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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.