Endodontic flare ups: A proposal for etiopathogenesis and psychological management

Abstract

<p>Flare ups are undesirable yet unavoidable, true endodontic emergencies, presenting with severe pain and/or swelling of the facial soft tissues and the oral mucosa in the area of endodontically treated tooth, in association with strong expression of clinical symptoms (tooth pain when biting, chewing or by itself), occuring within a few hours or a few days of instrumentation. Prevention and management of such situations necessitates standardized execution of all the steps comprising root canal therapy alongwith comprehensive knowledge of its possible etiological factors, pathogenesis, pharmacological and non-pharmacological treatment methods. This article presents a pro-posal for etiopathogenesis and psychological management besides accounting a brief description of its definition, epidemiology, treatment steps and prevention.</p>

Management of Endodontic Flare-Up in the Presence of Periapical Radiolucency: Case Report and Overview

“…To treat post-treatment pain definitively, the access cavity of the symptomatic tooth needs to be reopened [28]. The procedure continues with thorough debridement and copious irrigation to remove remaining tissue, microorganisms, and toxic products, as symptoms of post-treatment are largely caused by these factors [28]. Post-endodontic pain can be effectively controlled with irrigation with normal saline at room temperature or colder [29].…”