Background: Ingestion of the endodontic instrument during root canal treatment is rare but can result in serious complications.

Background: Dental anxiety and fear appear to vary according to the type of treatment. Endodontic treatments have been shown to cause higher levels of anxiety than restorative or prophylactic treatments. Patient's pretreatment decisions and post-treatment satisfaction may be strongly influenced by social, psychological, and behavioral aspects including knowledge, beliefs, attitudes, preferences, and behaviors. Aim: This study aimed at investigating the percentage of patient's satisfaction toward the endodontic treatment done by endodontic specialists. Methodology: Some cases (78) from different ages were asked to apply a questionnaire to show the percentage of satisfaction toward endodontic treatment of patients received by endodontic specialists during the year of 2017 in Saudi Arabia. Results: percentage of satisfaction was different among the cases toward the various steps in endodontic treatment, but it was evident that more satisfaction was related to qualitative and proper treatment procedure but the correlation between satisfaction and pain score was negative. Conclusion: Patients satisfaction toward the endodontic treatment is related to different factors, some of these factors related to the patient himself like his health status and the others depend on the nature of endodontic procedure itself.

Background: Postoperative Endodontic Pain is a major concern for dentists and their patients, with pain having been reported to occur in 25%–40% of patients treated. Therefore, the aim of this systematic review and Network Meta-analysis (NMA) was to identify the safety and efficacy of pre- and post-medication for reducing postoperative endodontic pain. Methods: A literature search was performed in the SCOPUS, MEDLINE, and ScienceDirect, and Cochrane Central databases until December 2019 with no language restriction. Randomized controlled trials evaluating the efficacy of pre- or post-medications compared with other agents, placebo, or no treatment in adult patients who underwent endodontic surgery for postoperative pain were included. The mean difference of postoperative pain was measured using the Standardized Mean Difference (SMD) with its 95% confidence interval (95% CI). Results: This Systematic Review included 62 Articles. Of them, 50 studies were included in the NMA. Among all medications, corticosteroids were ranked as the best treatment for the reduction of postoperative pain at 6 and 12 hours with a significant reduction in postoperative pain scores [SMD= -1.18, 95% CI (-1.51: -0.85)] and [SMD= -1.39, 95% CI (-1.77: -1.02)], respectively. Cyclooxygenase-2 (COX-2) inhibitors were ranked as the best treatment for the reduction of postoperative pain at 8 and 24 hours with a significant reduction in postoperative pain scores [SMD= -2.86, 95% CI (-6.05: -1.66)] and [SMD= -1.27, 95% CI (-2.10: -0.43)], respectively. Non-steroidal anti-inflammatory drugs (NSAIDs) significantly reduced the postoperative pain scores in all durations. For postoperative pain at 6 hours, Indomethacin, Novafen, Naproxen, Prednisolone, Ketorolac, Betamethasone, Dexamethasone, Deflazacort, Rofecoxib, Piroxicam, and Ibuprofen significantly reduced the pain score when compared with a placebo. All of these drugs demonstrated a significant reduction at 12 hours except Ketorolac. Conclusion: The current evidence suggests that pre- and post-medication can reduce postoperative pain after nonsurgical root canal treatment. Corticosteroids and COX-2 inhibitors showed significant control of the pain up to 12 hours after administration. However, NSAIDs demonstrated a high efficacy from administration and until two days after treatment. Indomethacin, Novafen, prednisolone, and Naproxen were ranked first in most analyzed durations.

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Background: Dental elements can be maintained when the endocrine retreatment adequately indicated. The growth of endodontic techniques and materials has minimized the indication of surgical procedures even for teeth with intra-canal posts. Case presentation: A 34-year-old male patient related uncomfortable sensation and swelling under his upper lip associated with maxillary right central incisor tooth. After radiographic examination, the presence of a smoothly tapered post and an over-extended root canal filling associated with a periapical radiolucency and radiolucency on the distal part of the coronal third of the maxillary right central incisor tooth. The mesial margin of the crown did not fit well. Conclusion: Understanding the patients, treatment- and tooth-related prognostic predictors can assist the clinicians in appropriate case selection for apical surgery against treatment alternatives.