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Endodontic Pain
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.
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1.
go back to reference Editors of the American Heritage Dictionary (2007) The American Heritage Medical Dictionary. Houghton Mifflin Company, Boston Editors of the American Heritage Dictionary (2007) The American Heritage Medical Dictionary. Houghton Mifflin Company, Boston
2.
go back to reference Andreasen JO (2011) Traumatic dental injuries: a manual. Wiley-Blackwell, West Sussex Andreasen JO (2011) Traumatic dental injuries: a manual. Wiley-Blackwell, West Sussex
3.
go back to reference Angst MS, Phillips NG, Drover DR et al (2012) Pain sensitivity and opioid analgesia: a pharmacogenomic twin study. Pain 153(7):1397–1409 PubMedCentralPubMedCrossRef Angst MS, Phillips NG, Drover DR et al (2012) Pain sensitivity and opioid analgesia: a pharmacogenomic twin study. Pain 153(7):1397–1409
PubMedCentralPubMedCrossRef
4.
go back to reference 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):784–793 PubMedCrossRef 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):784–793
PubMedCrossRef
5.
go back to reference Barnett F, Tronstad L (1989) The incidence of flare-ups following endodontic treatment. J Dent Res 68:1253 Barnett F, Tronstad L (1989) The incidence of flare-ups following endodontic treatment. J Dent Res 68:1253
6.
go back to reference 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):896–905 PubMedCentralPubMedCrossRef 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):896–905
PubMedCentralPubMedCrossRef
7.
go back to reference Carr DB, Goudas LC (1999) Acute pain. Lancet 353(9169):2051–2058 PubMedCrossRef Carr DB, Goudas LC (1999) Acute pain. Lancet 353(9169):2051–2058
PubMedCrossRef
8.
go back to reference Carter LE, McNeil DW, Vowles KE et al (2002) Effects of emotion on pain reports, tolerance and physiology. Pain Res Manag 7(1):21–30 PubMed Carter LE, McNeil DW, Vowles KE et al (2002) Effects of emotion on pain reports, tolerance and physiology. Pain Res Manag 7(1):21–30
PubMed
9.
go back to reference Carvalho RM, Manso AP, Geraldeli S et al (2012) Durability of bonds and clinical success of adhesive restorations. Dent Mater 28(1):72–86 PubMedCrossRef Carvalho RM, Manso AP, Geraldeli S et al (2012) Durability of bonds and clinical success of adhesive restorations. Dent Mater 28(1):72–86
PubMedCrossRef
10.
go back to reference Clem WH (1970) Posttreatment endodontic pain. J Am Dent Assoc 81(5):1166–1170 PubMed Clem WH (1970) Posttreatment endodontic pain. J Am Dent Assoc 81(5):1166–1170
PubMed
11.
go back to reference 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):563–572 PubMedCrossRef 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):563–572
PubMedCrossRef
12.
go back to reference 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):1564–1569 PubMedCrossRef 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):1564–1569
PubMedCrossRef
13.
go back to reference 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):115–118 PubMedCrossRef 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):115–118
PubMedCrossRef
14.
go back to reference Eli I, Schwartz-Arad D, Bartal Y (2008) Anxiety and ability to recognize clinical information in dentistry. J Dent Res 87(1):65–68 PubMedCrossRef Eli I, Schwartz-Arad D, Bartal Y (2008) Anxiety and ability to recognize clinical information in dentistry. J Dent Res 87(1):65–68
PubMedCrossRef
15.
go back to reference 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):447–485 PubMedCentralPubMedCrossRef 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):447–485
PubMedCentralPubMedCrossRef
16.
go back to reference 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):47–55 PubMedCrossRef 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):47–55
PubMedCrossRef
17.
go back to reference Georgopoulou M, Anastassiadis P, Sykaras S (1986) Pain after chemomechanical preparation. Int Endod J 19(6):309–314 PubMedCrossRef Georgopoulou M, Anastassiadis P, Sykaras S (1986) Pain after chemomechanical preparation. Int Endod J 19(6):309–314
PubMedCrossRef
18.
go back to reference 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):379–388 PubMedCrossRef 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):379–388
PubMedCrossRef
19.
go back to reference 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–S45 PubMedCentralPubMedCrossRef 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–S45
PubMedCentralPubMedCrossRef
20.
go back to reference Hargreaves KM, Cohen S, Berman LH (2011) Cohen’s pathways of the pulp. Mosby Elsevier, St. Louis Hargreaves KM, Cohen S, Berman LH (2011) Cohen’s pathways of the pulp. Mosby Elsevier, St. Louis
21.
