Endodontists’ Self-Assessment about Pharmacological Strategies for Management of Endodontic Pain
Objective: To assess the pharmacological strategies of a group of Brazilian endodontists regarding endodontic pain. Material and Methods: Specialists answered a questionnaire with two main themes: 1) Pharmacological prescription patterns and 2) Endodontic procedures and risk of postoperative pain. T...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Association of Support to Oral Health Research (APESB)
2025-01-01
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| Series: | Pesquisa Brasileira em Odontopediatria e Clínica Integrada |
| Subjects: | |
| Online Access: | https://revista.uepb.edu.br/PBOCI/article/view/4232 |
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| Summary: | Objective: To assess the pharmacological strategies of a group of Brazilian endodontists regarding endodontic pain. Material and Methods: Specialists answered a questionnaire with two main themes: 1) Pharmacological prescription patterns and 2) Endodontic procedures and risk of postoperative pain. The collective data were presented as descriptive statistics. Results: Almost all endodontists reported using drugs for pain management, mainly for apical abscess (65.8%) and irreversible pulpitis (61%), as well as more after (59.6%) than before (23.3%) endodontic procedure. Dipyrone (72.6%) and ibuprofen (56.8%) were the most prescribed systemic drugs. The most used local anesthetics were mepivacaine (58.2%) and articaine (57.5%). When necessary, 74.7% of specialists use supplementary anesthesia with an additional technique. Extravasation of filling materials (81.5%), limit of apical obturation (71.2%), and instrumentation (66.4%) 1 mm beyond were the main endodontic procedures to increase the risk of postoperative pain. Conclusion: While most strategies employed by Brazilian Society of Endodontics members are evidence-based, divergences in responses highlight the need for further research. This underscores the importance of more profound insights and potential standardization in pain management strategies among professionals. |
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| ISSN: | 1519-0501 1983-4632 |