Clinical Investigation of Patients Who Develop Neuropathic Tooth Pain After Endodontic Procedures

Oshima, Katsuo; Ishii, Takashi; Ogura, Yoko; Aoyama, Yusuke; Katsuumi, Ichiroh

doi:10.1016/j.joen.2009.04.017

Cited by 26 publications

(19 citation statements)

References 17 publications

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“…TMJ pain, sinusitis) or habits (i.e bruxism). 7 Misdiagnosis of dental pain may be caused by referred pain in accordance to Oshima et al 6 study, 87.6% of NTPs were in maxillary teeth, which may be caused by sinusitis or temporal muscle (TPs) ( Figure 4). Consequently, diagnosing the dental pain should not limited to the dental and periodontal tissues examination; palpation of masticatory muscles to fi nd muscle spasms and TPs is mandatory.…”

Section: Discussionmentioning

confidence: 57%

“…7,19,25 Therefore, even though endodontic treatment is considered as a potent dental pain treatment and treatment of choice for irreversible pulpal pathosis, pain may still persist and become idiopathic dental pain or NTP in several cases. 6 Endodontic treatment itself may cause idiopathic dental pain (that may misinterpreted as "fl are ups") at least by several reasons: nerve extirpation cause peripheral axonal injury; 6 patients has to open their mouth for a long time that may cause muscle spasm. Other persistent pains may cause from the referred pain (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…12,15,16 This idea was supported with the facts that antidepression therapy relieves the pains. 2,6 Therefore, excess of circulating proinfl ammatory cytokines and Omega-6, 16,18,19 must be solved first or treated concomitantly with other non-drug pain therapies before conducting invasive dental procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, the prevalence of persistent pain occurred in the maxillary teeth were 87.5% compared to 12.5% in the mandibular teeth, and 68.8% relieved by tricyclic depressants. 6 Conventionally, relieving pain with drugs targeting biological factors by lowering the "pain triggers" mediators such as prostaglandins (PGs) [7][8][9] or tumor necrosis α (TNF-α). 10 Nevertheless, prolonged or abuse of these drugs have adverse effects.…”

Section: Introductionmentioning

confidence: 99%

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Relieving idiopathic dental pain without drugs

Utomo

Rulianto

2011

Dent. J. (Majalah Kedokteran Gigi)

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Relieving idiopathic dental pain without drugs

Utomo

Rulianto

2011

Dent. J. (Majalah Kedokteran Gigi)

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“…Patients who undergo irreversible pulpitis or symptomatic periodontitis experienced central sensitization (increased excitability of neurons beneath the central nervous system ) and peripheral sensitization (decrease threshold and increased response at the end of the peripheral nociseptor). 1,3, 4 Inadequate pain management during endodontic treatment may be caused by changes in the periapical tissues, inflammation or infection of the pulp and apical pathology that can lower the pH of the tissue in the area around the teeth. 5 Anxiety to pain arising during endodontic treatment usually associated with treatment procedures and not the post-treatment period.…”

Section: Introductionmentioning

confidence: 99%

Management pain and anxiety in endodontic treatment

Sumidarti

Dwiandhany

2017

J Dentomaxillofac Sci

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Objective : Dental pain is a common symptom that most often causes patient to seek dentist. A survey conducted by the American Association of Endodontics revealed that more than half patients who come to dentist have experienced pain, which originate from the teeth or of the surrounding tissue, can causes difficulties in handling, also the anxiety of the patient. Understanding the pain experienced by patient will help dentist to determine when to make an action. Most patient being fear with pain, so they delay to get treatment from dentist, and lead to the development of further infection and inflammation. The aim of this paper is to improve the understanding of pharmacology and procedures for pain and anxiety management in endodontic treatment. So, it is important to determine accurate diagnosis, management and drug administration.

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Assessing the occurrence and severity of pre‐ and postendodontic pain in anemic and healthy female patients

Kazemipoor,

Moradi,

Mokhtari

et al. 2023

Clinical & Exp Dental Res

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ObjectivesThe objective of this current survey was to assess both the occurrence and severity of pre‐ and post‐endodontic pain among female individuals, distinguishing between those with anemia and those without.Materials and MethodsIn the current study, we included a total of 60 women with anemia (hemoglobin < 11) and those without anemia (hemoglobin > 13). We recorded the occurrence and severity of pain before and at 24, 48, and 72 h following root canal treatment using a visual analog scale (VAS) ranging from 0 to 10. Additionally, we collected data on patient age, tooth type, as well as pulpal and periapical conditions. Statistical analysis was carried out using two‐way ANOVA, pairedt‐tests, and Pearson correlation coefficient. The significance level for statistical tests was set at p ≤ .05.ResultsThe incidence of preoperative pain in both anemic and non‐anemic patients was 80%. The total incidence of post‐operative pain was recorded as 71.7% (82.2% in anemic and 61.1% in non‐anemic women). Compared with the pretreatment pain incidence and intensity, the values increased in 24 h but declined in 48 h and 72 h after treatment. Considering the posttreatment pain intensity, the mean values were higher in the three time intervals (24, 48, and 72 h) in anemic patients. Pulpal and periapical status, in contrast to age and tooth type, significantly contributed to the intensity of posttreatment pain.ConclusionRegarding the importance of pain phenomenon in human life, it is recommended to consider anemia as an important risk factor for post‐endodontic pain. Early diagnosis and analgesic treatment interventions in anemic females, alongside the pain control during root canal treatment, could promote the patient's satisfaction and quality of care.

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Clinical Investigation of Patients Who Develop Neuropathic Tooth Pain After Endodontic Procedures

Cited by 26 publications

References 17 publications

Relieving idiopathic dental pain without drugs

Relieving idiopathic dental pain without drugs

Management pain and anxiety in endodontic treatment

Assessing the occurrence and severity of pre‐ and postendodontic pain in anemic and healthy female patients

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