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Gepubliceerd in:
Diagnosis hoofdstuk lezen eerste hoofdstuk lezen

2014 | OriginalPaper | Hoofdstuk

5. Causes of Endodontic Pain and Preventive Strategies

Auteur : Paul A. Rosenberg, DDS

Gepubliceerd in: Endodontic Pain

Uitgeverij: Springer Berlin Heidelberg

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Abstract

The most common cause of pulp/periapical pathosis is caries. In this chapter host–microbial interaction and the pulp’s dynamic response to the inflammatory process is described. The process occurs within a unique low-compliance environment due to the hard unyielding walls of dentin surrounding the pulp. The result of this anatomy is an inability of the pulp to swell as it becomes progressively more inflamed. Understanding canal anatomy is an essential part of recognizing endodontic symptoms and providing emergency pain relief and subsequent therapy.
Recognizing factors that predispose a patient to pain is an important part of implementing pain-preventive strategies. While iatrogenic errors (inaccurate measurement control, over-instrumentation) often play a role in postoperative pain, there are other, less obvious, factors including genetics, gender, and anxiety that may predispose a patient to pain. The significance of these factors in relation to patient’s pain is described. Strategies to reduce patient’s anxiety are also discussed.
Postoperative pain may occur following instrumentation or obturation. Pain-preventive, evidence-based strategies, including occlusal reduction, are described.
vorige hoofdstuk Pulpal and Periapical Diagnostic Terminology and Treatment Considerations
volgende hoofdstuk Local Anesthesia
Literatuur
1.
Editors of the American Heritage Dictionary (2007) The American Heritage Medical Dictionary. Houghton Mifflin Company, Boston
2.
Andreasen JO (2011) Traumatic dental injuries: a manual. Wiley-Blackwell, West Sussex
3.
4.
Arias A, De La Macorra JC, Hidalgo JJ et al (2013) Predictive models of pain following root canal treatment: a prospective clinical study. Int Endod J 46(8):784–793PubMedCrossRef
5.
Barnett F, Tronstad L (1989) The incidence of flare-ups following endodontic treatment. J Dent Res 68:1253
6.
Binkley CJ, Beacham A, Neace W et al (2009) Genetic variations associated with red hair color and fear of dental pain, anxiety regarding dental care and avoidance of dental care. J Am Dent Assoc 140(7):896–905PubMedCentralPubMedCrossRef
7.
8.
Carter LE, McNeil DW, Vowles KE et al (2002) Effects of emotion on pain reports, tolerance and physiology. Pain Res Manag 7(1):21–30PubMed
9.
Carvalho RM, Manso AP, Geraldeli S et al (2012) Durability of bonds and clinical success of adhesive restorations. Dent Mater 28(1):72–86PubMedCrossRef
10.
Clem WH (1970) Posttreatment endodontic pain. J Am Dent Assoc 81(5):1166–1170PubMed
11.
De Sa AR, Moreira PR, Xavier GM et al (2007) Association of CD14, IL1B, IL6, IL10 and TNFA functional gene polymorphisms with symptomatic dental abscesses. Int Endod J 40(7):563–572PubMedCrossRef
12.
Droll B, Drum M, Nusstein J et al (2012) Anesthetic efficacy of the inferior alveolar nerve block in red-haired women. J Endod 38(12):1564–1569PubMedCrossRef
13.
Eli I, Schwartz-Arad D, Baht R et al (2003) Effect of anxiety on the experience of pain in implant insertion. Clin Oral Implants Res 14(1):115–118PubMedCrossRef
14.
Eli I, Schwartz-Arad D, Bartal Y (2008) Anxiety and ability to recognize clinical information in dentistry. J Dent Res 87(1):65–68PubMedCrossRef
15.
Fillingim RB, King CD, Ribeiro-Dasilva MC et al (2009) Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain 10(5):447–485PubMedCentralPubMedCrossRef
16.
Gedney JJ, Logan H, Baron RS (2003) Predictors of short-term and long-term memory of sensory and affective dimensions of pain. J Pain 4(2):47–55PubMedCrossRef
17.
Georgopoulou M, Anastassiadis P, Sykaras S (1986) Pain after chemomechanical preparation. Int Endod J 19(6):309–314PubMedCrossRef
18.
Gesi A, Hakeberg M, Warfvinge J et al (2006) Incidence of periapical lesions and clinical symptoms after pulpectomy–a clinical and radiographic evaluation of 1- versus 2-session treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101(3):379–388PubMedCrossRef
19.
Greenspan JD, Craft RM, Leresche L et al (2007) Studying sex and gender differences in pain and analgesia: a consensus report. Pain 132(Suppl 1):S26–S45PubMedCentralPubMedCrossRef
20.
Hargreaves KM, Cohen S, Berman LH (2011) Cohen’s pathways of the pulp. Mosby Elsevier, St. Louis
21.
Harrison JW, Baumgartner JC, Svec TA (1983) Incidence of pain associated with clinical factors during and after root canal therapy. Part 2. Postobturation pain. J Endod 9(10):434–438PubMedCrossRef
