Indian Journal of Public Health Research & Development

  • Year: 2019
  • Volume: 10
  • Issue: 11

An Update of Pain Management in Endodontic Flare-Ups: A Review

  • Author:
  • Rajendran Devakar1,, Dhakshinamoorthy Malarvizhi2, Suresh Mitthra3, Venkatachalam Prakash4
  • Total Page Count: 3
  • Page Number: 3011 to 3013

1Second Year PG Student, Department of Conservative Dentistry and Endodontics, SreeBalaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil nadu, India

2Associate Professor, Department of Conservative Dentistry and Endodontics, SreeBalaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil nadu, India

3Reader, Department of Conservative Dentistry and Endodontics, SreeBalaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil nadu, India

4Professor, Department of Conservative Dentistry and Endodontics, SreeBalaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil nadu, India

Abstract

Flare-up can be defined as the occurrence of swelling, pain or the combination of these during the course of root canal therapy, which results in unscheduled visits by patients. Inter appointment pain is caused mainly by microbial injury to the periradicular tissues and to some extent by iatrogenic factors which are chemical and mechanical in nature. The offending agents cause inflammation in the periradicular tissues which result in pain and swelling. While post endodontic flare-up is a relatively rare occurrence, the sudden increase in patient symptoms demands for a focused and active treatment plan. This review article discusses these many facets of the flare-up: definition, aetiology, clinical symptoms and management of the situation after its occurrence.

Keywords

Endodontic flare up, periradicular tissues, apical periodontitis, Inter appointment pain