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Factors associated with continuing pain in endodontics
1University of Western Australia.
Australian Dental Journal
|June 1, 1994
Summary
Many factors contribute to persistent endodontic pain after initial treatment. Common issues include lack of rubber dam use and poor temporary restorations, highlighting the need for improved basic endodontic techniques.
Area of Science:
- Dentistry
- Endodontics
- Clinical Research
Background:
- Persistent pain after endodontic treatment is a common clinical challenge.
- Identifying contributing factors is crucial for improving treatment outcomes.
Purpose of the Study:
- To determine the frequency of factors associated with continuing pain after initial endodontic treatment.
- To identify common errors in emergency endodontics.
Main Methods:
- A survey of 100 patients referred for specialist endodontic care.
- Data collection through patient interviews, clinical examination, review of referring dentist records, and treatment observation.
Main Results:
- All surveyed patients experienced continuing pain due to multiple factors (average 4-6 factors per patient).
- Most frequent factors included lack of rubber dam use (87%), unsatisfactory temporary restorations (80%), and inappropriate intracanal medicament use (71%).
- Many identified factors were related to avoidable diagnostic or treatment errors.
Conclusions:
- Dentists must adhere to fundamental endodontic treatment protocols to ensure predictable pain relief.
- Attention to basic techniques is essential for successful emergency endodontics and reducing post-treatment pain.