Flare up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital

Al-Negrish, A.R.S.; Habahbeh, Riyad Al

doi:10.1016/j.jdent.2005.12.007

Cited by 67 publications

(91 citation statements)

References 32 publications

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“…When considering arch group and type of teeth, pain is experienced more in mandibular group and pre-molar teeth than maxillary and anterior teeth at both 1 st and 7 th post obturation days (Table 2 & In 1 st post obturation day as well as 7 th post obturation day females reported more pain than males. These results support findings of previous workers 16,17,22,23,24,25,26 . Female patients experienced more pain than male patients, a possible explanation is that biological differences between genders may explain increased pain prevalence in females 17 .…”

Section: Methodssupporting

confidence: 93%

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A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

Jabeen

Khurshiduzzaman

2013

Chatt Maa Shi Hosp Med Coll J

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Introduction: Root canal treatment (RCT) is a common procedure in dentistry. In recent year, single visit RCT has gained increased acceptance as a treatment procedure of RCT. One of the problem of RCT is post obturation pain. Objectives: This study was conducted to determine the incidence of post obturation pain related to single visit RCT in asymptomatic non-vital single rooted teeth. Methods: A total 60 cases of endodontically involved asymptomatic non-vital single rooted teeth without any evidence of periapical radiolucency in radiograph, were selected for this study. The canals of all teeth were prepared and filled using the standarized preparation and lateral condensation filling technique. The frequency of post obturation pain was recorded as no pain, slight, moderate and severe pain and evaluated at the day l and at the day 7 after obturation. Result: Out of the 60 patients involved in the study, 37 patients had no pain, 12 patients had slight pain and 11 patients had moderate pain at the day 1 after post obturation. At the day 7 after post obturation, 50 patients had no pain, 8 patients had slight pain and 2 patients had moderate pain. No one showed severe pain in both follow up days. Conclusion: Statistically significant differences were found in the incidence and degree of pain between two follow up days. Incidence of pain was more in 1 st post obturation day and decreased thereafter.

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Section: Methodssupporting

confidence: 93%

“…These results support findings of previous workers 16,17,22,23,24,25,26 . Female patients experienced more pain than male patients, a possible explanation is that biological differences between genders may explain increased pain prevalence in females 17 .…”

Section: Methodssupporting

confidence: 93%

A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

Jabeen

Khurshiduzzaman

2013

Chatt Maa Shi Hosp Med Coll J

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“…Of these, six analyzed periapical repair, [14][15][16][17][18][19] four microbiological control, 17,[20][21][22] and eight postobturation pain. [23][24][25][26][27][28][29][30] Table 1 describes the characteristics of the studies related to periapical repair and microbiological control. Table 2 is a description of the studies on postobturation pain.…”

Section: Resultsmentioning

confidence: 99%

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Almeida¹,

Chaves²,

Souza³

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction: Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods:A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single-or multiple visits.Results: About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single-and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion:There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance:It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service.

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“…A continuación se revisan algunos de ellos. 2,6,[13][14][15] Inflamación preoperatoria: la presencia de inflamación preoperatoria, localizada o difusa, tiene una incidencia del 15% de los casos estudiados. 16 Presencia de dolor preoperatorio: los casos de pulpas no vitales con dolor preoperatorio presente al momento de la cita inicial tienen más probabilidades de presentar dolor postoperatorio que los casos de pulpas vitales, independientemente que éstas presenten o no, dolor preoperatorio.…”

Section: Introductionunclassified

“…Las probabilidades disminuyen en los casos de pulpas necróticas asintomáticas, el factor más importante relacionado con la incidencia de agudizaciones ha sido la presencia de dolor preoperatorio severo, el cual ocasiona el 19% de incidencia. 8,13,[17][18][19] Técnicas de instrumentación: ninguna técnica es efectiva en prevenir la extrusión de restos a través del foramen apical, pero sí se ha reportado que es mayor la cantidad de los mismos cuando se utiliza la técnica de paso atrás. 14,[20][21][22] Número de citas: no se encuentran diferencias en la incidencia de dolor postoperatorio existente entre los tratamientos endodónticos en varias citas y aquellos realizados en una sola cita.…”

Section: Introductionunclassified

Exacerbación Apical Posterior a Tratamiento Endodóntico

2012

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Autor responsable de correspondencia: Claudia Liliana Martínez VeraCorreo electrónico: odontomartinezvera@yahoo.es RESUMENUn tratamiento endodóntico genera muchas expectativas en el paciente debido a la creencia popular de ser un tratamiento incómodo, doloroso y tensionante que demanda varias sesiones para su realización. Cuando el diagnóstico pulpar es sintomático, estas expectativas aumentan y lo más deseable para el profesional es que el tratamiento sea superado, es decir, eliminar toda la sintomatología para garantizar el éxito de la terapia. Las agudizaciones endodónticas son complicaciones que se presentan durante la realización un tratamiento endodóntico al formar procesos inflamatorios periapicales que se presentan al finalizar el tratamiento. Algunos factores influyen significativamente en el desarrollo de la exacerbación de una endodoncia como el diagnóstico pulpar, la presencia de tractos fistulosos, instrumentación extensiva, única cita y falta de instrumentación y de irrigación, entre otros. Este artículo describe el caso clínico de un premolar superior con un diagnóstico inicial de periodontitis apical crónica no supurativa, sometido a un retratamiento endodóntico, el cual presentó un error en la preparación por subinstrumentación al determinar una longitud de trabajo insuficiente que ocasionó una limpieza deficiente y una lesión apical. APICAL EXACERBATION AFTER ROOT CANAL TREATMENT ABSTRACTAn endodontic treatment generates high expectations for the patient due to the popular belief treatment be uncomfortable, painful, stressful it takes several sessions to complete it. When the pulp is symptomatic, these expectations rise and the professional expects to finish and to remove all the symptoms to ensure the success of therapy. Endodontic exacerbations are complications than can be presented during endodontic treatment to form periapical inflammatory processes that occur at the end of treatment. Some factors influence the development of these complications such as pulp diagnosis, the presence of sinus tracts, extensive instrumentation, lack of instrumentation and irrigation, among others. This article describes the case of a premolar with an initial diagnosis of chronic suppurative apical periodontitis, endodontic retreatment under which introduced an error in the preparation by subinstrumentación to determine a working length that caused insufficient and inadequate cleaning apical injury.Key words: Recurrence, Therapeutic irrigation, Instrumentation, Periapical periodontitis Recibido para publicación: diciembre 16 de 2011. Aceptado para publicación: junio 30 de 2012 INTRODUCCIÓNLa agudización endodóntica se define como la complicación de dolor y/o inflamación que hace que un paciente consulte de manera imprevista y que sorprende tanto al profesional como al paciente, también llamada exacerbación aguda. 1-3Desde 1960, diversos autores definen agudización según el origen y la sintomatología que refiera el paciente. 4 Una exacerbación se refiere al dolor postoperatorio y/o inflamación resultante de la...

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Flare up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital

Cited by 67 publications

References 32 publications

A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Exacerbación Apical Posterior a Tratamiento Endodóntico

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