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Factors associated with endodontic posttreatment pain
1Oregon Health Sciences University School of Dentistry, Portland.
Journal of Endodontics
|November 1, 1993
Summary
Patients undergoing endodontic treatment without periapical lesions experienced significantly more pain post-procedure. Dexamethasone did not alter this outcome, suggesting lesion presence is a key factor in endodontic pain.
Area of Science:
- Dentistry
- Oral Surgery
- Pharmacology
Background:
- Post-endodontic pain is a common concern for patients.
- The role of corticosteroids like dexamethasone in managing endodontic pain requires further clarification.
Purpose of the Study:
- To evaluate the effect of dexamethasone on post-endodontic pain.
- To identify patient and treatment factors influencing post-endodontic pain.
Main Methods:
- A controlled, double-blind study involving 106 patients with pretreatment pain.
- Patients received either dexamethasone or a placebo during endodontic treatment.
- Post-treatment pain was assessed at multiple time points.
Main Results:
- Patients without radiographic periapical lesions reported significantly higher pain levels post-treatment compared to those with lesions, irrespective of dexamethasone use.
- No other patient or treatment factors correlated with post-endodontic pain.
- In the placebo group, 81% experienced pain, with 73% requiring medication; pain subsided by 72 hours.
Conclusions:
- The presence or absence of periapical lesions is a significant predictor of post-endodontic pain.
- Dexamethasone did not significantly impact post-endodontic pain in this study.
- Further research may explore alternative pain management strategies.