Podcast
Questions and Answers
What is the most common cause of acute liver failure in the U.S.?
What is the most common cause of acute liver failure in the U.S.?
- NSAID
- Codeine
- Acetaminophen overdoses (correct)
- Vicodin
Which medication should not be exceeded more than 3 grams per day assuming a healthy liver?
Which medication should not be exceeded more than 3 grams per day assuming a healthy liver?
- Ibuprofen
- Aspirin
- Naproxen
- Acetaminophen (correct)
According to the consensus statement, what should the health care community carefully consider during pregnancy?
According to the consensus statement, what should the health care community carefully consider during pregnancy?
- Codeine use
- Vicodin use
- Acetaminophen use (correct)
- NSAID use
What medication has been shown to delay the onset of peak pain and decrease patient discomfort after surgery when administered 30 minutes before the surgery?
What medication has been shown to delay the onset of peak pain and decrease patient discomfort after surgery when administered 30 minutes before the surgery?
What is the primary irritant in inflammatory responses?
What is the primary irritant in inflammatory responses?
How many teeth in the study had all four significant preoperative conditions?
How many teeth in the study had all four significant preoperative conditions?
What do granulomas represent in the context of an infectious process?
What do granulomas represent in the context of an infectious process?
What can incision and drainage help to reduce and evacuate?
What can incision and drainage help to reduce and evacuate?
In the study, what role does occlusion play in exacerbations?
In the study, what role does occlusion play in exacerbations?
How were teeth evaluated in the study?
How were teeth evaluated in the study?
Which of the following were considered significant preoperative conditions in the study?
Which of the following were considered significant preoperative conditions in the study?
According to the conclusion, what can aid in preventing pain following endodontic instrumentation?
According to the conclusion, what can aid in preventing pain following endodontic instrumentation?
What element is mentioned as part of inflammatory responses in the text?
What element is mentioned as part of inflammatory responses in the text?
What represents the host's inability to localize an infection according to the text?
What represents the host's inability to localize an infection according to the text?
What can help to evacuate pus according to the text?
What can help to evacuate pus according to the text?
Which side effect is associated with codeine?
Which side effect is associated with codeine?
What was found to be statistically significantly more effective and had fewer adverse effects than codeine combinations for post-operative dental pain?
What was found to be statistically significantly more effective and had fewer adverse effects than codeine combinations for post-operative dental pain?
In non-vital cases, why may antibiotics not be effective against infected root canal systems?
In non-vital cases, why may antibiotics not be effective against infected root canal systems?
What was found to not relieve pain from irreversible pulpitis according to a study?
What was found to not relieve pain from irreversible pulpitis according to a study?
According to a prospective study, what effect did preoperative antibiotics have on endodontic flare-ups in asymptomatic, necrotic teeth?
According to a prospective study, what effect did preoperative antibiotics have on endodontic flare-ups in asymptomatic, necrotic teeth?
What factors were found to contribute to endodontic flare-ups?
What factors were found to contribute to endodontic flare-ups?
What was found to reduce pain during endodontic treatment?
What was found to reduce pain during endodontic treatment?
What were predictive factors for post-endodontic pain according to the text?
What were predictive factors for post-endodontic pain according to the text?
What did patients with non-vital pulps and percussion sensitivity report 48 hours after treatment according to a study?
What did patients with non-vital pulps and percussion sensitivity report 48 hours after treatment according to a study?
What was found to not be a significant predictor of post-endodontic pain according to the text?
What was found to not be a significant predictor of post-endodontic pain according to the text?
Why may antibiotics not be effective against infected root canal systems in non-vital cases according to the text?
Why may antibiotics not be effective against infected root canal systems in non-vital cases according to the text?
Study Notes
- Ibuprofen and high doses of aspirin during pregnancy have been linked to birth defects and heart/blood vessel damage in babies.
- A study compared the efficacy and tolerability of various analgesic combinations for post-operative dental pain.
- The study found that the single-tablet combination of ibuprofen/paracetamol was statistically significantly more effective and had fewer adverse effects than codeine combinations.
- Codeine has side effects, including nausea and vomiting.
- In non-vital cases, antibiotics may not be effective against infected root canal systems due to poor circulation and limited diffusion.
- A study showed that systemically administered antibiotics do not relieve pain from irreversible pulpitis.
- A prospective, randomized, double-blind, placebo-controlled study found that preoperative antibiotics had no effect on endodontic flare-ups in asymptomatic, necrotic teeth.
- Factors contributing to endodontic flare-ups include tooth type, presence of periapical radiolucencies, and history of previous pain.
- The use of occlusal reduction during endodontic treatment can reduce pain.
- The absence of periradicular radiolucency, percussion sensitivity, and history of preoperative pain were predictive factors for post-endodontic pain.
- The tooth's vitality and preoperative pain were not predictive factors for post-endodontic pain.
- In a study, patients with non-vital pulps and percussion sensitivity reported more severe pain 48 hours after treatment.
- The presence of preoperative pain was not a significant predictor of post-endodontic pain.
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Description
Review lecture on clinical factors for endodontic pain management, focusing on analgesic strategies and medications. Presented by Paul A. Rosenberg, DDS, Diplomate American Board of Endodontics.