22.
Kakehashi S, Stanley HR, Fitzgerald RJ (1965) The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 20:340–349PubMedCrossRef
23.
24.
Klages U, Kianifard S, Ulusoy O et al (2006) Anxiety sensitivity as predictor of pain in patients undergoing restorative dental procedures. Community Dent Oral Epidemiol 34(2):139–145PubMedCrossRef
25.
Lahmann C, Schoen R, Henningsen P et al (2008) Brief relaxation versus music distraction in the treatment of dental anxiety: a randomized controlled clinical trial. J Am Dent Assoc 139(3):317–324PubMedCrossRef
26.
27.
Lindemann M, Reader A, Nusstein J et al (2008) Effect of sublingual triazolam on the success of inferior alveolar nerve block in patients with irreversible pulpitis. J Endod 34(10):1167–1170PubMedCrossRef
28.
Little JW, Falace DA, Miller C et al (2012) Dental management of the medically compromised patient. Mosby, St. Louis
29.
Martin FE (2003) Carious pulpitis: microbiological and histopathological considerations. Aust Endod J 29(3):134–137PubMedCrossRef
30.
Menezes-Silva R, Khaliq S, Deeley K et al (2012) Genetic susceptibility to periapical disease: conditional contribution of MMP2 and MMP3 genes to the development of periapical lesions and healing response. J Endod 38(5):604–607PubMedCentralPubMedCrossRef
31.
Mjor IA (2009) Dentin permeability: the basis for understanding pulp reactions and adhesive technology. Braz Dent J 20(1):3–16PubMedCrossRef
32.
Morsani JM, Aminoshariae A, Han YW et al (2011) Genetic predisposition to persistent apical periodontitis. J Endod 37(4):455–459PubMedCrossRef
33.
34.
Nakai Y, Milgrom P, Mancl L et al (2000) Effectiveness of local anesthesia in pediatric dental practice. J Am Dent Assoc 131(12):1699–1705PubMedCrossRef
35.
Ng SK, Chau AW, Leung WK (2004) The effect of pre-operative information in relieving anxiety in oral surgery patients. Community Dent Oral Epidemiol 32(3):227–235PubMedCrossRef
36.
Nusstein JM, Reader A, Drum M (2010) Local anesthesia strategies for the patient with a “hot” tooth. Dent Clin North Am 54(2):237–247PubMedCrossRef
37.
38.
Payen JF, Bru O, Bosson JL et al (2001) Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 29(12):2258–2263PubMedCrossRef
39.
Pizzo PA, Clark NM (2012) Alleviating suffering 101–pain relief in the United States. N Engl J Med 366(3):197–199PubMedCrossRef
40.
Polycarpou N, Ng YL, Canavan D et al (2005) Prevalence of persistent pain after endodontic treatment and factors affecting its occurrence in cases with complete radiographic healing. Int Endod J 38(3):169–178PubMedCrossRef
41.
Roberts HW, Pashley DH (2012) Hydrostatic pulpal pressure effect upon microleakage. Am J Dent 25(1):49–53PubMed
42.
Rosenberg PA, Babick PJ, Schertzer L et al (1998) The effect of occlusal reduction on pain after endodontic instrumentation. J Endod 24(7):492–496PubMedCrossRef
43.
Saxen MA, Newton CW (1999) Managing the endodontic patient with disabling anxiety or phobia. J Indiana Dent Assoc 78(4):21–23PubMed
44.
Torabinejad M, Dorn SO, Eleazer PD et al (1994) Effectiveness of various medications on postoperative pain following root canal obturation. J Endod 20(9):427–431PubMedCrossRef
45.
Torabinejad M, Kettering JD, McGraw JC et al (1988) Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 14(5):261–266PubMedCrossRef
46.
Trope M (1990) Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 6(5):226–229PubMedCrossRef
47.
48.
Van Hassel HJ (1971) Physiology of the human dental pulp. Oral Surg Oral Med Oral Pathol 32(1):126–134PubMedCrossRef
49.
Vuilleumier PH, Stamer UM, Landau R (2012) Pharmacogenomic considerations in opioid analgesia. Pharmgenomics Pers Med 5:73–87PubMedCentralPubMed
50.
Walton R (2002) Interappointment flare-ups: incidence, related factors, prevention, and management. Endod Top 3:67–76CrossRef
51.
Yesilsoy C, Koren LZ, Morse DR et al (1988) Post-endodontic obturation pain: a comparative evaluation. Quintessence Int 19(6):431–438PubMed
52.
Young J, Siffleet J, Nikoletti S et al (2006) Use of a behavioural pain scale to assess pain in ventilated, unconscious and/or sedated patients. Intensive Crit Care Nurs 22(1):32–39PubMedCrossRef
53.
Yu SM, Bellamy HA, Kogan MD et al (2002) Factors that influence receipt of recommended preventive pediatric health and dental care. Pediatrics 110(6):e73PubMedCrossRef
Metagegevens
Titel
Causes of Endodontic Pain and Preventive Strategies
Auteur
Paul A. Rosenberg, DDS
Copyright
2014
Uitgeverij
Springer Berlin Heidelberg
Boek
Endodontic Pain

Print ISBN: 978-3-642-54700-3

Elektronisch ISBN: 978-3-642-54701-0

Copyright: 2014

DOI
https://doi.org/10.1007/978-3-642-54701-0_5