Prevalence of inter-appointment endodontic flare-ups and host-related factors

Azim, Adham A.; Azim, Katharina A.; Abbott, Paul

doi:10.1007/s00784-016-1839-7

Cited by 38 publications

(59 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An important clinical situation resulting from apically extruded debris during endodontic therapy has to do with flare-up, which consists of acute exacerbations of an asymptomatic pulpal and/or periradicular pathologic condition. This condition is not desirable for patients and clinicians, and may happen from 2 -3.2% of the cases (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Apically Extruded Debris Using Positive and Negative Pressure Irrigation Systems in Association with Different Irrigants

et al. 2018

View full text Add to dashboard Cite

This study evaluated the amount of apically extruded debris after chemo-mechanical preparation (CMP) using positive and negative pressure irrigation systems [Conventional irrigation (CI) and EndoVac (EV)] in association with different irrigants [6% Sodium Hypochlorite (NaOCl), 2% Chlorhexidine gel + saline solution (CHXg + SS), 2% Chlorhexidine solution (CHXs) or Saline solution (SS)]. Eighty mandibular premolars with single root canals were selected and randomly assigned into 8 groups (n = 10) according to the irrigation system and the irrigant used during CMP: G1 (EV + NaOCl), G2 (EV + CHXg + SS), G3 (EV + CHXs), G4 (EV + SS), G5 (CI + NaOCl), G6 (CI + CHXg + SS), G7 (CI + CHXs) and G8 (CI + SS). Reciproc® R25 files (25/.08) were used during the CMP and the extruded debris from each tooth was collected in pre-weighted Eppendorf tubes and dried. The average weight of debris was assessed using a microbalance, and the data were statistically analyzed using ANOVA and the post hoc Tukey's test (a = 0.05). All groups were associated with debris extrusion. EV was the irrigation system with less extruded debris (p < 0.05). No differences were observed regarding the irrigant when EV was used. When CI was used, CHXg + SS were associated with lower debris extrusion (p < 0.05). It was concluded that no irrigation protocol succeeded in preventing debris extrusion. EV resulted in lower levels of debris extrusion than CI. The use of CHXg + SS resulted in lower debris extrusion.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluation of Apically Extruded Debris Using Positive and Negative Pressure Irrigation Systems in Association with Different Irrigants

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The flare-up rate varies widely in the literature due to differences in the variables studied, and the methods used to characterize flare-up [3,4,6,37]. In the present study, a definition proposed by Ehrmann et al was used to identify flare-up because of its well-defined criteria.…”

Section: Discussionmentioning

confidence: 89%

“…In the literature, such acute exacerbation of pain is coined a "flare-up" [2]. The rate of flare-up varies from 1.5% to 12.3% [3][4][5][6]. The etiology of postoperative pain is multifactorial and complex.…”

Section: Introductionmentioning

confidence: 99%

Effect of Chinese Propolis as an Intracanal Medicament on Post-Operative Endodontic Pain: A Double-Blind Randomized Controlled Trial

Shabbir

Qazi

Farooqui

et al. 2020

IJERPH

View full text Add to dashboard Cite

Propolis is a potent anti-microbial and natural anti-inflammatory by-product obtained from the beehive. Studies have demonstrated the superior biocompatibility and anti-microbial properties of propolis as compared to calcium hydroxide. However, its effect on postoperative endodontic pain is unknown. Therefore, this study aimed to investigate the impact of Chinese propolis paste as an intracanal medicament on postoperative endodontic pain intensities compared with calcium hydroxide (control) at different time intervals in necrotic teeth with periapical radiolucency. Eighty patients with single-rooted necrotic teeth with visible periapical radiolucency were recruited and randomly allocated to either the calcium hydroxide or propolis groups. After chemo-mechanical preparation and intracanal medicament insertion, patients were given the VAS (visual analogue scale) to record pain scores. Inter-group data were compared and analyzed using two-way repeated measure ANOVA (Bonferroni test). A p-value of < 0.025 was considered significant. In total, >78% of the patients experienced no or only mild post-operative pain in both the groups at all time intervals, without any significant difference in pain scores between the two groups (p > 0.025). An overall flare-up rate of 14.8% was found. The results suggest that either of these medicaments can be used as an inter-appointment medication for the prevention of postoperative pain in necrotic cases.

show abstract

“…In the present study, no difference was found in terms of age between groups similar to previous studies. 23,24 However, Azim et al 25 reported higher risk for the patients >50 years in developing flare-ups.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Postoperative Pain After Using Different File Systems: A Randomized Clinical Study

Özdemir

Hazar

Koçak

et al. 2019

Cumhuriyet Dental Journal

View full text Add to dashboard Cite

Objectives: This study evaluated the effect of instrumentation techniques on the postoperative pain after single-visit root canal treatment. Materials and Methods:Sixty patients having an indication of endodontic treatment were included. Only single rooted teeth were selected The patients were randomly divided into 2 groups. In group 1; the root canals were instrumented using ProTaper Next instruments with rotational motion, in group 2 TF Adaptive instruments with adaptive motion were used during instrumentation. Treatments were completed in a single appointment. Postoperative pain questionnaires were scored by patients using a four-point pain intensity scale for 12, 24, and 48 hours. Mann Whitney-U, Friedman and Wilcoxon tests were used for analyzing the final data. Results:The comparison of time intervals between groups demonstrated no difference between both groups (p>0.05). In both groups, the postoperative pain values of 12h time period were significantly higher than both other periods, and significant difference was found between 24h and 48h time periods (p<0.05). The postoperative pain values of 48h time period were significantly lower than the other two time periods (p<0.05). Conclusions:Both instrumentation techniques caused postoperative pain. The pain scores indicated that both techniques caused limited discomfort associated with slight pain which did not require any additional treatment and medication.

show abstract

Prevalence of inter-appointment endodontic flare-ups and host-related factors

Abstract: This article provides evidence that patients suffering from inflamed pulp will not develop flare-up if adequate cleaning and shaping of the root canal space was performed. It also shows that patients above the age of 50 are a high-risk group that is prone to flare-up development.

Cited by 38 publications

References 29 publications

Evaluation of Apically Extruded Debris Using Positive and Negative Pressure Irrigation Systems in Association with Different Irrigants

Evaluation of Apically Extruded Debris Using Positive and Negative Pressure Irrigation Systems in Association with Different Irrigants

Effect of Chinese Propolis as an Intracanal Medicament on Post-Operative Endodontic Pain: A Double-Blind Randomized Controlled Trial

Evaluation of Postoperative Pain After Using Different File Systems: A Randomized Clinical Study

Contact Info

Product

Resources

About