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A Comparison of Pain Levels During Pulpectomy, Extractions, and Restorative Procedures

  • William H. Rousseau
    Affiliations
    Drs. Rousseau, Newcomb, and Walker are former endodontic residents at the University of Louisville School of Dentistry, Louisville, KY. Dr. Clark is assistant professor and director of Undergraduate Endodontics, University of Louisville School of Dentistry, Louisville, KY. Dr. Eleazer is associate professor and the director of Postgraduate Endodontics at the University of Louisville, Louisville, KY. Dr. Scheetz is professor, Department of Diagnostic Sciences, Prosthodontics, and Restorative Dentistry at the University of Louisville School of Dentistry, Louisville, KY.
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  • Stephen J. Clark
    Correspondence
    Address requests for reprints to: Dr. Stephen J. Clark, 4910 Crofton Road, Louisville, KY 40207.
    Affiliations
    Drs. Rousseau, Newcomb, and Walker are former endodontic residents at the University of Louisville School of Dentistry, Louisville, KY. Dr. Clark is assistant professor and director of Undergraduate Endodontics, University of Louisville School of Dentistry, Louisville, KY. Dr. Eleazer is associate professor and the director of Postgraduate Endodontics at the University of Louisville, Louisville, KY. Dr. Scheetz is professor, Department of Diagnostic Sciences, Prosthodontics, and Restorative Dentistry at the University of Louisville School of Dentistry, Louisville, KY.
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  • Bruce E. Newcomb
    Affiliations
    Drs. Rousseau, Newcomb, and Walker are former endodontic residents at the University of Louisville School of Dentistry, Louisville, KY. Dr. Clark is assistant professor and director of Undergraduate Endodontics, University of Louisville School of Dentistry, Louisville, KY. Dr. Eleazer is associate professor and the director of Postgraduate Endodontics at the University of Louisville, Louisville, KY. Dr. Scheetz is professor, Department of Diagnostic Sciences, Prosthodontics, and Restorative Dentistry at the University of Louisville School of Dentistry, Louisville, KY.
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  • Earl D. Walker
    Affiliations
    Drs. Rousseau, Newcomb, and Walker are former endodontic residents at the University of Louisville School of Dentistry, Louisville, KY. Dr. Clark is assistant professor and director of Undergraduate Endodontics, University of Louisville School of Dentistry, Louisville, KY. Dr. Eleazer is associate professor and the director of Postgraduate Endodontics at the University of Louisville, Louisville, KY. Dr. Scheetz is professor, Department of Diagnostic Sciences, Prosthodontics, and Restorative Dentistry at the University of Louisville School of Dentistry, Louisville, KY.
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  • Paul D. Eleazer
    Affiliations
    Drs. Rousseau, Newcomb, and Walker are former endodontic residents at the University of Louisville School of Dentistry, Louisville, KY. Dr. Clark is assistant professor and director of Undergraduate Endodontics, University of Louisville School of Dentistry, Louisville, KY. Dr. Eleazer is associate professor and the director of Postgraduate Endodontics at the University of Louisville, Louisville, KY. Dr. Scheetz is professor, Department of Diagnostic Sciences, Prosthodontics, and Restorative Dentistry at the University of Louisville School of Dentistry, Louisville, KY.
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  • Jame P. Scheetz
    Affiliations
    Drs. Rousseau, Newcomb, and Walker are former endodontic residents at the University of Louisville School of Dentistry, Louisville, KY. Dr. Clark is assistant professor and director of Undergraduate Endodontics, University of Louisville School of Dentistry, Louisville, KY. Dr. Eleazer is associate professor and the director of Postgraduate Endodontics at the University of Louisville, Louisville, KY. Dr. Scheetz is professor, Department of Diagnostic Sciences, Prosthodontics, and Restorative Dentistry at the University of Louisville School of Dentistry, Louisville, KY.
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      Most previous studies on pain in endodontics have focused on pain that occurs after root canal therapy. Very few studies have compared pain during the root canal procedure with pain occurring during other dental procedures. In the present study, 250 patients were queried following dental procedures regarding their pain levels prior to treatment and their pain levels during the treatment procedure. Of the total number of patients, 150 had a pulpectomy, 50 patients had a single extraction, and 50 patients had a single restoration. These patients reported significantly more pain during extractions than during root canal therapy. Ninety-two percent of patients undergoing root canal therapy reported that pain during the procedure was less than or much less than anticipated. Eighty-three percent of the patients undergoing root canal therapy experienced less pain during the treatment procedure than they experienced prior to the treatment.
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