ENDODONTİK ACİL DURUMLAR VE TEDAVİ YAKLAŞIMLARI: BİR DERLEME

Year 2022, Volume: 9 Issue: 2, 609 - 616, 24.08.2022

Aygül Çil Burak Sağsen Tuğrul Aslan Yakup Üstün

https://doi.org/10.15311/selcukdentj.946384

Abstract

Endodontik acil durumlar pulpal ve/veya periapikal dokuların neden olduğu ağrı ve/veya şişlik durumlarıdır. Dental ağrıya genellikle çürük, geniş veya hasarlı restorasyonlar veya travma neden olabilmektedir. Semptomatik irreversible pulpitis, akut apikal periodontitis, akut apikal apse ve travma, hastalarda en sık gözlenen acil durumlardır. Özellikle endodontik acil durumların yönetiminde doğru teşhis, doğru tedavi ve akılcı ilaç kullanımı son derece önemlidir. Sonuç olarak, uygun tedavi, kök kanal tedavisi, apse drenajı ve hatta ağrıdan sorumlu dişin çekimi gibi invaziv yaklaşımlara kadar uzanmaktadır. Bu derlemede endodontik acil durumların hangileri olduğu ve güncel tedavi yaklaşımlarından bahsedilmiştir.

Keywords

endodonti, acil tedavi, pulpit, periapikal apse

References

• Referans1. Hargreaves KM, Berman LH. Cohen's pathways of the pulp expert consult: Elsevier Health Sciences. 2015;18:706-21
• Referans2. Carrotte P. Endodontics: Part 3 Treatment of endodontic emergencies. British dental journal. 2004;197:299-305.
• Referans3. Farmakis ETR, Palamidakis FD, Skondra FG, Nikoloudaki G, Pantazis N. Emergency care provided in a Greek dental school and analysis of the patients’ demographic characteristics: a prospective study. International dental journal. 2016;66:280-6.
• Referans4. Dorn SO, Moodnik RM, Feldman MJ, Borden BG. Treatment of the endodontic emergency: a report based on a questionnaire—part I. Journal of endodontics. 1977;3:94-100.
• Referans5. Gatewood RS, Himel VT, Dorn SO. Treatment of the endodontic emergency: a decade later. Journal of endodontics. 1990;16:284-91.
• Referans6. Lee M, Winkler J, Hartwell G, Stewart J, Caine R. Current trends in endodontic practice: emergency treatments and technological armamentarium. Journal of endodontics. 2009;35:35-9.
• Referans7. DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dental Traumatology. 2012;28:2-12.
• Referans8. Abbott P, Yu C. A clinical classification of the status of the pulp and the root canal system. Australian Dental Journal. 2007;52:17-31.
• Referans9. Porter R, Poyser N, Briggs P. A life threatening event from poorly managed dental pain–a case report. British dental journal. 2007;202:203-6.
• Referans10. Gonçalves LS, Rodrigues RCV, Junior CVA, Soares RG, Vettore MV. The effect of sodium hypochlorite and chlorhexidine as irrigant solutions for root canal disinfection: a systematic review of clinical trials. Journal of endodontics. 2016;42:527-32.
• Referans11. Segura‐Egea J, Gould K, Şen BH, Jonasson P, Cotti E, Mazzoni A, et al. European Society of Endodontology position statement: the use of antibiotics in endodontics. International endodontic journal. 2018;51:20-5.
• Referans12. Nagle D, Reader A, Beck M, Weaver J. Effect of systemic penicillin on pain in untreated irreversible pulpitis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2000;90:636-40.
• Referans13. Ballon Romero SS, Lee Y-C, Fuh L-J, Chung H-Y, Hung S-Y, Chen Y-H. Analgesic and Neuroprotective Effects of Electroacupuncture in a Dental Pulp Injury Model—A Basic Research. International Journal of Molecular Sciences. 2020;21:2628.
• Referans14. Abbott PV. Classification, diagnosis and clinical manifestations of apical periodontitis. Endodontic topics. 2004;8:36-54.
• Referans15. Rosenberg PA, Babick PJ, Schertzer L, Leung A. The effect of occlusal reduction on pain after endodontic instrumentation. Journal of endodontics. 1998;24:492-6.
• Referans16. Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clinical microbiology reviews. 2013;26:255-73.
• Referans17. Baumgartner JC, Siqueira JF, Sedgley CM, Kishen A. Microbiology of endodontic disease. Ingle’s endodontics. 2008;6:221-308.
• Referans18. Hasselgren G. Pains of dental origin. Oral and maxillofacial surgery clinics of North America. 2000;12:263-74.
• Referans19. Kuriyama T, Absi EG, Williams DW, Lewis MAO. An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance. British dental journal. 2005;198:759-63.
• Referans20. Siqueira Jr J. Microbial causes of endodontic flare‐ups. International Endodontic Journal. 2003;36:453-63.
• Referans21. Boutsioukis C, Psimma Z, Kastrinakis E. The effect of flow rate and agitation technique on irrigant extrusion ex vivo. International endodontic journal. 2014;47:487-96.
• Referans22. Kim E, Lee S-J. Electronic apex locator. Dental Clinics of North America. 2004;48:35-54.
• Referans23. Alaçam T. Endodontide Acil Yaklaşımlar. Endodonti 1. Baskı. Ankara: Özyurt Matbaacılık; 2012. p.829-58.
