Acute endodontic pain

Local anesthesia for endodontic pain

Why do patients avoid going to the dentist? According to a survey from the American Dental Association (1), fear of pain is the greatest factor that prevents patients from visiting their dentist. Additional surveys (2, 3) have found that 90% of dentists have some anesthetic difficulties during restorative dentistry procedures. In endodontics, Wallace and coworkers (4) surveyed Diplomates of the...

Assessing postoperative pain after endodontic therapy.

Consideration of steroids for endodontic pain

Up to 80% of endodontic patients who report with preoperative pain continue to experience some level of pain following the endodontic procedure. Since endodontic pain is often associated with chronic inflammation, the presence of bacterial by-products, influx of primed immune cells and activation of the cytokine network and other inflammatory mediators, pain may be reduced by administration of ...

Clinical strategies for managing endodontic pain

Although many clinicians focus on drugs for pain management, this is only one aspect of the clinician’s armamentarium for managing endodontic pain. Numerous studies indicate that various clinical treatments provide substantial benefit for relief of odontogenic pain. These clinical treatment options include pulpotomy, pulpectomy, incision and drainage, trephination, and occlusal adjustment for s...

Pain levels and typical symptoms of acute endodontic infections: a prospective, observational study

BACKGROUND This study aimed to identify key symptoms that could be associated with the diagnosis of acute forms of symptomatic apical periodontitis (SAP) and symptomatic irreversible pulpitis (SIP), and to identify a diagnostic algorithm based on these symptoms. METHODS In this prospective, observational study 173 emergency patients diagnosed with acute pain of endodontic origin and no swelli...