Endodontics: Part 3 Treatment of endodontic emergencies

ENDODONTICS 1. The modern concept ofroot canal treatment 2. Diagnosis and treatment
planning 3. Treatment of endodontic
emergencies 4. Morphology of the root
canal system 5. Basic instruments and
materials for root canal treatment
6. Rubber dam and access cavities
7. Preparing the root canal 8. Filling the root canal
system 9. Calcium hydroxide, root
resorption, endo-perio lesions
10. Endodontic treatment for children
11. Surgical endodontics 12. Endodontic  Problems

The aim of emergency endodontic treatment is to relieve pain and control any inflammation or infection that may be present. Although insufficient time may prevent ideal treatment from being carried out, the procedures followed should not prejudice any final treatment plan. It has been reported that nearly 90% of patients seeking emergency dental treatment have symptoms of pulpal or periapical disease.
1,2

Patients who present as endodontic emergencies can be divided into three main groups.
Before treatment: 1. Pulpal pain
a) Reversible pulpitis b) Irreversible pulpitis
2. Acute periapical abscess 3. Cracked tooth syndrome
Patients under treatment: 1. Recent restorative treatment
2. Periodontal treatment 3. Exposure of the pulp 4. Fracture of the root or crown 5. Pain as a result of instrumentation
a) acute apical periodontitis b) Phoenix abscess
Post-endodontic treatment: 1. High restoration
2. Overfilling 3. Root filling 4. Root fracture