APICAL EXACERBATION AFTER ROOT CANAL TREATMENT
DOI:
https://doi.org/10.15332/us.v11i2.1126Keywords:
Recurrence, Therapeutic irrigation, Instrumentation, Periapical periodontitisAbstract
An endodontic treatment generates high expectations for the patient due to the popular belief treatment be uncomfortable, painful, stressful it takes several sessions to complete it. When the pulp is symptomatic, these expectations rise and the professional expects to finish and to remove all the symptoms to ensure the success of therapy. Endodontic exacerbations are complications than can be presented during endodontic treatment to form periapical inflammatory processes that occur at the end of treatment. Some factors influence the development of these complications such as pulp diagnosis, the presence of sinus tracts, extensive instrumentation, lack of instrumentation and irrigation, among others. This article describes the case of a premolar with an initial diagnosis of chronic suppurative apical periodontitis, endodontic retreatment under which introduced an error in the preparation by subinstrumentation to determine a working length that caused insufficient and inadequate cleaning apical injury.
Downloads
References
Tsesis I, Faivishevsky V, Fuss Z, Zukerman O. Flare-ups after endodontic treatment: a meta-analysis of literature. J Endod. 2008; 34 (10): 1177 - 1181.
Iqbal M, Kurtz E, Kohli M. Incidence and factors related to flare-ups in a graduate endodontic programme. Int Endod J. 2009; 42 (2): 99 - 104.
Alves V de O. Endodontic flare-ups: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110 (5): e68 - e72.
Pirila V, Rantanen AV. Root canal treatment with bacitracin-neomycin as cause of flare-up of allergic eczema. Oral Surg Oral Med Oral Pathol. 1960; 13: 589 - 593.
Zuckerman O, Metzger Z, Sela G, Lin S. “Flare-up” during endodontic treatment--etiology and management. Refuat Hapeh Vehashinayim. 2007; 24 (2): 19 - 26, 69.
Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: a systematic review. Int Endod J. 2008; 41 (2): 91 - 99.
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J. 2011; 44 (7): 583 - 609.
Siqueira JF, Jr., Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod. 2002; 28 (6): 457 - 460.
Morse DR, Furst ML, Belott RM, Lefkowitz RD, Spritzer IB, Sideman BH. Infectious flare-ups and serious sequelae following endodontic treatment: a prospective randomized trial on efficacy of antibiotic prophylaxis in cases of asymptomatic pulpal-periapical lesions. Oral Surg Oral Med Oral Pathol. 1987; 64 (1): 96 - 109.
Morse DR, Furst ML, Lefkowitz RD, D’Angelo D, Esposito JV. A comparison of erythromycin and cefadroxil in the prevention of flare-ups from asymptomatic teeth with pulpal necrosis and associated periapical pathosis. Oral Surg Oral Med Oral Pathol. 1990; 69 (5): 619 - 630.
Matusow RJ. Endodontic cellulitis ‘flare-up’. Case report. Aust Dent J. 1995; 40 (1): 36 - 38.
Figini L, Lodi G, Gorni F, Gagliani M. Single versus multiple visits for endodontic treatment of permanent teeth: a Cochrane systematic review. J Endod. 2008; 34 (9): 1041 - 1047.
Al-Negrish AR, Habahbeh R. Flare up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital. J Dent. 2006; 34 (9): 635 - 640.
Pi GL, Yin SH. A study of the related factors and prophylactic measures of endodontic interappointment emergencies. Hua Xi Kou Qiang Yi Xue Za Zhi. 2004; 22 (6): 471 - 473.
Xu Q, Fan MW, Fan B, Ling JQ, Chen H, Wei X. Clinical evaluation of three nickel-titanium rotary instruments in preparation of curved root canals. Hua Xi Kou Qiang Yi Xue Za Zhi. 2005; 23 (4): 286 -288.
Siqueira JF, Jr. Microbial causes of endodontic flare-ups. Int Endod J. 2003; 36 (7): 453 - 463.
Yoldas O, Topuz A, Isci AS, Oztunc H. Postoperative pain after endodontic retreatment: single- versus two-visit treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98 (4): 483 - 487.
Alacam T, Tinaz AC. Interappointment emergencies in teeth with necrotic pulps. J Endod. 2002; 28 (5): 375 - 377.
Wang C, Xu P, Ren L, Dong G, Ye L. Comparison of post-obturation pain experience following one-visit and two-visit root canal treatment on teeth with vital pulps: a randomized controlled trial. Int Endod J. 2010; 43 (8): 692 - 697.
Ghivari SB, Kubasad GC, Chandak MG, Akarte N. Apical extrusion of debris and irrigant using hand and rotary systems: A comparative study. J Conserv Dent. 2011; 14 (2): 187 - 190.
Madhusudhana K, Mathew VB, Reddy NM. Apical extrusion of debris and irrigants using hand and three rotary instrumentation systems- An in vitro study. Contemp Clin Dent. 2010; 1 (4): 234 - 236.
Basrani B. Irrigation in endodontic treatment. Alpha Omegan. 2011; 104 (1-2): 18 - 25.
Ehrmann EH, Messer HH, Clark RM. Flare-ups in endodontics and their relationship to various medicaments. Aust Endod J. 2007; 33 (3): 119 - 130.
Contardo L, Meneguzzi E, Cadenaro M, Di Lenarda R. Clinical evaluation of antibiotic prophylaxis before endodontic treatment of necrotic teeth. Minerva Stomatol. 2005; 54 (3): 153 - 160.
Balto K. Single- or multiple-visit endodontics: which technique results in fewest postoperative problems? Evid Based Dent. 2009; 10 (1): 16.
Wu MK, Wesselink PR, Walton RE. Apical terminus location of root canal treatment procedures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89 (1): 99 - 103.










