scholarly journals Acute endodontic pain

Ból ◽  
2020 ◽  
Vol 21 (1) ◽  
pp. 1-7
Author(s):  
Marcin Pasternak ◽  
Jarosław Woroń
Keyword(s):  
Pain Management ◽  
Root Canal ◽  
Local Anaesthesia ◽  
Dental Treatment ◽  
Dental Pain ◽  
Nerve Fibers ◽  
Root Canal Treatment ◽  
Public Health Issue ◽  
Preoperative Pain ◽  
First Choice

Dental pain is amongst the most common types of or ofacial pain, it significantly reduces quality of life in patients and is regarded as a serious public health issue in many countries, furthermore it is main reason of seeking emergency dental treatment. Usually dental pain is caused by pulp and periapical conditions and is inflammatory. The two key components of dental pain are the activity of nerve fibers and alterations in microciculation. Anatomical and neurophysiological differences affecting mentioned type of pain were presented in this paper as well as mechanisms of dental pain form ation, clinical implications of hyperalgesia, allodynia, reffered pain phenomena and therapeutic procedures. The most optimal way of preoperative pain management is implementation of causal treatment as soon as possible, which includes tooth extraction or endodontic intervention. During root canal treatment complete pulp removal is followed by exact chemomechanical preparation of the entire root-canal system with the use of instrumentation and plentiful irrigation and dense obturation. Endodontic therapy allows tooth preservation and periapical tissues healing. Intraoperative pain is controlled with the means of proper local anaesthesia, depending on clinical situation using not only first choice techniques as regional block and infiltrative anaesthesia but also additional methods like intraligammentary, intraosseus and intrapulpal injections. Postprocedural pain management starts during anaesthesia. In article additional pharmacological and non-pharmacological strategies helpful in treating these conditions, providing better effectiveness of local anaesthesia that is difficult in tissue inflammation and decreasing and even preventing development postendodontic pain – common complication of root canal treatment.

Influence of preoperative pain intensity on postoperative pain after root canal treatment: A prospective clinical study

2016 ◽  
Vol 45 ◽  
pp. 39-42 ◽  
Author(s):  
Akram Alí ◽  
Juan Gonzalo Olivieri ◽  
Fernando Duran-Sindreu ◽  
Francesc Abella ◽  
Miguel Roig ◽  
...  
Keyword(s):  
Clinical Study ◽  
Postoperative Pain ◽  
Pain Intensity ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Prospective Clinical Study ◽  
Preoperative Pain

scholarly journals Perception Of Oral Hygiene Practices And Dental Treatment Permissible During Fasting Amongst Dental Patients: A Cross-Sectional Study In Pakistan

2020 ◽  
Author(s):  
Khaloud Tariq ◽  
Arooj Ul Hassan ◽  
Muhammad Hassan ◽  
Shahab Ud Din ◽  
Zunaira Arooj ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Root Canal ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Root Canal Treatment ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Dental Patients ◽  
Hygiene Practices ◽  
Hygiene Measures

Abstract Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.

scholarly journals Endodontic and Restorative Treatment Patterns of Pulpally Involved Immature Permanent Posterior Teeth

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ebtissam M. Al-Madi ◽  
Samar A. Al Saleh ◽  
Sundus M. Bukhary ◽  
Maha M. Al-Ghofaily
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Insurance Coverage ◽  
Treatment Patterns ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Posterior Teeth ◽  
Restorative Treatment ◽  
Mandibular Molar ◽  
Treatment Data

