Top

Optie A:

Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
Optie B:

Deel de link per e-mail
Link delen

vorige hoofdstuk Pulpal and Periapical Diagnostic Terminology an...

volgende hoofdstuk Local Anesthesia

Tip

Swipe om te navigeren naar een ander hoofdstuk

2014 | OriginalPaper | Hoofdstuk

5. Causes of Endodontic Pain and Preventive Strategies

eerste hoofdstuk lezen

Auteur: DDS Paul A. Rosenberg

Uitgeverij: Springer Berlin Heidelberg

Gepubliceerd in: Endodontic Pain

» Toegang tot de volledige tekst krijgen

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.

Log in om toegang te krijgen

Hier inloggen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Tandarts Totaal

Met BSL houdt u eenvoudig en efficiënt uw vak bij. Met een online abonnement heeft u toegang tot een groot aantal boeken, tijdschriften en online nascholing, zoals e-learnings en web-tv's. Zo kunt u op uw gemak en wanneer het u het beste uitkomt verdiepen in uw vakgebied.

Meer informatie

Editors of the American Heritage Dictionary (2007) The American Heritage Medical Dictionary. Houghton Mifflin Company, Boston

Andreasen JO (2011) Traumatic dental injuries: a manual. Wiley-Blackwell, West Sussex

Angst MS, Phillips NG, Drover DR et al (2012) Pain sensitivity and opioid analgesia: a pharmacogenomic twin study. Pain 153(7):1397–1409 PubMedCentralPubMedCrossRef

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

Barnett F, Tronstad L (1989) The incidence of flare-ups following endodontic treatment. J Dent Res 68:1253

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

Carr DB, Goudas LC (1999) Acute pain. Lancet 353(9169):2051–2058 PubMedCrossRef

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

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.

Clem WH (1970) Posttreatment endodontic pain. J Am Dent Assoc 81(5):1166–1170 PubMed

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):563–572 PubMedCrossRef

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):1564–1569 PubMedCrossRef

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):115–118 PubMedCrossRef

14.

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.

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.

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.

Georgopoulou M, Anastassiadis P, Sykaras S (1986) Pain after chemomechanical preparation. Int Endod J 19(6):309–314 PubMedCrossRef

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):379–388 PubMedCrossRef

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–S45 PubMedCentralPubMedCrossRef

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):434–438 PubMedCrossRef

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 20:340–349 PubMedCrossRef

23.

Kim S (1985) Microcirculation of the dental pulp in health and disease. J Endod 11(11):465–471 PubMedCrossRef

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):139–145 PubMedCrossRef

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):317–324 PubMedCrossRef

26.

Liem EB, Lin CM, Suleman MI et al (2004) Anesthetic requirement is increased in redheads. Anesthesiology 101(2):279–283 PubMedCentralPubMedCrossRef

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):1167–1170 PubMedCrossRef

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):134–137 PubMedCrossRef

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):604–607 PubMedCentralPubMedCrossRef

31.

Mjor IA (2009) Dentin permeability: the basis for understanding pulp reactions and adhesive technology. Braz Dent J 20(1):3–16 PubMedCrossRef

32.

Morsani JM, Aminoshariae A, Han YW et al (2011) Genetic predisposition to persistent apical periodontitis. J Endod 37(4):455–459 PubMedCrossRef

33.

Muralidharan A, Smith MT (2011) Pain, analgesia and genetics. J Pharm Pharmacol 63(11):1387–1400 PubMedCrossRef

34.

Nakai Y, Milgrom P, Mancl L et al (2000) Effectiveness of local anesthesia in pediatric dental practice. J Am Dent Assoc 131(12):1699–1705 PubMedCrossRef

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):227–235 PubMedCrossRef

36.

Nusstein JM, Reader A, Drum M (2010) Local anesthesia strategies for the patient with a “hot” tooth. Dent Clin North Am 54(2):237–247 PubMedCrossRef

37.

O’keefe EM (1976) Pain in endodontic therapy: preliminary study. J Endod 2(10):315–319 PubMedCrossRef

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):2258–2263 PubMedCrossRef

39.

Pizzo PA, Clark NM (2012) Alleviating suffering 101–pain relief in the United States. N Engl J Med 366(3):197–199 PubMedCrossRef

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):169–178 PubMedCrossRef

41.

Roberts HW, Pashley DH (2012) Hydrostatic pulpal pressure effect upon microleakage. Am J Dent 25(1):49–53 PubMed

42.

Rosenberg PA, Babick PJ, Schertzer L et al (1998) The effect of occlusal reduction on pain after endodontic instrumentation. J Endod 24(7):492–496 PubMedCrossRef

43.

Saxen MA, Newton CW (1999) Managing the endodontic patient with disabling anxiety or phobia. J Indiana Dent Assoc 78(4):21–23 PubMed

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):427–431 PubMedCrossRef

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):261–266 PubMedCrossRef

46.

Trope M (1990) Relationship of intracanal medicaments to endodontic flare-ups. Endod Dent Traumatol 6(5):226–229 PubMedCrossRef

47.

Trope M (1991) Flare-up rate of single-visit endodontics. Int Endod J 24(1):24–26 PubMedCrossRef

48.

Van Hassel HJ (1971) Physiology of the human dental pulp. Oral Surg Oral Med Oral Pathol 32(1):126–134 PubMedCrossRef

49.

Vuilleumier PH, Stamer UM, Landau R (2012) Pharmacogenomic considerations in opioid analgesia. Pharmgenomics Pers Med 5:73–87 PubMedCentralPubMed

50.

Walton R (2002) Interappointment flare-ups: incidence, related factors, prevention, and management. Endod Top 3:67–76 CrossRef

51.

Yesilsoy C, Koren LZ, Morse DR et al (1988) Post-endodontic obturation pain: a comparative evaluation. Quintessence Int 19(6):431–438 PubMed

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):32–39 PubMedCrossRef

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):e73 PubMedCrossRef

Titel

Causes of Endodontic Pain and Preventive Strategies

Boek

Endodontic Pain

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

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

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

DOI

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

Auteur:

DDS Paul A. Rosenberg

Uitgeverij

Springer Berlin Heidelberg

Volgnummer

Hoofdstuknummer

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander hoofdstuk

Abstract

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Tandarts Totaal