go back to reference 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):434–438 PubMedCrossRef 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):434–438
PubMedCrossRef
22.
go back to reference 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 20:340–349 PubMedCrossRef 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 20:340–349
PubMedCrossRef
23.
go back to reference Kim S (1985) Microcirculation of the dental pulp in health and disease. J Endod 11(11):465–471 PubMedCrossRef Kim S (1985) Microcirculation of the dental pulp in health and disease. J Endod 11(11):465–471
PubMedCrossRef
24.
go back to reference 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):139–145 PubMedCrossRef 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):139–145
PubMedCrossRef
25.
go back to reference 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):317–324 PubMedCrossRef 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):317–324
PubMedCrossRef
26.
go back to reference Liem EB, Lin CM, Suleman MI et al (2004) Anesthetic requirement is increased in redheads. Anesthesiology 101(2):279–283 PubMedCentralPubMedCrossRef Liem EB, Lin CM, Suleman MI et al (2004) Anesthetic requirement is increased in redheads. Anesthesiology 101(2):279–283
PubMedCentralPubMedCrossRef
27.
go back to reference 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):1167–1170 PubMedCrossRef 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):1167–1170
PubMedCrossRef
28.
go back to reference Little JW, Falace DA, Miller C et al (2012) Dental management of the medically compromised patient. Mosby, St. Louis Little JW, Falace DA, Miller C et al (2012) Dental management of the medically compromised patient. Mosby, St. Louis
29.
go back to reference Martin FE (2003) Carious pulpitis: microbiological and histopathological considerations. Aust Endod J 29(3):134–137 PubMedCrossRef Martin FE (2003) Carious pulpitis: microbiological and histopathological considerations. Aust Endod J 29(3):134–137
PubMedCrossRef
30.
go back to reference 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):604–607 PubMedCentralPubMedCrossRef 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):604–607
PubMedCentralPubMedCrossRef
31.
go back to reference Mjor IA (2009) Dentin permeability: the basis for understanding pulp reactions and adhesive technology. Braz Dent J 20(1):3–16 PubMedCrossRef Mjor IA (2009) Dentin permeability: the basis for understanding pulp reactions and adhesive technology. Braz Dent J 20(1):3–16
PubMedCrossRef
32.
go back to reference Morsani JM, Aminoshariae A, Han YW et al (2011) Genetic predisposition to persistent apical periodontitis. J Endod 37(4):455–459 PubMedCrossRef Morsani JM, Aminoshariae A, Han YW et al (2011) Genetic predisposition to persistent apical periodontitis. J Endod 37(4):455–459
PubMedCrossRef
33.
go back to reference Muralidharan A, Smith MT (2011) Pain, analgesia and genetics. J Pharm Pharmacol 63(11):1387–1400 PubMedCrossRef Muralidharan A, Smith MT (2011) Pain, analgesia and genetics. J Pharm Pharmacol 63(11):1387–1400
PubMedCrossRef
34.
go back to reference Nakai Y, Milgrom P, Mancl L et al (2000) Effectiveness of local anesthesia in pediatric dental practice. J Am Dent Assoc 131(12):1699–1705 PubMedCrossRef Nakai Y, Milgrom P, Mancl L et al (2000) Effectiveness of local anesthesia in pediatric dental practice. J Am Dent Assoc 131(12):1699–1705
PubMedCrossRef
35.
go back to reference 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):227–235 PubMedCrossRef 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):227–235
PubMedCrossRef
36.
go back to reference Nusstein JM, Reader A, Drum M (2010) Local anesthesia strategies for the patient with a “hot” tooth. Dent Clin North Am 54(2):237–247 PubMedCrossRef Nusstein JM, Reader A, Drum M (2010) Local anesthesia strategies for the patient with a “hot” tooth. Dent Clin North Am 54(2):237–247
PubMedCrossRef
37.
go back to reference O’keefe EM (1976) Pain in endodontic therapy: preliminary study. J Endod 2(10):315–319 PubMedCrossRef O’keefe EM (1976) Pain in endodontic therapy: preliminary study. J Endod 2(10):315–319
PubMedCrossRef
38.
go back to reference 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):2258–2263 PubMedCrossRef 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):2258–2263
PubMedCrossRef
39.
go back to reference Pizzo PA, Clark NM (2012) Alleviating suffering 101–pain relief in the United States. N Engl J Med 366(3):197–199 PubMedCrossRef Pizzo PA, Clark NM (2012) Alleviating suffering 101–pain relief in the United States. N Engl J Med 366(3):197–199
PubMedCrossRef
40.