Objective. The study aims at investigating the treatment patterns for young permanent posterior teeth with pulp involvement. Materials and Methods. A random sample of 1793 dental records of patients aged 6–18 years old who had received dental treatment was investigated. 663 permanent posterior treated teeth had pulp involvement. Demographic and treatment data were gathered from patients’ records. Results. Prevalence of young permanent teeth with pulp involvement was 36.9%. Treatments received significantly increased as patients’ age increased (P=0.001). The first mandibular molar had the most pulp involvement among all teeth (43.89%). Temporary restoration was the most received restoration (59%). The most common pulpal diagnosis, leading to treatment, was irreversible pulpitis (43.04%). Only 19.8% of treated teeth received completed root canal treatment. Conclusion. There is a high percentage of children and adolescents with immature permanent posterior teeth with pulp involvement. Similarly, a variety of treatment patterns is present, with a small percentage of completed root canal treatment. Clinical Relevance. The study has identified the need to provide guidelines to provide high-quality root canal treatments for young permanent posterior teeth that have pulpal involvement. Only 21.8% of root canal treatments were completed, while 24% of teeth were extracted, and 59% of patients received temporary restorative treatments. This suggests that there might be several factors that might prevent completion of the dental treatment, such as patient preference, insurance coverage, or dentist capability. These factors and guidelines for patient care should be investigated and resolved.

scholarly journals Hubungan Pengetahuan Kesehatan Gigi dan Mulut Pasien Terhadap Kepatuhan Menjalani Perawatan Berulang

2019 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Isnia Maulidah ◽  
M Roelianto ◽  
Galih Sampoerno
Keyword(s):  
Dental Caries ◽  
Patient Compliance ◽  
Root Canal ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Dental Health ◽  
Data Gathering ◽  
Root Canal Treatment ◽  
Treatment Result ◽  
Cross Sectional

Background: Dental caries is one of oral and dental disease that has high prevalence in Indonesia. The fact showed that there are many dental caries were in advanced condition, resulting in root canal treatment needed. The failure of root canal treatment usually caused by patient non compliance in multivisit treatment. It was probably because of the lack of public knowledge about oral and dental health. Purpose: This study was to investigate the correlation between oral and dental health knowledge with patient compliance in multivisit treatment. Methods: An analytic survey using cross sectional design was carry out on 35 patients in UPF Konservasi Gigi RSGMP FKG UNAIR around September-November 2011. The data gathering was done using both questionnaire and focused interview. The test of Spearman correlation was used to measure the correlation between the oral and dental health knowledge to patient compliance in multivisit treatment. Result: This study showed that there was no significant correlation between oral and dental health knowledge to patient compliance (p=0,837). But there was significant correlation between patient compliance with patient motivation  (p=0,006), needs (p=0,020), perception (p=0,018) and dental treatment cost (p=0,034) with patien compliance in multivisist dental treatment. Conclusion: There was no significant correlation between oral and dental health knowledge to patient compliance. There are other factors that give significance contribution to the increasement of complianced beside knowledge, such as motivation, needs, patient’s perception in continousy treatment and and cost.

scholarly journals Perception Of Oral Hygiene Practices And Dental Treatment Permissible During Fasting Amongst Dental Patients: A Cross-Sectional Study In Pakistan

2020 ◽  
Author(s):  
Khaloud Tariq ◽  
Arooj Ul Hassan ◽  
Muhammad Hassan ◽  
Shahab Ud Din ◽  
Zunaira Arooj ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Root Canal ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Root Canal Treatment ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Dental Patients ◽  
Hygiene Practices ◽  
Hygiene Measures

Abstract Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.

scholarly journals Magnification of fear and intention of avoidance in non-experienced versus experienced dental treatment in adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Li-Ling Chen ◽  
Long-Ting Wu ◽  
Shue-Fen Yang ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Prior Experience ◽  
Dental Anxiety ◽  
Root Canal Treatment ◽  
Wisdom Tooth ◽  
Dental Visits ◽  
High Degree ◽  
Experienced Treatment ◽  
Anxiety And Fear

