Alteration in Taste Perception among Young Children following the Use of Oral Irrigants in Pulpectomy Procedure: A Randomised Controlled Trial
Introduction: The impact of oral irrigants on taste perception during pulpectomy procedures focuses on how these sensory experiences affect patient comfort and cooperation. This study aims to identify child-friendly irrigants with natural taste profiles that minimise discomfort and enhance procedura...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/21092/77496_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(Rf_SS)_PFA(IS)_PN(IS).pdf |
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| Summary: | Introduction: The impact of oral irrigants on taste perception during pulpectomy procedures focuses on how these sensory experiences affect patient comfort and cooperation. This study aims to identify child-friendly irrigants with natural taste profiles that minimise discomfort and enhance procedural success.
Aim: This study evaluated the effects of different oral irrigants-chlorine dioxide, Saline, Chlorhexidine Gluconate, and Sodium Hypochlorite-on taste perception in children undergoing pulpectomy procedures.
Materials and Methods: A randomised controlled trial was conducted at Saveetha Dental College and Hospital from July to December 2024, involving 100 children aged 6-9 years undergoing pulpectomy procedures. Participants were randomly assigned to four groups based on the irrigant used: chlorine dioxide, saline, chlorhexidine gluconate, and sodium hypochlorite. The study assessed taste perception using a 5-point Likert scale and a validated questionnaire at baseline and during the second visit. Demographic parameters such as age, gender, and oral health metrics were recorded to ensure group homogeneity. Statistical analysis included paired t-tests, one-way Analysis of Variance (ANOVA), and effect size estimation, with a p-value of <0.05 considered significant.
Results: Significant differences in taste alteration scores were observed across the four oral irrigants. Chlorine dioxide exhibited the most substantial reduction in taste alteration scores from T0 (2.96±1.24) to T1 (1.40±0.76), followed by Saline (T0: 3.12±1.01; T1: 2.24±1.27). In contrast, chlorhexidine and sodium hypochlorite showed minimal changes between baseline and follow-up scores. ANOVA revealed statistically significant differences in taste perceptions for chlorine dioxide (p<0.001), Saline (p=0.007), and Chlorhexidine (p=0.033), while Sodium Hypochlorite exhibited borderline significance (p=0.057). Effect size analysis indicated that chlorine dioxide (Eta²=0.398) had the largest impact, particularly influencing sweetness and bitterness perceptions, which played a crucial role in the overall treatment experience.
Conclusion: The study underscores the importance of selecting irrigants that balance clinical efficacy with sensory acceptability. Chlorine dioxide demonstrated the greatest impact on taste alteration, necessitating the development of paediatric-friendly formulations to enhance patient cooperation and comfort. |
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| ISSN: | 2249-782X 0973-709X |