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Introduction of endodontology (Third edition): Part 2

(BQ) Continued part 1, part 2 of the document Introduction of endodontology (Third edition) has contents: Root canal instrumentation, root canal illing materials, root canal illing techniques, the root canal treated tooth in prosthodontic reconstruction, nonsurgical retreatment, nonsurgical retreatment,. and other contents. Invite you to refer. | Part 3 Endodontic Treatment Procedures 169 Chapter 10 Endodontic emergencies Peter Jonasson Maria Pigg and Lars Bj0rndal Introduction The most frequent causes of tooth-related pain are pulpal and periapical inflammation due to bacterial infection. Notably the underlying major etiological mechanisms behind a painful inflamed pulp or apical periodontitis are not different from cases without pain. The focus is still on the bacterial infection but an acute clinical expression has appeared and needs immediate attention. Very often the dentist has to consider management of emergencies under time pressure either as unscheduled consultations squeezed in between regular patients or due to a sudden complication. This requires clinical skill not least regarding proper diagnostics to ascertain that the source of pain has been correctly identified. Emergency treatment is often a compromise and a temporary solution and needs to include information to the patient about the need for later completion of the treatment and expected outcome. The aim of emergency treatment is to achieve pain relief and or infection control while at the same time maintaining good prognosis for the subsequent treatment and to prevent adverse sequelae. This usually includes removing the cause of pain but may also include drainage in case of purulent infection and swelling see Core concept 10.1 . After a general introduction on diagnostics and emergency principles this chapter will cover the management of patients with acute pain or complications originating from the tooth or the surrounding tissues. General diagnostic considerations and emergency principles A general medical and local dental anamnesis and a careful clinical examination is the basis for diagnosis and treatment see Chapter 4 and should in the emergency situation focus on the chief complaint Fig. 10.1 . The pain history often provides important information regarding endodontic conditions and the patient s description is a vital part of .