OBJECTIVE: The purpose of this study is to reinforce the safety of non-surgical endodontic treatment in the management of acute dental pain of pulpal origin in pregnant patients in all trimesters. METHODOLOGY: The study was conducted amongst pregnant females with acute dental pain. Pain of endodontic origin in 273 pregnant patients was managed by performing non-surgical root canal treatment. Percentages were calculated as descriptive statistics to have a comparison of preferred treatment by dentists for acute pain management during pregnancy. One Way ANOVA was used to explore the difference between treatment selection plans. RESULTS: From the total sample of 273 participants, there was no significant difference found between the selection of endodontic treatment and Trimesters (F (2,270) = .79, p=.45) same results were obtained for the analgesics prescription during pregnancy and the trimesters during pregnancy (F (2,270) = 1.41, p=.24). On the other hand, the difference between the prescription of antibiotics during 1st, 2nd and 3rd trimesters was found which was statistically significant (F (2,270) = 12.38, p> .001). Endodontic treatment was completed on 251 (91.6%) pregnant patients to relieve the acute dental pain whereas only 22 (8.4%) patients did not undergo endodontic treatment in pregnancy. Among the cases who had endodontic treatment, 75.4% of cases were dealt with in the second trimester of pregnancy. The recommendation of antibiotics was less. In the entire data, antibiotic prescription was seen in the second trimester of pregnancy, whereas, overall, antibiotic prescription was at minimal level. Analgesic prescription was found to be (44.1%) in practice among pregnant participants during the treatment. CONCLUSION: Non-Surgical Endodontic Treatment is a safe and reliable treatment option for the management of restorable teeth with acute pain of pulpal origin in pregnant patients. Dentists should not be reluctant in prompt invasive dental management in these patients if indicated. KEYWORDS: pregnancy, pain, dental treatment, endodontic treatment HOW TO CITE: Khan SA, Hassan AU, Iqbal Z, Hassan M. Endodontic management of acute dental pain among pregnant patients. J Pak Dent Assoc 2021;30(1):7-11.

Aim: The purpose of the study was to explore the knowledge of the dentists regarding effective acute dental pain management among pregnant women. Methodology: Descriptive cross-sectional study design was conducted in the Operative Department, Dental Hospital at The University of Lahore. Sample size was 378 as in a Pakistani study. Non-probability convenient sampling technique was used to collect data. As descriptive statistics and data was analysed Results: Among 378 dentists, 122 (32.3%) had excellent knowledge and 143(37.8%) had good knowledge while 113 (29.9%) dentists had poor knowledge regarding management of acute dental pain during pregnancy Conclusion: Majority of the dentists reported good knowledge to deal pregnant patients with regards to procedure preferences. Keywords: Pregnant patients, Text books, Trimester, Dental pain management

Background: Fasting places prohibitions on eating and drinking for a certain period. Although many dental treatments have been said to be safe and can be performed while fasting, others may break the fast. The study aims to evaluate the perception of dental patients regarding the effect of such treatments and hygiene measures during fasting. Methodology: A cross-sectional survey was carried out in two dental teaching hospitals of Lahore, Pakistan. A self-administered structured questionnaire was developed to assess the knowledge and perception of patients regarding dental treatments and hygiene practices while fasting. The chi-squared test was used to observe differences between knowledge amongst gender, occupation and education status. Moreover, multinomial regression analysis was performed to assess the relationship between these variables. Results: Among 374 responses, about 76.2% of respondents believed that undergoing extraction broke fast. Scaling thought to nullify the fast by 45.5%. 52.9% perceived root canal treatment (RCT) to break the fast, along with 67.6%, who believed anesthesia administration broke fast. Brushing was reported to break the fast by 57.5%, with mouthwash invalidating fast by 63.4%. Conclusion: Most respondents thought most oral hygiene measures broke the fast, whereas responses were split regarding procedures where few were perceived to break the fast, and the rest did not.