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Inside Dentistry
April 2016
Volume 12, Issue 4

Conclusion

Properly treating endodontic emergency patients requires the dentist to have a good understanding of diagnosis, local anesthesia, conventional endodontic treatment, and clinical pharmacology. Through the understanding of these clinical skills, a dentist will find treating the emergency endodontic patient to be as routine as performing endodontics on a non-emergency patient. The successful treatment of the endodontic emergency patient will also be gratifying to both doctor and patient.

Disclosure

James Bahcall, DMD, MS, and Bradford Johnson, DDS, MPHE, have no relevant financial relationships to disclose.

References

1. Wolcott J, Rossman LE, Hasselgren G. Management of endodontic emergencies. In: Hargreaves KM, Cohen S, eds. Cohen’s Pathways of the Pulp. 10th ed. St. Louis, MO: Mosby; 2011:40-48.

2. American Dental Association 2010 Survey of Dental Practice. April 2012. www.ada.org/~/media/ADA/Science%20and%20Research/HPI/Files/10_sdpc.ashx. Accessed October 16, 2015.

3. Mitchell DF, Tarplee RE. Painful pulpitis: a clinical and microscopic study. Oral Surg Oral Med Oral Pathol. 1960;13:1360-1370.

4. Hargreaves KM, Keiser K. New advances in the management of endodontic pain emergencies. J Calif Dent Assoc. 2004;32(6):469-473.

5. Loeser JD, Treede RD. The Kyoto protocol of IASP Basic Pain Terminology. Pain. 2008;137(3):473-477.

6. McCarthy PJ, McClanahan S, Hodges J, Bowles WR. Frequency of localization of the painful tooth by patients presenting for an endodontic emergency. J Endod. 2010;36(5):801-805.

7. Okeson JP, ed. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. Carol Stream, IL: Quintessence Publishing. 1996;8:69.

8. Kulild J. Diagnostic testing. In: Ingle J, Bakland, L, Baumgartner J, eds. Ingle’s Endodontics 6. 6th ed. Hamilton, Ontario: BC Decker; 2008: 542.

9. Cohen HP, Cha BY, Spangberg LS. Endodontic anesthesia in mandibular molars: a clinical study. J Endod 1993;19:370-373.

10. Nusstein J, Reader A, Nist R, et al. Anesthetic efficacy of the supplemental intraosseous injection of 2% lidocaine with 1:100,000 epinephrine in irreversible pulpitis. J Endod. 1998;24(7):487-491.

11. Hasselgren G, Reit C. Emergency pulpotomy pain relieving effect with and without the use of sedative dressings. J Endod. 1989;15(6):254-256.

12. Hargreaves KM. Management of pain in endodontic patients. Tex Dent J. 1997;114(10):27-31.

13. Bahcall J. Everything I know about endodontics, I learned after dental school, Part 1. Dent Today. 2003;22 (5):84-89.

14. Kuruvilla JR, Kamath MP. Antimicrobial activity of 2.5% sodium hypochlorite and 0.2% chlorhexidine gluconate separately and combined, as endodontic irrigants. J Endod. 1998;24(7):472-476.

15. Short JA, Morgan LA, Baumgartner JC. A comparison of canal centering ability of four instrumentation techniques. J Endod. 1997;23(8):503-507.

16. Pryles R, Short R, Bahcall J, Nasseh A. Advances in endodontics. Inside Dentistry. 2015;11(10):44-51.

17. Rosenberg PA, Babick PJ, Schertzer L, Leung A. The effect of occlusal reduction on pain after endodontic instrumentation. J Endod. 1998;24(7):492-496.

18. Mattscheck DJ, Law AS, Noblett WC. Retreatment verse initial root canal treatment: factors affecting posttreatment pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(3):321-324.

19. Fouad AF, Rivera EM, Walton RE. Penicillin as a supplement in resolving the localized acute apical abscess. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(5):590-595.

20. Torabinejad M. Cymerman JJ, Frankson M, et al. Effectiveness of various medications on postoperative pain following complete instrumentation. J Endod. 1994;20(7):345-354.

21. Cooper SA. The relative efficacy of ibuprofen in dental pain. Compend Contin Educ Dent. 1986;7(8):578, 580-581.

22. Krasner P, Jackson E. Management of posttreatment endodontic pain with oral dexamethasone: a double-blind study. Oral Surg Oral Med Oral Pathol. 1986;62(2):187-190.

23. Vigil GV, Wayman BE, Dazey SE, et al. Identification and antibiotic sensitivity of bacteria isolated from periapical lesions. J Endod. 1997;23(2):110-114.

24. Gilmore WC, Jacobus NV, Gorbach SL, et al. A prospective double-blind evaluation of penicillin versus clindamycin in the treatment of odontogenic infections. J Oral Maxillofac Surg. 1988;46(12):1065-1070.

25. Drusano GL. Antimicrobial pharmacodynamics: critical interactions of “bug and drug.” Nat Rev Microbiol. 2004;2(4):289-300.

26. Martinez MN, Papich MG, Drusano GL. Dosing regimen matters: the importance of early intervention and rapid attainment of the pharmacokinetics/pharmacodynamics target. Antimicrob Agents Chemother. 2012;56(6):2795-2805.

27. Bahcall J. Everything I know about endodontics, I learned after dental school, Part 2. Dent Today. 2003;22(8):62-68.

28. Newman M, Kornman K. Antibiotics/Antimicrobial Use in Dental Practice. 1st ed. Chicago, IL: Quintessence; 1984:152.

About the Authors

James Bahcall, DMD, MS
University of Illinois
College of Dentistry
Chicago, Illinois

Bradford Johnson, DDS, MPHE
University of Illinois
College of Dentistry
Chicago, Illinois

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