Indian Journal of Public Health Research & Development

Wesly Sophreniaa ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Postoperative pain is more likely to arise within a few hours following ischolar_main canal treatment. Patients who have postoperative pain need analgesics that have fewer side effects for relieving the pain. Postoperative discomfort reduction by various preoperative means is a tried and tested method. Here, we predict symptoms that arise after treatment and try to deal with them before they begin. For those patients presenting with preoperative pain, it has been reported that up to 80% of this population will continue to report pain of different degrees even after endodontic treatment. A number of factors concerning the etiology of postoperative pain have been evaluated. The main contributing factors of pain during ischolar_main canal treatment comprises of mechanical, chemical, and microbial injuries to the pulp or periradicular tissues which are induced or exacerbated during treatment. Pretreatment analgesia is providing analgesia to patients before initiation of endodontic treatment, which can decrease the establishment of central and peripheral sensitization and has the potential to reduce postoperative pain and postoperative analgesic intake. Administration of a nonsteroidal anti-inflammatory drug before ischolar_main canal therapy will interfere with the inflammatory process before it begins; therefore, presumably decreasing postoperative pain.

Keywords

Post Operative Pain, Premedication, Analgesics, NSAIDS.

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Wesly Sophreniaa ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Many associated risk factors are shared by systemic diseases and oral infections that could confound a relationship between them. Periodontal disease has received considerable interest when these interrelationships were studied. Endodontic infections have received much less attention, despite the fact that many of microbial pathogens are common in those 2 diseases. Many of the systemic diseases were found to affect the outcome of endodontic treatment.A number of observational studies and a longitudinal cohort studyhave described, at least in part, a possible association between systemic involvement and endodontic periapical infection. To date, the role of systemic medical conditions as a modulating factor in the development of endodontic periapical infection has been a subject of controversy with authors who found a strong association and those who found weak to no association. Therefore, the purpose of this review was to discuss the pathogenesis and scientific evidence reporting any relationships between lesion of endodontic origin and risk of systemic diseases.

Keywords

Systemic Disease, Apical Periodontitis, Periapical Infection, Diabetes Mellitus, CVD, Liver Disease.

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