Evaluation of Prophylactic Alveolar Trephination: To Avoid Pain.
ARMY INST OF DENTAL RESEARCH WASHINGTON D C
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The purpose of this paper was to evaluate the general use of trephination for avoidance of post-treatment endodontic pain. Also to determine if its more frequent use would allow more rapid completion of endodontic treatment. Two hundred and twenty-five teeth were filled after one or two appointments. Fifty one-appointment fills were trephined and 50 not trephined, unless they experienced severe pain. One hundred and twenty-five teeth were filled at the second appointment and only those experiencing severe pain were trephined. The one-appointment not trephined had a 16 incidence of pain while the two-appointment had a 9.6 incidence of pain. Sixty-nine of 70 cases of trephination were asymptomatic. Statistical analysis showed the increase in pain when trephination wasnt used was significant 98 level, yet its value as a prophylactic procedure was discussed and questioned. Author
- Medicine and Medical Research