go back to reference 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):169–178 PubMedCrossRef 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):169–178
PubMedCrossRef
41.
go back to reference Roberts HW, Pashley DH (2012) Hydrostatic pulpal pressure effect upon microleakage. Am J Dent 25(1):49–53 PubMed Roberts HW, Pashley DH (2012) Hydrostatic pulpal pressure effect upon microleakage. Am J Dent 25(1):49–53
PubMed
42.
go back to reference Rosenberg PA, Babick PJ, Schertzer L et al (1998) The effect of occlusal reduction on pain after endodontic instrumentation. J Endod 24(7):492–496 PubMedCrossRef Rosenberg PA, Babick PJ, Schertzer L et al (1998) The effect of occlusal reduction on pain after endodontic instrumentation. J Endod 24(7):492–496
PubMedCrossRef
43.
go back to reference Saxen MA, Newton CW (1999) Managing the endodontic patient with disabling anxiety or phobia. J Indiana Dent Assoc 78(4):21–23 PubMed Saxen MA, Newton CW (1999) Managing the endodontic patient with disabling anxiety or phobia. J Indiana Dent Assoc 78(4):21–23
PubMed
44.
go back to reference Torabinejad M, Dorn SO, Eleazer PD et al (1994) Effectiveness of various medications on postoperative pain following root canal obturation. J Endod 20(9):427–431 PubMedCrossRef Torabinejad M, Dorn SO, Eleazer PD et al (1994) Effectiveness of various medications on postoperative pain following root canal obturation. J Endod 20(9):427–431
PubMedCrossRef
45.
go back to reference Torabinejad M, Kettering JD, McGraw JC et al (1988) Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 14(5):261–266 PubMedCrossRef Torabinejad M, Kettering JD, McGraw JC et al (1988) Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 14(5):261–266
PubMedCrossRef
46.
go back to reference Trope M (1990) Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 6(5):226–229 PubMedCrossRef Trope M (1990) Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 6(5):226–229
PubMedCrossRef
47.
go back to reference Trope M (1991) Flare-up rate of single-visit endodontics. Int Endod J 24(1):24–26 PubMedCrossRef Trope M (1991) Flare-up rate of single-visit endodontics. Int Endod J 24(1):24–26
PubMedCrossRef
48.
go back to reference Van Hassel HJ (1971) Physiology of the human dental pulp. Oral Surg Oral Med Oral Pathol 32(1):126–134 PubMedCrossRef Van Hassel HJ (1971) Physiology of the human dental pulp. Oral Surg Oral Med Oral Pathol 32(1):126–134
PubMedCrossRef
49.
go back to reference Vuilleumier PH, Stamer UM, Landau R (2012) Pharmacogenomic considerations in opioid analgesia. Pharmgenomics Pers Med 5:73–87 PubMedCentralPubMed Vuilleumier PH, Stamer UM, Landau R (2012) Pharmacogenomic considerations in opioid analgesia. Pharmgenomics Pers Med 5:73–87
PubMedCentralPubMed
50.
go back to reference Walton R (2002) Interappointment flare-ups: incidence, related factors, prevention, and management. Endod Top 3:67–76 CrossRef Walton R (2002) Interappointment flare-ups: incidence, related factors, prevention, and management. Endod Top 3:67–76
CrossRef
51.
go back to reference Yesilsoy C, Koren LZ, Morse DR et al (1988) Post-endodontic obturation pain: a comparative evaluation. Quintessence Int 19(6):431–438 PubMed Yesilsoy C, Koren LZ, Morse DR et al (1988) Post-endodontic obturation pain: a comparative evaluation. Quintessence Int 19(6):431–438
PubMed
52.
go back to reference 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):32–39 PubMedCrossRef 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):32–39
PubMedCrossRef
53.
go back to reference Yu SM, Bellamy HA, Kogan MD et al (2002) Factors that influence receipt of recommended preventive pediatric health and dental care. Pediatrics 110(6):e73 PubMedCrossRef Yu SM, Bellamy HA, Kogan MD et al (2002) Factors that influence receipt of recommended preventive pediatric health and dental care. Pediatrics 110(6):e73
PubMedCrossRef
- Titel
- Causes of Endodontic Pain and Preventive Strategies
- DOI
- https://doi.org/10.1007/978-3-642-54701-0_5
- Auteur:
-
DDS Paul A. Rosenberg
- Uitgeverij
- Springer Berlin Heidelberg
- Volgnummer
- 5
- Hoofdstuknummer
- 5