Emergency Dental Treatment: Pulpal and Periapical Pain Management

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What percentage of dental emergencies are a result of pulpal or periapical disease?

60%

85% (correct)

70%

50%

What are the basic principles of emergency treatment mentioned in the text?

Provide comprehensive treatment plan

Replace missing teeth

Prescribe antibiotics

Adjust the occlusion if indicated (correct)

What is defined as an endodontic emergency?

Pain or swelling caused by non-odontogenic factors

Pain or swelling caused by periodontal disease

Pain or swelling caused by inflammation of the pulp or periapical tissues (correct)

Pain or swelling caused by infection of the soft tissues

In an emergency situation, what must be established to provide an accurate diagnosis?

All of the above Signup and view all the answers

What should be done if fluid exudate is present in an emergency situation?

Provide drainage Signup and view all the answers

What is the main emphasis of this lecture?

Treatment of symptomatic pulpitis Signup and view all the answers

What is the educational aim related to non-odontogenic pain in this lecture?

To explain how to manage non-odontogenic pain in an emergency appointment Signup and view all the answers

What should be provided if analgesics are required in an emergency situation?

'Oral' analgesics Signup and view all the answers

What should be adjusted if indicated in an emergency treatment?

'Occlusion' Signup and view all the answers

What must be done to manage symptomatic apical periodontitis in an emergency appointment?

'Root canal' therapy Signup and view all the answers

How many aims are mentioned for this lecture?

3 Signup and view all the answers

What must be established for an accurate diagnosis in an emergency situation?

All of the above Signup and view all the answers

What is the recommended management for patients with cellulitis that seems to be involving the floor of the mouth and upper neck?

Immediate drainage of relevant tissue compartments and intravenous antibiotics Signup and view all the answers

What is the suggested management for a patient experiencing pain after canal preparation and cleaning?

Reassurance and analgesics Signup and view all the answers

What are some signs and symptoms of hypochlorite accidents?

Acute pain, swelling, bruising, or paraesthesia Signup and view all the answers

In case of secondary apical periodontitis, what is the management approach?

Intracanal medication and sealing with a temporary filling for a few days Signup and view all the answers

What is the recommended action in the case of incomplete removal of pulp tissue?

Determine the correct working length and remove the remnants of the pulp tissues Signup and view all the answers

What are some causes of post-appointment pain following obturation?

Irritation by obturation materials, extrusion of sealer periapically, overfilling Signup and view all the answers

What should be done if it is determined that a patient's pain is not of odontogenic origin?

Refer the patient to an orofacial pain clinic for further testing Signup and view all the answers

What are some aims of the lecture on endodontic emergencies?

To explain how to manage symptomatic pulpitis in an emergency appointment Signup and view all the answers

What is recommended as an emergency treatment for non-odontogenic pain?

Referral to an orofacial pain clinic for further testing Signup and view all the answers

What could be a sign of hypochlorite accidents?

Bruising or paraesthesia Signup and view all the answers

What should be done if a patient's general health is influenced by periapical inflammation?

Antibiotics in conjunction with appropriate endodontic treatment are recommended Signup and view all the answers

What management approach is suggested for patients experiencing cellulitis?

Drainage and prescription of antibiotics Signup and view all the answers

What emergency treatment can be used for dental hypersensitivity due to dentin exposure?

Topical applications of desensitizing agents and certain dentifrices Signup and view all the answers

In the emergency treatment of irreversible pulpitis, what is the ideal treatment when time allows?

Complete removal of the diseased pulp and preparation of the root canal system (pulpectomy) Signup and view all the answers

What is the recommended treatment for reversible pulpitis induced by caries?

Conservative removal of caries, protection of dentin, and proper restoration Signup and view all the answers

What is the emergency treatment for acute pulpitis with apical periodontitis?

Removal of all pulp tissue from the root canals, irrigation with sodium hypochlorite, and closure of the access cavity Signup and view all the answers

Why is infiltration anesthesia into the abscess contraindicated in acute periapical abscess?

It may lead to dissemination of microorganisms Signup and view all the answers

What is the first choice for drainage in acute periapical abscess?

Through the canal Signup and view all the answers

In case of lack of time or copious exudate in acute periapical abscess, what is permissible with regards to leaving the tooth on open drainage?

Leaving the canal open for longer periods Signup and view all the answers

What is the pattern of drainage in acute periapical abscess if there is a bloody tinged exudate?

Pus mixed with blood (bloody tinged) Signup and view all the answers

What is involved in artificial fistulation (artifistulation) in acute periapical abscess?

Cortical trephination without any swelling or severe pain Signup and view all the answers

What is the method for obtaining drainage in case of severe swelling in acute periapical abscess?

Incision & drainage (I & D) Signup and view all the answers