Ebook Textbook of endodontology (3/E): Part 2
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Ebook Textbook of endodontology (3/E): Part 2
Part 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent ca Ebook Textbook of endodontology (3/E): Part 2auses of tooth-related pain are pulpal and periapical inflammation due lo bacterial infection. Notably, the underlying major etiological mechanisms behind a painful inflamed pulp or apical periodontitis are not different from "cases" without pain. The focus is still on the bacterial infection, but a Ebook Textbook of endodontology (3/E): Part 2n acute clinical expression has appeared and needs immediate attention.Very often, the dentist has to consider management of emergencies under time prEbook Textbook of endodontology (3/E): Part 2
essure, either as unscheduled consultations squeezed in between regular patients, or due to a sudden complication. This requires clinical skill, not lPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent ca Ebook Textbook of endodontology (3/E): Part 2temporary solution, and needs to include information to the patient about the need for later completion of the treatment and expected outcome.The aim of emergency treatment is to achieve pain relief and/or infection control while at the same time maintaining good prognosis for the subsequent treatme Ebook Textbook of endodontology (3/E): Part 2nt, and to prevent adverse sequelae. This usually includes removing the cause of pain but may also include drainage in case of pundent infection and sEbook Textbook of endodontology (3/E): Part 2
welling (see Core concept 10.1).After a general introduction on diagnostics and emergency principles, this chapter will cover the management of patienPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent ca Ebook Textbook of endodontology (3/E): Part 2general medical and local dental anamnesis and a careful clinical examination is the basis for diagnosisand treatment (see Chapter t), and should in the emergency situation focus on the chief complaint (Fig. 10.1). The pain history often provides important information regarding endodontic conditions Ebook Textbook of endodontology (3/E): Part 2, and the patient's description is a vital part of diagnosis. The type and duration of symptoms may give some indication of the conditions (see Core cEbook Textbook of endodontology (3/E): Part 2
oncept 10.2).Pain varies in intensity and may be mild, moderate, or severe. Pain quality also varies along a spectrum from sharp, intermittent attacksPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent ca Ebook Textbook of endodontology (3/E): Part 2tion to the diagnosis |1|. and the evidence that symptoms are useful as markers of disease severity is insufficient overall [2J. Caution is thus needed when the information is used to make a diagnosis.Correct diagnosis is fundamental for adequate treatment, but is not always easy to achieve in the a Ebook Textbook of endodontology (3/E): Part 2cute situation. Several teeth may display pathosis, but to achieve symptom relief the offending tooth must be identified (see Core concept 103).The etEbook Textbook of endodontology (3/E): Part 2
iology and pathogenesis behind emergency scenariosA high proportion of patients seeking emergency dental appointments because of pain have symptoms ofPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent ca Ebook Textbook of endodontology (3/E): Part 2carious teeth (Fig. 10.2) |4,5|, but fractures or cracks in the tooth substance (Tig. 10.3) from traumatic injuries or leakage in gaps along the margins of restorations or from chemical or thermal insult subsequent Io dental treatment are other causes (see Core concept 10.4).third I dition Edited by Ebook Textbook of endodontology (3/E): Part 2 Mrs Bjnmdal, Lise-Lotte Kirkevang,Ebook Textbook of endodontology (3/E): Part 2
cyxom/go/bjomdal/endodontotogy171172 Endodontic Treatment ProceduresCore concept 10.1 Overall strategy for emergency visitsAn overall strategy for hanPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent ca Ebook Textbook of endodontology (3/E): Part 2 need of drainageConsider risk of Infection spreading (need for antibiotics)Consider need for furliter pain relief (analgescs) and later treatmentCore concept 10.2 Taking a pain historyA thorough pain history should include the following information:• OnsetDurationFrequency and variation over time ( Ebook Textbook of endodontology (3/E): Part 2e.g„ daylight pattern)• LocationQualityPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent caPart 3Endodontic Treatment Procedures169Chapter 10Endodontic emergenciesPeter Jonasson, Maria Pigg, and Lars BjerndalIntroductionI he most frequent caGọi ngay
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