Treatment of the endodontic emergency: a report based on a questionnaire—part I

Abstract

Treatment modalities used for endodontic emergencies by diplomates of the American Board of Endodontics were evaluated. If swelling is not present, whether or not there is vital pulp tissue present, the treatment tends to consist of complete instrumentation of the root canals, keeping the instruments short of the radiographic apex; adjusting the occlusion; and prescribing analgesics. If swelling is present, treatment consists of opening the tooth, adjusting the occlusion, prescribing analgesics and antibiotics, and making an incision when the swelling is fluctuant. Treatment modalities used for endodontic emergencies by diplomates of the American Board of Endodontics were evaluated. If swelling is not present, whether or not there is vital pulp tissue present, the treatment tends to consist of complete instrumentation of the root canals, keeping the instruments short of the radiographic apex; adjusting the occlusion; and prescribing analgesics. If swelling is present, treatment consists of opening the tooth, adjusting the occlusion, prescribing analgesics and antibiotics, and making an incision when the swelling is fluctuant.