Advertisement

Endodontic interappointment flare-Ups: A prospective study of incidence and related factors

  • Author Footnotes
    1 Dr. Walton is professor and chairman, Department of Endodontics University of Iowa College of Dentistry, Iowa City, IA.
    Richard Walton
    Correspondence
    Address requests for reprints to Dr. Richard Walton, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IA 52242.
    Footnotes
    1 Dr. Walton is professor and chairman, Department of Endodontics University of Iowa College of Dentistry, Iowa City, IA.
    Search for articles by this author
  • Author Footnotes
    2 Dr. Fouad is assistant professor, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IA.
    Ashraf Fouad
    Footnotes
    2 Dr. Fouad is assistant professor, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IA.
    Search for articles by this author
  • Author Footnotes
    1 Dr. Walton is professor and chairman, Department of Endodontics University of Iowa College of Dentistry, Iowa City, IA.
    2 Dr. Fouad is assistant professor, Department of Endodontics, University of Iowa College of Dentistry, Iowa City, IA.
      This paper is only available as a PDF. To read, Please Download here.
      Severe pain and/or swelling following a root canal treatment appointment are serious sequelae. Information varies or is incomplete as to the incidence of these conditions and related factors. In this study, data were collected at root canal treatment appointments on demographics, pulp/periapical diagnoses, presenting symptoms, treatment procedures, and number of appointments. Patients that then experienced a flare-up (a severe problem requiring an unscheduled visit and treatment) had the correlating factors examined. Statistical determinations were by chi-square analysis with significance at 0.05 or less.
      Nine hundred forty-six visits resulted in an incidence of 3.17% flare-ups. Flare-ups were positively correlated with more severe presenting symptoms, pulp necrosis with painful apical pathosis, and patients on analgesics. Fewer flare-ups occurred in undergraduate patients and following obturation procedures. There was no correlation between patient demographics or systemic conditions, number of appointments, treatment procedures, or taking antibiotics.
      To read this article in full you will need to make a payment

      References

        • Seltzer S
        Pain in endodontics.
        J Endodon. 1986; 12: 505-508
        • Morse DR
        • Koren LZ
        • Eposito JV
        • et al.
        Infections flare-ups: induction and prevention.
        Int J Psychosom. 1986; 33 (special issue): 5-63
        • Barnett F
        • Tronstad L
        The incidence of flare-ups following endodontic treatment.
        J Dent Res. 1989; 68 (special issue): 1253
        • Negm MM
        Management of endodontic pain with nonsteroidal anti-inflammatory agents: a double-blind, placebo-controlled study.
        Oral Surg. 1989; 67: 88-95
        • Mata E
        • Koren LZ
        • Morse DR
        • Sinai IH
        Prophylactic use of penicillin V in teeth with necrotic pulps and asymptomatic periapical radiolucencies.
        Oral Surg. 1985; 60: 201-207
        • Balaban FS
        • Skidmore AE
        • Griffin JA
        Acute exacerbations following initial treatment of necrotic pulp.
        J Endodon. 1984; 10: 78-81
        • Trope M
        Relationship of intracanal medicaments to endodontic flareups.
        Endod Dent Traumatol. 1990; 6: 226-229
        • Torabinejad M
        • Kettering JD
        • McGraw JC
        • Cummings RR
        • Dwyer TG
        • Tobias TT
        Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps.
        J Endodon. 1988; 14: 261-266
        • Goldman M
        • Rankin C
        • Mehlman R
        • Santa C
        The immunologic implications and clinical management of the endodontic flare-up.
        Compend Contin Educ Dent. 1987; 10: 126-130
        • Georgopoulou M
        • Anastassiadis P
        • Sykaras S
        Pain after chemomechanical preparation.
        Int Endod J. 1986; 19: 309-314
        • Morse D
        • Furst M
        • Belott R
        • Lefkowitz R
        • Spritzer I
        • Sideman B
        Infectious flare-ups and serious sequelae following endodontic treatment: a prospective randomized trial efficacy of antibiotic prophylaxis in cases of asymptomatic pulpal-periapical lesions.
        Oral Surg. 1987; 64: 96-109
        • Morse D
        • Furst M
        • Belott R
        • Lefkowitz R
        • Spritzer I
        • Sideman B
        A prospective randomized trial comparing periapical instrumentation to intracanal instrumentation in cases of asymptomatic pulpal-periapical lesions.
        Oral Surg. 1987; 64: 734-741
        • Trope M
        Flare-up rate of single-visit endodontics.
        Int J Endod. 1991; 24: 24-27