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Factors associated with endodontic flare-ups: a prospective study
International Endodontic Journal
|September 1, 1995
Summary
Endodontic treatment flare-ups occurred in 1.58% of cases. Factors like retreatment and pre-operative pain increased flare-up risk, while age and sex did not significantly impact outcomes.
Area of Science:
- Endodontics
- Dental Surgery
- Clinical Dentistry
Background:
- Post-treatment inflammatory reactions, known as flare-ups, are a significant concern in endodontic therapy.
- Understanding the incidence and predictors of these events is crucial for improving patient outcomes and managing expectations.
Purpose of the Study:
- To determine the incidence of endodontic flare-ups in a clinical setting.
- To investigate the correlation between pre-operative and operative variables and the occurrence of flare-ups.
Main Methods:
- Prospective study involving 1012 endodontically treated teeth over one year.
- Statistical analysis (chi-square test) to identify correlations with various clinical factors.
Main Results:
- An overall flare-up incidence of 1.58% was observed.
- Significant positive correlations found with multiple appointments, retreatment, pre-operative periradicular pain, radiolucent lesions, and analgesic/anti-inflammatory drug use.
- No significant correlation identified with age, sex, tooth/arch group, or pulp status.
Conclusions:
- Endodontic flare-ups are relatively infrequent but associated with specific clinical indicators.
- Identifying these risk factors allows for better patient counseling and potentially proactive management strategies.