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Endodontic exacerbations - biological and clinical factors
Published on April 27, 2016 38 min
A selection of talks on Oral Health
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.