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The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study

Background: Endodontic flare-up signifies pain and/or swelling seen within a few days after an endodontic appointment by patients requiring an emergency. These are undesirable and unwanted as they cause great discomfort to the subjects and stress to the operator due to swelling and pain. Aims: This...

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Autores principales: Magar, Shilpa S, Alfayyadh, Afrah Yousef, Alruwaili, Khluod Khalifah, Almunahi, Hessah Fahad F, Alsharari, Ahmed Hamoud L, Magar, Shaliputra P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747067/
https://www.ncbi.nlm.nih.gov/pubmed/36523703
http://dx.doi.org/10.7759/cureus.31424
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author Magar, Shilpa S
Alfayyadh, Afrah Yousef
Alruwaili, Khluod Khalifah
Almunahi, Hessah Fahad F
Alsharari, Ahmed Hamoud L
Magar, Shaliputra P
author_facet Magar, Shilpa S
Alfayyadh, Afrah Yousef
Alruwaili, Khluod Khalifah
Almunahi, Hessah Fahad F
Alsharari, Ahmed Hamoud L
Magar, Shaliputra P
author_sort Magar, Shilpa S
collection PubMed
description Background: Endodontic flare-up signifies pain and/or swelling seen within a few days after an endodontic appointment by patients requiring an emergency. These are undesirable and unwanted as they cause great discomfort to the subjects and stress to the operator due to swelling and pain. Aims: This study aims to determine the flare-up incidence and associated risk factors during endodontic treatment. Methods: The present retrospective study assessed 1000 patients of both genders for endodontic flare-ups. Flare-up cases were patients having swelling or pain within 1-3 days after a root canal appointment and needing an emergency visit for relieving the symptoms. After data recording, it was subjected to statistical analysis to assess related factors, flare-up cause, and incidence rate using Fisher's exact test and chi-square test. Results: In the present study, the incidence rate of flare-ups is 9.4%. The majority of flare-ups were in the molar teeth followed by the anterior teeth and 6.7% (n=30) of the premolar teeth. For the number of canals, it was seen in 13.6% (n=24) of cases with multiple canals, 5.5% (n=12) of cases with two canals, and 9.6% (n=58) of cases with a single canal. In patients with no medical history, flare-ups were significantly less compared to patients with medical history (p<0.001). A significantly higher number of flare-ups were in the teeth having pulp necrosis with periapical lesions with 45.9% (n=34) (p<0.001). Conclusion: Flare-ups are commonly seen in multiple canal teeth having pulp necrosis with periapical lesions with an associated medical history, with females being more prone to endodontic flare-up cases.
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spelling pubmed-97470672022-12-14 The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study Magar, Shilpa S Alfayyadh, Afrah Yousef Alruwaili, Khluod Khalifah Almunahi, Hessah Fahad F Alsharari, Ahmed Hamoud L Magar, Shaliputra P Cureus Dentistry Background: Endodontic flare-up signifies pain and/or swelling seen within a few days after an endodontic appointment by patients requiring an emergency. These are undesirable and unwanted as they cause great discomfort to the subjects and stress to the operator due to swelling and pain. Aims: This study aims to determine the flare-up incidence and associated risk factors during endodontic treatment. Methods: The present retrospective study assessed 1000 patients of both genders for endodontic flare-ups. Flare-up cases were patients having swelling or pain within 1-3 days after a root canal appointment and needing an emergency visit for relieving the symptoms. After data recording, it was subjected to statistical analysis to assess related factors, flare-up cause, and incidence rate using Fisher's exact test and chi-square test. Results: In the present study, the incidence rate of flare-ups is 9.4%. The majority of flare-ups were in the molar teeth followed by the anterior teeth and 6.7% (n=30) of the premolar teeth. For the number of canals, it was seen in 13.6% (n=24) of cases with multiple canals, 5.5% (n=12) of cases with two canals, and 9.6% (n=58) of cases with a single canal. In patients with no medical history, flare-ups were significantly less compared to patients with medical history (p<0.001). A significantly higher number of flare-ups were in the teeth having pulp necrosis with periapical lesions with 45.9% (n=34) (p<0.001). Conclusion: Flare-ups are commonly seen in multiple canal teeth having pulp necrosis with periapical lesions with an associated medical history, with females being more prone to endodontic flare-up cases. Cureus 2022-11-12 /pmc/articles/PMC9747067/ /pubmed/36523703 http://dx.doi.org/10.7759/cureus.31424 Text en Copyright © 2022, Magar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dentistry
Magar, Shilpa S
Alfayyadh, Afrah Yousef
Alruwaili, Khluod Khalifah
Almunahi, Hessah Fahad F
Alsharari, Ahmed Hamoud L
Magar, Shaliputra P
The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study
title The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study
title_full The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study
title_fullStr The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study
title_full_unstemmed The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study
title_short The Determination of Flare-Up Incidence and Associated Risk Factors During Endodontic Treatment: An Observational Retrospective Study
title_sort determination of flare-up incidence and associated risk factors during endodontic treatment: an observational retrospective study
topic Dentistry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747067/
https://www.ncbi.nlm.nih.gov/pubmed/36523703
http://dx.doi.org/10.7759/cureus.31424
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