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              Printable Handouts
Navigable Slide Index
- Introduction
- Talk overview
- Same approach may not result in common outcome
- Predisposition to pain
- Overall approach to pain
- Pulp and periapical response to trauma
- Host response to tissue damage
- The predisposing factors that affect responses
- Identifying patients likely to have complications
- A complex mix
- Pain complexity
- Validity of specific predictors
- Study results
- Another study
- Determining the cause of flare-up
- Vital exacerbations
- Vital exacerbations causes
- Exacerbations: treatment options
- When to take an analgesic
- Non vital exacerbations
- Non-vital exacerbations: primary causes
- Inflammatory responses are complex
- Periapical pathosis
- The are a of the root canal and periapical tissue
- Periapical abscess
- Cellulitis
- Treatment of non vital exacerbations
- Drainage
- Clinical clue
- A basic pain preventive strategy
- Effect of occlusal reduction on pain
- Preoperative conditions
- Clinical procedure
- Clinical procedure: questions for patients
- Statistical evaluation
- Vital pulp
- Non vital pulp
- Absence of a periradicular radiolucency
- Percussion sensitive
- Presence of preoperative pain
- Significant conditions
- Exhibition of all four significant conditions
- Significant conditions: statistics
- New research: biological basis of occlusion/pain
- Experimentally induced occlusal trauma
- Study method
- Study findings
- Study conclusion
- Thank you
Topics Covered
- Predictive models of pain
- Vital and non-vital exacerbations
- Pain preventive strategy
- Biological basis of occlusion/pain
Talk Citation
Rosenberg, P. (2016, April 27). Endodontic exacerbations - biological and clinical factors [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 31, 2025, from https://doi.org/10.69645/KFPS3147.Export Citation (RIS)
Publication History
- Published on April 27, 2016
Financial Disclosures
- Prof. Paul Rosenberg has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
      
      
        
                  0:00
                
                
                  
                    Hello, my name is Doctor Paul Rosenberg,
and I will be talking to you
                  
                    about endodontic exacerbations and
some of the biological and
                  
                    clinical factors that
are associated with that problem.
                  
                
              
                  0:17
                
                
                  
                    The information that we will be
discussing can be found in my
                  
                    textbook published by Springer,
titled 'Endodontic Pain' and
                  
                    that's an all-encompassing
text that covers diagnosis,
                  
                    the causes of pain, how to prevent pain
and ultimately the treatment of pain.
                  
                    It's highly readable and I think
you will find it enjoyable to read.
                  
                
              
                  0:43
                
                
                  
                    We start with the following premise,
treating patients with similar teeth,
                  
                    comparable medical and
dental histories while using the same
                  
                    clinical approach may not
result in a common outcome.
                  
                
              
                  0:59
                
                
                  
                    One of the questions we ask as
we enter into this material is:
                  
                    are some of our patients
predisposed to pain?
                  
                    That's something that
often gets overlooked.
                  
                
              
                  1:13
                
                
                  
                    Our overall approach to pain
focuses on being preventative,
                  
                    rather than reacting to pain.
                  
                    I'm sure that you've often
heard the phrase "Take
                  
                    this medication when the pain starts".
                  
                    That's a very different approach
from what we're suggesting,
                  
                    and we will explain that as we go along.
                  
                
              
                  1:38
                
                
                  
                    There is a pulpal and
a periapical tissue response to trauma.
                  
                    While trauma is often thought to
be a blow to the face or the head,
                  
                    in this case we're talking about
trauma related to things like caries,
                  
                    where the pulp becomes inflamed and
may become painful.
                  
                
               
       
     
                    
                     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
    