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Endodontic emergency dilemma: leave tooth open or keep it closed?
Oral Surgery, Oral Medicine, and Oral Pathology
|October 1, 1975
Summary
Leaving endodontic access open after emergency treatment for vital pulp teeth requires more appointments and leads to complications. Keeping the access sealed is a more efficient approach for successful emergency endodontic therapy.
Area of Science:
- Dentistry
- Endodontics
- Dental Emergency Treatment
Background:
- Emergency endodontic treatment is crucial for vital teeth.
- Open access has been suggested for tender teeth during emergency endodontic procedures.
Purpose of the Study:
- To compare the outcomes of open versus sealed access cavities in emergency endodontic treatment for vital pulp teeth.
Main Methods:
- A retrospective study of 225 teeth undergoing emergency endodontic treatment with vital pulps.
- Teeth were categorized based on whether the access cavity was left open or sealed post-emergency treatment.
Main Results:
- Teeth with open access required a statistically significant greater number of appointments for completion.
- A higher incidence of intratreatment exacerbations was observed in teeth with open access compared to sealed access.
Conclusions:
- Sealing the access cavity after emergency endodontic treatment is associated with fewer appointments and complications.
- This suggests that maintaining a sealed environment is preferable for the efficient completion of emergency endodontic therapy in vital teeth.