Abstract Background Dental fear is associated with the experience of prior dental treatment and avoidance of dental visits. It remains unclear if individuals show an intention of avoidance (IA) towards treatments that they have not received (i.e., non-experienced dental treatment). The study aims to investigated (a) if individuals showed an increased fear and IA to non-experienced, compared to experienced dental treatment, and (b) if fear and IA to non-experienced treatment is associated with dental anxiety. Methods Fear/IA of 12 common conditions of dental treatment of 402 adults were investigated. If subjects have experienced the condition, fear and IA were assessed based on subjects’ prior experience (i.e., ExpFear/ExpIA). If they have not experienced the condition, fear and IA were assessed based on their anticipation (i.e., NExpFear/NExpIA). Trait dental anxiety was assessed using the Index of Dental Anxiety and Fear (IDAF-4C+). Results (A) NExpFear and NExpIA were significantly higher than ExpFear and ExpIA, respectively. (B) The IDAF-4C+ scores are positively correlated with NExpFear/NExpIA and negatively correlated with the magnification of fear (i.e., the discrepancy in the fear/IA of non-experienced vs. experienced conditions). (C) The condition ‘extraction of a wisdom tooth’ and ‘root canal treatment’ showed the highest ratings on NExpFear. Conclusions Individuals may develop a high degree of fear and IA of the treatment they have not received. Trait dental anxiety plays a key role in the fear of non-experienced treatment.

scholarly journals Discussion on the Pulpless Tooth

1928 ◽  
Vol 21 (8) ◽  
pp. 1475-1494
Keyword(s):  
Root Canal ◽  
Local Anaesthesia ◽  
Root Canal Treatment ◽  
Tooth Pulp ◽  
Physiological Changes ◽  
Root Canals ◽  
Advantages And Disadvantages ◽  
Moist Condition ◽  
Symptoms And Signs

A large proportion of the population have pulpless teeth, hence the importance of this subject. The main principles concerned in the treatment of pulpless teeth are: the removal of the pulp in its entirety, the drainage of the stump of the severed pulp, the cleansing and drying of the root canals and the filling of the tooth cavity. Local anæsthesia is preferable to caustics for desensitizing the tooth pulp prior to its removal. Antiseptics used in a dry condition are preferable to those used in a moist condition for root canal treatment. Nothing is gained by filling the root canals, if the peri-apical tissues have scarred there is no further discharge into these canals; and if they have not scarred the filling of the root canals will only obstruct drainage. If the discharge from the canals is copious, the tooth cavity should be left open to the mouth except for the insertion of a loosely placed dressing. Untreated pulpless teeth are more liable to give rise to “open” sepsis; treated pulpless teeth to “closed” sepsis. The crux of the question as to whether pulpless teeth should be retained or extracted is one of evaluating their advantages and disadvantages. A tooth deprived of its pulp owing to infective changes gives rise to subjective and objective symptoms and signs. A tooth deprived of its pulp owing to physiological changes gives rise to no apparent ill effects.

scholarly journals Magnification of Fear and Intention of Avoidance of Non-Experienced Dental Treatment

2020 ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Li-Ling Chen ◽  
Tze-Fang Wang
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Prior Experience ◽  
Dental Anxiety ◽  
Root Canal Treatment ◽  
Wisdom Tooth ◽  
Dental Visits ◽  
High Degree ◽  
Experienced Treatment ◽  
Anxiety And Fear

Abstract Background. Dental fear is associated with the experience of prior dental treatment and avoidance of dental visits. It remains unclear if individuals show an intention of avoidance (IA) towards treatments that they have not received (i.e., non-experienced dental treatment). Methods. We investigated fear/IA of 12 common conditions of dental treatment of 402 adults. If subjects have experienced the condition, fear and IA were assessed based on subjects’ prior experience (i.e., ExpFear/ExpIA). If they have not experienced the condition, fear and IA were assessed based on their anticipation (i.e., NExpFear/NExpIA). Trait dental anxiety was assessed using the Index of Dental Anxiety and Fear (IDAF-4C+). Results. We found that (A) NExpFear and NExpIA were significantly higher than ExpFear and ExpIA, respectively. (B) The IDAF-4C+ scores are positively correlated with NExpFear/NExpIA and negatively correlated with the magnification of fear (i.e., the discrepancy in the fear/IA of non-experienced vs. experienced conditions). (C) The condition ‘extraction of a wisdom tooth’ and ‘root canal treatment’ showed the highest ratings on NExpFear. Conclusions. Individuals may develop a high degree of fear and IA of the treatment they have not received. Trait dental anxiety plays a key role in the magnification of the fear of non-experienced treatment.

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