has been the standard treatment. However, in many countries, RCT is considered a high-cost treatment that is not covered by public healthcare services; this forces patients to have dental extraction as their only option to relieve pain. In the last decade, several investigations have provided evidence that an alternative treatment known as full pulpotomy (FP) could be an alternative for patients who could not afford the cost of an RCT. Nevertheless, evidence is lacking on the success rate that could be obtained if it is performed in a public dental care clinic (PDCC). The present investigation has two main objectives. To be the first approach of a multicentric feasibility study to find out whether an FP performed by a general practice dentist (GPD) in a PDCC could be suitable and establish its success rate and patient satisfaction. Patients attending a PDCC with symptoms of irreversible pulpitis were invited to participate. FP was performed and followed up at 1, 3, 6, 9, and 12 months. The treatment success was assessed by combining three variables, patient satisfaction, clinical, and radiographic outcomes. Forty-one patients from 17 to 78 years old received the intervention. In total, 97.5% were completely satisfied with the treatment and were considered successful since none of the clinical or radiographic variables were present in any of the follow-ups. An FP performed by a GPD in a PDCC could be suitable as a routine treatment for symptomatic irreversible pulpitis due to the excellent success rate and patient satisfaction.
摘要：
有症状的不可逆性牙髓炎是一种常见的牙科疾病，根管治疗（RCT）已成为标准治疗方法。然而,在许多国家,RCT被认为是一种高成本的治疗方法，不包括在公共医疗服务中；这迫使患者将拔牙作为缓解疼痛的唯一选择。在过去的十年里，多项研究提供证据表明,对于负担不起RCT费用的患者,一种称为全牙髓切除术(FP)的替代治疗方法可能是一种替代治疗方法.然而，如果在公共牙科护理诊所（PDCC）进行，则缺乏有关成功率的证据。本调查有两个主要目标。成为多中心可行性研究的第一种方法，以确定PDCC中普通执业牙医（GPD）进行的FP是否合适，并确定其成功率和患者满意度。邀请患有不可逆牙髓炎症状的PDCC患者参加。分别于1、3、6、9和12个月进行FP检查并随访。通过结合三个变量来评估治疗成功。患者满意度,临床,和射线照相结果。41名17至78岁的患者接受了干预。总的来说,97.5％的患者对治疗完全满意，并被认为是成功的，因为在任何随访中都没有临床或影像学变量。由于出色的成功率和患者满意度，由GPD在PDCC中进行的FP可适合作为有症状的不可逆性牙髓炎的常规治疗。
