Differential Diagnosis and Treatment Proposal for Acute Endodontic Infection

Abstract

The objective of this study was to describe the main lesions that simulate clinically and propose a treatment protocol for acute endodontic infection. Signs and clinical symptoms of periodontal abscess, gingival abscess, odontoma, herpes simplex, pericoronitis, acute pulpitis and necrotizing ulcerative gingivitis/periodontitis (NUG/NUP) were described and compared with acute endodontic infections. A treatment protocol was described by optimizing the procedures in access cavity, microbial decontamination and detoxification of the root canal, apical debridement, intracanal and systemic medication and surgical drainage procedures. The convenience of the use of 5.25% sodium hypochlorite, root canal instrumentation using a crown-down technique, intracanal medication with 2% chlorhexidine or triple antibiotic paste and the convenience of the use of antibiotics, analgesics, and surgical drainage to solve cases of acute dentoalveolar abscess was discussed.

Repair of Iatrogenic Furcal Perforation With Mineral Trioxide Aggregate: A Case Report

“…In the present scenario, the issue was quickly resolved by employing MTA. Furcal perforation is an undesired issue that can arise during root canal therapy or following preparation [ 12 ]. Similarly, in patients whose caries affect the pulpal chamber, there is a danger of perforation during the removal of the infected tissue.…”

Comparison of nerve block anesthesia and local infiltration anesthesia with lidocaine hydrochloride in primary root canal treatment of mandibular molars

“…A total of 120 patients who underwent one-visit root canal therapy for mandibular molars in our hospital from June 2020 to June 2021 were retrospectively selected. (1): All patients underwent one-visit root canal therapy for mandibular molars; (2): Patients with American Society of Anesthesiologists (ASA) physical status I -II; (3): Patients aged > 18 years.…”

“…The one-visit root canal treatment of mandibular molars requires the surgeon to be familiar with the internal anatomy and morphology of the patient's root canal, which facilitates subsequent filling and avoids the risk of bacterial leakage, significantly shortening the patient's hospital stay -----------------------------------------------------------------------------------------------------------------------------------------------------© and reducing the time spent on multiple clinical operations. The one-visit root canal is now widely used in clinical practice and is well accepted by patients [1,2]. Studies have shown that primary root canal treatment in the mandibular molar area is more effective than traditional methods of root canal treatment [3].…”