Diagnostic and clinical factors associated with pulpal and periapical pain.

نویسندگان

  • Carlos Estrela
  • Orlando Aguirre Guedes
  • Júlio Almeida Silva
  • Cláudio Rodrigues Leles
  • Cyntia Rodrigues de Araújo Estrela
  • Jesus Djalma Pécora
چکیده

A retrospective survey was designed to identify diagnostic subgroups and clinical factors associated with odontogenic pain and discomfort in dental urgency patients. A consecutive sample of 1,765 patients seeking treatment for dental pain at the Urgency Service of the Dental School of the Federal University of Goiás, Brazil, was selected. Inclusion criteria were pulpal or periapical pain that occurred before dental treatment (minimum 6 months after the last dental appointment), and the exclusion criteria were teeth with odontogenic developmental anomalies and missing information or incomplete records. Clinical and radiographic examinations were performed to assess clinical presentation of pain complaints including origin, duration, frequency and location of pain, palpation, percussion and vitality tests, radiographic features, endodontic diagnosis and characteristics of teeth. Chi-square test and multiple logistic regression were used to analyze association between pulpal and periapical pain and independent variables. The most frequent endodontic diagnosis of pulpal pain were symptomatic pulpitis (28.3%) and hyperreactive pulpalgia (14.4%), and the most frequent periapical pain was symptomatic apical periodontitis of infectious origin (26.4%). Regression analysis revealed that closed pulp chamber and caries were highly associated with pulpal pain and, conversely, open pulp chamber was associated with periapical pain (p<0.001). Endodontic diagnosis and local factors associated with pulpal and periapical pain suggest that the important clinical factor of pulpal pain was closed pulp chamber and caries, and of periapical pain was open pulp chamber.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An investigation into differential diagnosis of pulp and periapical pain: a PennEndo database study.

Nine hundred fifty-one emergency and 997 nonemergency patients seeking endodontic treatment were the basis of this study. Variables of interest were 10 pain descriptors, percussion and palpation tests, causative factors, and paired pulpal and periapical diagnoses. A higher number of patients suffering from symptomatic pulpal conditions sought emergency care. Odds of caries being a causative fac...

متن کامل

Pain Before, During and After Single-Visit Root Canal Therapy and Associated Factors

Introduction: Pain is one of the most important factors affecting patients' fear and anxiety in dental appointments. The aim of current study is to evaluate the pain experienced by patients before, during and after endodontic treatment. Materials and methods: This descriptive longitudinal study was performed on 100 patients aged 18-60 years old who referred to the department of endodontics of ...

متن کامل

Metastatic breast carcinoma initially diagnosed as pulpal/periapical disease: a case report.

INTRODUCTION Metastatic tumors to oral cavity and jaws are rare, and mandible is the most commonly involved location. Because the most common jaw symptom is pain, these lesions could be misdiagnosed as pathologic entities with dental origin. In this article a case of metastatic breast carcinoma initially diagnosed as pulpal/periapical disease is presented and discussed. METHODS A 40-year-old ...

متن کامل

Efficacy of Ibuprofen and ibuprofen/acetaminophen on postoperative pain in symptomatic patients with a pulpal diagnosis of necrosis.

INTRODUCTION The purpose of this prospective, randomized, double-blind study was to determine ibuprofen versus ibuprofen/acetaminophen use for postoperative endodontic pain in symptomatic patients with a pulpal diagnosis of necrosis and an associated periapical radiolucency who were experiencing moderate to severe preoperative pain. We also recorded escape medication use. METHODS Seventy-one ...

متن کامل

Clinical comparison of pulpal anesthesia resulting from two ‌‌mandibular block anesthetic techniques: conventional ‌and Gow - Gates

Clinical comparison of pulpal anesthesia resulting from two ‌‌mandibular block anesthetic techniques: conventional ‌‌and Gow - Gates Dr. M.S . Sheykh Rezaee* - Dr. E. Salmani** *- Assistant professor of Endodontics Dept.- Faculty of Dentistry - Tehran University of Medical Sciences. ** - Dentist. Background and aim: One of the current ptoblems in endodontic treatment is the establishment of opt...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Brazilian dental journal

دوره 22 4  شماره 

صفحات  -

تاریخ انتشار 2011