• Referans24. De Oliveira Alves V. Endodontic flare-ups: a prospective study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2010;110:68-72.
• Referans25. Manuja Nair JR, Devadathan A, Mathew J. Incidence of endodontic flare-ups and its related factors: A retrospective study. Journal of International Society of Preventive & Community Dentistry. 2017;7:175.
• Referans26. Walton RE. Interappointment flare‐ups: incidence, related factors, prevention, and management. Endodontic Topics. 2002;3:67-76.
• Referans27. Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. Journal of endodontics. 1992;18:172-7.
• Referans28. Eleazer PD, Eleazer KR. Flare-up rate in pulpally necrotic molars in one-visit versus two-visit endodontic treatment. Journal of endodontics. 1998;24:614-6.
• Referans29. Weiger R, Axmann‐Krcmar D, LM C. Prognosis of conventional root canal treatment reconsidered. Dental Traumatology. 1998;14:1-9.
• Referans30. Sevekar SA, Gowda SHN. Postoperative pain and flare-ups: comparison of incidence between single and multiple visit pulpectomy in primary molars. Journal of clinical and diagnostic research: JCDR. 2017;11:ZC09.
• Referans31. Akbar I, Iqbal A, Al-Omiri MK. Flare-up rate in molars with periapical radiolucency in one-visit vs two-visit endodontic treatment. The journal of contemporary dental practice. 2013;14:414.
• Referans32. Byström A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Dental Traumatology. 1985;1:170-5.
• Referans33. ElMubarak AHH, Abu-bakr NH, Ibrahim YE. Postoperative pain in multiple-visit and single-visit root canal treatment. Journal of endodontics. 2010;36:36-9.
• Referans34. Hasselgren G, Reit C. Emergency pulpotomy: pain relieving effect with and without the use of sedative dressings. Journal of Endodontics. 1989;15:254-6.
• Referans35. Morse DR, Furst ML, Belott RM, Lefkowitz RD, Spritzer IB, Sideman BH. Infectious flare-ups and serious sequelae following endodontic treatment: a prospective randomized trial on efficacy of antibiotic prophylaxis in cases of asymptomatic pulpal-periapical lesions. Oral Surgery, Oral Medicine, Oral Pathology. 1987;64:96-109.
• Referans36. Pickenpaugh L, Reader A, Beck M, Meyers WJ, Peterson LJ. Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic, necrotic teeth. Journal of endodontics. 2001;27:53-6.
• Referans37. Akbar I. Efficacy of prophylactic use of antibiotics to avoid flare up during root canal treatment of nonvital teeth: A randomized clinical trial. Journal of clinical and diagnostic research: JCDR. 2015;9:ZC08.
• Referans38. Siqueira Jr J, Rôças I, Ricucci D, Hülsmann M. Causes and management of post-treatment apical periodontitis. British dental journal. 2014;216:305.
• Referans39. Siqueira Jr JF, Rôças IN, Alves FR, Campos LC. Periradicular status related to the quality of coronal restorations and root canal fillings in a Brazilian population. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2005;100:369-74.
• Referans40. Ng YL, Glennon J, Setchell D, Gulabivala K. Prevalence of and factors affecting post‐obturation pain in patients undergoing root canal treatment. International endodontic journal. 2004;37:381-91.
• Referans41. Segura‐Egea J, Jiménez‐Pinzón A, Poyato‐Ferrera M, Velasco‐Ortega E, Ríos‐Santos J. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. International Endodontic Journal. 2004;37:525-30.
• Referans42. Lin LM, Skribner JE, Gaengler P. Factors associated with endodontic treatment failures. Journal of endodontics. 1992;18:625-7.
• Referans43. Llor C, Cots J, Gaspar M, Alay M, Rams N. Antibiotic prescribing over the last 16 years: fewer antibiotics but the spectrum is broadening. European journal of clinical microbiology & infectious diseases. 2009;28:893-7.
• Referans44. Yingling NM, Byrne BE, Hartwell GR. Antibiotic use by members of the American Association of Endodontists in the year 2000: report of a national survey. Journal of endodontics. 2002;28:396-404.
• Referans45. Alonso-Ezpeleta O, Martín-Jiménez M, Martín-Biedma B, López-López J, Forner-Navarro L, Martín-González J, et al. Use of antibiotics by spanish dentists receiving postgraduate training in endodontics. Journal of clinical and experimental dentistry. 2018;10:687.
• Referans46. Larson AM, Polson J, Fontana RJ, Davern TJ, Lalani E, Hynan LS, et al. Acetaminophen‐induced acute liver failure: results of a United States multicenter, prospective study. Hepatology. 2005;42:1364-72.
• Referans47. Smith EA, Marshall JG, Selph SS, Barker DR, Sedgley CM. Nonsteroidal anti-inflammatory drugs for managing postoperative endodontic pain in patients who present with preoperative pain: a systematic review and meta-analysis. Journal of endodontics. 2017;43:7-15.