Management of endodontic emergencies: knowledge of dental students
DOI:
https://doi.org/10.5335/rfo.v28i1.15509Keywords:
Endodontics, Clinical protocols, Toothache, Emergency helpAbstract
Objective: to evaluate the knowledge of dentistry students about care protocols for endodontic emergencies. Method: 182 students from the last years of the Dentistry course at Doctor Leão Sampaio University Center answered a questionnaire containing questions regarding the protocol adopted in urgent cases of endodontic origin. Data were analyzed using Pearson's Chi-square test (p<0.05). Results: differences were observed between the conduct reported by fourth- and fifth-year undergraduate students regarding the indication of incision for drainage in submucosal acute periapical abscess (evolved), indication of antibiotics in cases of flare-up and indication of antibiotics in pain with edema after endodontic treatment. The prescription of antibiotics was excessive for cases of pain between appointments (flare-up) and postoperative pain. For pulp pathologies, most students indicated emergency protocols recommended in the literature. Conclusion: the results indicate the need to improve student training programs in endodontic emergencies, especially regarding pharmacological protocols.
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References
Abbott PV. Present status and future directions: Managing endodontic emergencies. Int Endod J. 2022 May;55 Suppl 3:778-803.
Michaelson PL, Holland GR. Is pulpitis painful? Int Endod J. 2002 Oct;35(10):829-32.
LOPES, H. P.; SIQUEIRA JR, J. F. Endodontia: biologia e técnica. 5. ed. Rio de Janeiro: Rio de Janeiro, 2020.
Keiser K, Hargreaves KM. Building effective strategies for the management of endodontic pain. 2002 ;3(1):93-105.
Rosenberg PA. Clinical strategies for managing endodontic pain. Endodontic Topics. 2002; 3(1):78-92, 2002.
TORABINEJAD, M.; WALTON, R. E. Endodontia: princípios e práticas. 1ª ed. Rio de Janeiro: Elsevier, 2010.
Cohen SH. Pathways of the Pulp. 12ª ed. Elsevier: Amsterdã; 2021.
Francisco SS, Suzuki CLS, Silva LAP, Maciel MCR, Murrer RD. Clinical strategies for managing emergency endodontic pain. RSBO Revista Sul-Brasileira de Odontologia. 2016; 13(3):209-216.
Kaboré WAD, Faye B, Ouédraogo Y, Konsem T, Bane K, Sarr M. Level of knowledge and dispositions of dental surgeons in Burkina Faso regarding endodontic emergencies. Int J Dent Oral Health. 2015; 2(1).
Alamoudi RA. Assessment of dental interns' knowledge toward managing endodontic emergency: A Survey of three dental schools in Jeddah city. Saudi Endodontic Journal. 2019; 9(2):126.
Blicher B, Lucier Pryles R. Endodontic Pain Management: Preoperative, Perioperative, and Postoperative Strategies. Compend Contin Educ Dent. 2020 Apr;41(4):242-243.
Gutmann JL, Lovdahl P. E. Soluções em Endodontia: prevenção, identificação e procedimentos. 1ª ed. Elsevier Brasil: São Paulo; 2012.
Nivethithan T, Raj JD. Endodontic pain-cause and management: A review. International Journal of Pharmaceutical Sciences and Research. 2015; 6(7): 2723.
Gatewood RS, Himel VT, Dorn SO. Treatment of the endodontic emergency: a decade later. J Endod. 1990 Jun;16(6):284-91. doi: 10.1016/S0099-2399(06)81631-6.
Bane K, Sarr M, Diéne MN, Touré B. A survey over the undergraduate students' approaches toward the management of endodontic emergencies at the Dakar Dental School: A descriptive cross-sectional study. Saudi Endodontic Journal. 2021; 11(1):59.
Bidar M, Gharechahi M, Soleimani T, Eslami N. A Survey over the Dentists' and Endodntists' Approaches towards the Management of Endodontic Emergencies in Mashhad, Iran. Iran Endod J. 2015 Fall;10(4):256-62.
Kaptan RF, Haznedaroglu F, Basturk FB, Kayahan MB. Treatment approaches and antibiotic use for emergency dental treatment in Turkey. Ther Clin Risk Manag. 2013; 9:443-9.
Rosenberg PA, Babick PJ, Schertzer L, Leung A. The effect of occlusal reduction on pain after endodontic instrumentation. J Endod. 1998 Jul;24(7):492-6.
Matthews DC, Sutherland S, Basrani B. Emergency management of acute apical abscesses in the permanent dentition: a systematic review of the literature. J Can Dent Assoc. 2003 Nov;69(10):660.
Agnihotry A, Thompson W, Fedorowicz Z, van Zuuren EJ, Sprakel J. Antibiotic use for irreversible pulpitis. Cochrane Database Syst Rev. 2019 May 30;5(5):CD004969.
AAE Position Statement: AAE Guidance on the Use of Systemic Antibiotics in Endodontics. J Endod. 2017 Sep;43(9):1409-1413.
Segura-Egea JJ, Martín-González J, Jiménez-Sánchez MDC, Crespo-Gallardo I, Saúco-Márquez JJ, Velasco-Ortega E. Worldwide pattern of antibiotic prescription in endodontic infections. Int Dent J. 2017 Aug;67(4):197-205.
Shresha R, Shrestha D, Kayastha R. Post-Operative Pain and Associated Factors in Patients Undergoing Single Visit Root Canal Treatment on Teeth with Vital Pulp. Kathmandu Univ Med J (KUMJ). 2018 Apr-Jun;16(62):220-223.
SipaviÄiÅ«tÄ— E, ManelienÄ— R. Pain and flare-up after endodontic treatment procedures. Stomatologija. 2014;16(1):25-30.
Thompson W, Tonkin-Crine S, Pavitt SH, McEachan RRC, Douglas GVA, Aggarwal VR, Sandoe JAT. Factors associated with antibiotic prescribing for adults with acute conditions: an umbrella review across primary care and a systematic review focusing on primary dental care. J Antimicrob Chemother. 2019 Aug 1;74(8):2139-2152.
Drobac M, Otasevic K, Ramic B, Cvjeticanin M, Stojanac I, Petrovic L. Antibiotic Prescribing Practices in Endodontic Infections: A Survey of Dentists in Serbia. Antibiotics (Basel). 2021 Jan 12;10(1):67.
Tampi MP, Pilcher L, Urquhart O, Kennedy E, O'Brien KK, Lockhart PB, Abt E, Aminoshariae A, Durkin MJ, Fouad AF, Gopal P, Hatten BW, Lang MS, Patton LL, Paumier T, Suda KJ, Cho H, Carrasco-Labra A. Antibiotics for the urgent management of symptomatic irreversible pulpitis, symptomatic apical periodontitis, and localized acute apical abscess: Systematic review and meta-analysis-a report of the American Dental Association. J Am Dent Assoc. 2019 Dec;150(12):e179-e216.
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