Are antibiotics effective for endodontic pain?

Fouad, Ashraf F.

doi:10.1034/j.1601-1546.2002.30106.x

Cited by 46 publications

(48 citation statements)

References 100 publications

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“…8,9 It must be noted that the indications for consideration of antibiotic treatment are only when there are clear signs of bacterial infection and not just a toothache. Such signs include fever, malaise, lymph node involvement, rapid onset (less than 24 hours) and rapid spreading.…”

Section: Figmentioning

confidence: 99%

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The differential diagnosis of toothache from other orofacial pains in clinical practice

Linn¹,

Trantor²,

Teo³

et al. 2007

Australian Dental Journal

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Background: Teeth are a common and obvious source of orofacial pain. There is a risk that endodontic treatment may be initiated in patients that do not have pulp or periapical pathosis. Methods: A retrospective survey of a sample of patients referred for endodontic treatment was analysed to determine the accuracy of the diagnosis and to identify non‐dental cases. A separate prospective study of complex non‐dental orofacial pain cases was performed to determine which cases had previously received dental treatment. Results: Seventy‐seven (88 per cent) of 88 patients referred for endodontic treatment had been correctly diagnosed with solely endodontic problems. Eight (9 per cent) had endodontic plus other orofacial pain problems and three (3 per cent) had no endodontic problems but other orofacial pain problems. Forty‐four (44 per cent) of 100 non‐dental orofacial pain patients had previously received either extractions or endodontics. Conclusion: Dentists need to carefully evaluate all toothache patients to ensure that the diagnosis is correct prior to the initiation of irreversible treatment.

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Section: Figmentioning

confidence: 99%

“…8,9 The one patient in the series with chronic maxillary sinusitis had been treated medically and dentally with prolonged and multiple courses of antibiotics. This had not resolved the problem.…”

Section: Final Diagnosismentioning

confidence: 99%

The differential diagnosis of toothache from other orofacial pains in clinical practice

Linn¹,

Trantor²,

Teo³

et al. 2007

Australian Dental Journal

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“…The presence of systemic alterations indicates that the infectious process is not controlled by the host's defense mechanism, and antibiotics are required. According to Fouad [10], the use of antibiotics is not indicated for controlling the post-operative pain [2,10]. The best criterion to decide on the use of antibiotics is related to the presence or absence of signs of dissemination and systemic manifestations of the infection, that is, when the patient shows indicative signs that the immunological defenses by themselves cannot control the infection.…”

Section: Systemic Drugs -Pain Controlmentioning

confidence: 99%

Clinical strategies for managing emergency endodontic pain

Francisco¹,

Suzuki²,

Lima³

et al. 2017

RSBO

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Introduction: Pulpal and periradicular pain is leading cause of emergency care demand. Literature review: Pain management in endodontics includes important aspects for its control and prevention, such as reducing anxiety and preoperative pain, control of intraoperative pain and the treatment of postoperative pain. These review pointed out some important measures that may be the key for the effectiveness control and prevention of pain in endodontic procedures. One of the effective strategies currently used in these cases is structured to evaluate the painful condition through a 3-D approach which establish a differential diagnosis, definitive treatment, and rational use of drugs, based on the most appropriate scientific evidence available in the literature.

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“…The topical use of antibiotics in endodontic infections is not novel; the reader is referred to Fouad (2002) for a review on the subject. However, in recent years this practice has not been popular in endodontics treatment because of the availability of less costly alternatives, and the apparent success of treatment.…”

Section: Inefficacy and Potential Detrimental Effects Of Traditional mentioning

confidence: 99%

The Microbial Challenge to Pulp Regeneration

Fouad

2011

Adv Dent Res.

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Pulp regeneration is considered in cases where the dental pulp has been destroyed because of microbial irritation. Diverse oral and food-borne micro-organisms are able to invade the pulp space, form biofilm on canal walls, and infiltrate dentinal tubules. Prior to pulp regeneration procedures, the pulp space and dentinal walls need to be sufficiently disinfected to allow for and promote regeneration. The necessary level of disinfection is likely higher than that accepted for traditional endodontic therapy, because in traditional techniques the mere lowering of bacterial loads and prevention of bacterial access to periapical tissues is conducive to healing. Moreover, several of the non-specific antimicrobials used in traditional endodontic therapy may cause significant changes in remaining dentin that interfere with its inherent potential to mediate regeneration. Non-specific antimicrobials also suppress all microbial taxa, which may allow residual virulent micro-organisms to preferentially repopulate the pulp space. Therefore, it is important for endodontic pathogens to be studied by molecular methods that allow for a broad depth of coverage. It is then essential to determine the most effective protocols to disinfect the pulp space, with minimal disruption of remaining dentin. These protocols include the topical use of effective antibiotics, including newer agents that have demonstrated efficacy against endodontic pathogens.

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Are antibiotics effective for endodontic pain?

Abstract: Although antibiotics are frequently prescribed to treat endodontic pain patients, there is little evidence from the clinical literature to support this indication. This review focuses on the clinical evidence regarding the efficacy of antibiotics for treating postendodontic pain.

Cited by 46 publications

References 100 publications

The differential diagnosis of toothache from other orofacial pains in clinical practice

The differential diagnosis of toothache from other orofacial pains in clinical practice

Clinical strategies for managing emergency endodontic pain

The Microbial Challenge to Pulp Regeneration

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