Wednesday, November 7, 2018

Post endodontic flare up

A flare - up is defined as the occurrence of severe pain and swelling following an endodontic treatment appointment, requiring an unscheduled visit and active treatment. Flare - up is a well known complication that disturbs both patients and dentists. Mechanical and chemical injuries are often associated with iatrogenic factors. Certainly if you have performed enough endodontic procedures you will be aware of the “post-operative flare-up” condition.


We all have a bag of negative emotions when a patient experiences a flare-up situation. Patients that experience any of these symptoms should contact their dentist, endodontist , or doctor right away.

An endodontic flare-up is a complication of endodontic treatment which is defined as an acute exacerbation of aymptomatic pulpal or periapical pathoses after the initiation or continuation of root canal treatment. Development of pain after endodontic intervention which is known as intra-appointment pain or flare-ups is one of the most common endodontic complications. The unpredictable development of this pain may undermine patients’ confidence in the clinician and acceptance of the procedure. The diagnosis of a flare - up is often simple, but is important to rule out pain from adjacent teeth and pain of non- endodontic origin. A last consideration to manage a post-operative flare-up would be occlusal reduction.


This is simply a method to reduce the stimulation of sensitized nociceptors in the ligament space. We recognize there are certain restrictive restorative factors that will affect whether or not we will reduce a tooth. This paper evaluated published research involving endodontic flare - up.


Flare - up was defined as pain or swelling that developed after any type of scheduled root canal appointment that necessitated the need for an unscheduled dental visit to address it.

The reported incidence of endodontic post operative pain varied widely. The severe intensity of pain or flare ups is of low incidence. The etiology of this pain is linked primarily to microbial injury to the periapical area due to extrusion of the infected debris during canal instrumentation.


ENDODONTIC FLARE UP Defined as “Acute exacerbation of asymptomatic pulp or periradicular pathosis after the initiation or continuation of root canal treatment”. This pain arises in response to either reversible or irreversible pulpitis. Purpose: Determine the frequency of flare - ups and to evaluate factors that affect it by using meta-analysis of of previous studies. The purpose of this prospective study was to assess the incidence of flare - ups (a severe problem requiring an unscheduled visit and treatment) among patients who received endodontic treatment by the two authors in their respective practices during a period of one year, and also to examine the correlation with pre-operative and operative variables. There are three major issues which need attention as far as the endodontic flare ups and bacteria are concerned.


First and the foremost is the extrusion of the debris beyond the apical foramen. International Journal of Contemporary Medical Research. Source of Support: Nil Conflict of Interest: None INTRODUCTION An ongoing and frequently encountered problem in endodontics is the development of pain and swelling ( flare - up ) during or after endodontic therapy.


Helpful, trusted from doctors: Dr. Krauser on endodontic flare up : The source of the infection must be eliminate that is the tooth must be treated by root canal therapy or extraction. Endodontic Flare Ups – An Overview. Aims and objectives: The aim and objective of the study were to determine the incidence of flare - ups during endodontic treatment and to identify the risk factors associated with flare - ups.


Habahbeh, “ Flare up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital,” Journal of Dentistry, vol. Alliger on pain after root canal retreatment: You probably had you mouth open for quite a while and your muscle is sore. Your gum may be irritated from the clamp.


The disinfectant used to clean the root canal can irritate as well.

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