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.
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.
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.
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.
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.
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.