Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations

Endodontic treatment comprises the overall management of pre-, intra- and post-operative symptoms, including post-operative endodontic pain, considered as a complication susceptible of chronicization. Post-operative pain is very common and highly unpreventable and has a multi-factorial etiology and...

Full description

Bibliographic Details
Main Authors: Federica Di Spirito, Giuseppe Scelza, Roberto Fornara, Francesco Giordano, Donato Rosa, Alessandra Amato
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/5/760
_version_ 1797499541008678912
author Federica Di Spirito
Giuseppe Scelza
Roberto Fornara
Francesco Giordano
Donato Rosa
Alessandra Amato
author_facet Federica Di Spirito
Giuseppe Scelza
Roberto Fornara
Francesco Giordano
Donato Rosa
Alessandra Amato
author_sort Federica Di Spirito
collection DOAJ
description Endodontic treatment comprises the overall management of pre-, intra- and post-operative symptoms, including post-operative endodontic pain, considered as a complication susceptible of chronicization. Post-operative pain is very common and highly unpreventable and has a multi-factorial etiology and a potential pathogenic link to the acute inflammation of the periapical area, secondary to localized chemical, mechanical, host and/or microbial damage occurring during endodontic treatment. Considering the multitude of heterogeneous technical and pharmacological approaches proposed to control post-operative endodontic pain, the present study primarily comprised an overview of systematic reviews of systematic reviews of randomized clinical trials, summarizing findings on post-operatively administered oral medications for post-operative endodontic pain control, in order to note the most effective type and dosage of such drugs. Secondarily, a narrative review of the current evidence on technical solutions to be observed during endodontic treatment procedures, to control post-operative pain, was conducted to provide integrated evidence-based clinical recommendations for optimal post-operative endodontic pain management.
first_indexed 2024-03-10T03:49:51Z
format Article
id doaj.art-fa01ed88e15b4d8f9f72ec21541b013a
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-10T03:49:51Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-fa01ed88e15b4d8f9f72ec21541b013a2023-11-23T11:12:35ZengMDPI AGHealthcare2227-90322022-04-0110576010.3390/healthcare10050760Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical RecommendationsFederica Di Spirito0Giuseppe Scelza1Roberto Fornara2Francesco Giordano3Donato Rosa4Alessandra Amato5Department of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, Baronissi, 84081 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, Baronissi, 84081 Salerno, ItalyPrivate Practitioner, 20010 Milan, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, Baronissi, 84081 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, Baronissi, 84081 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, Baronissi, 84081 Salerno, ItalyEndodontic treatment comprises the overall management of pre-, intra- and post-operative symptoms, including post-operative endodontic pain, considered as a complication susceptible of chronicization. Post-operative pain is very common and highly unpreventable and has a multi-factorial etiology and a potential pathogenic link to the acute inflammation of the periapical area, secondary to localized chemical, mechanical, host and/or microbial damage occurring during endodontic treatment. Considering the multitude of heterogeneous technical and pharmacological approaches proposed to control post-operative endodontic pain, the present study primarily comprised an overview of systematic reviews of systematic reviews of randomized clinical trials, summarizing findings on post-operatively administered oral medications for post-operative endodontic pain control, in order to note the most effective type and dosage of such drugs. Secondarily, a narrative review of the current evidence on technical solutions to be observed during endodontic treatment procedures, to control post-operative pain, was conducted to provide integrated evidence-based clinical recommendations for optimal post-operative endodontic pain management.https://www.mdpi.com/2227-9032/10/5/760endodonticsnon-steroidal anti-inflammatory drugspainroot canal treatmentsteroidal anti-inflammatory drugs
spellingShingle Federica Di Spirito
Giuseppe Scelza
Roberto Fornara
Francesco Giordano
Donato Rosa
Alessandra Amato
Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
Healthcare
endodontics
non-steroidal anti-inflammatory drugs
pain
root canal treatment
steroidal anti-inflammatory drugs
title Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
title_full Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
title_fullStr Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
title_full_unstemmed Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
title_short Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations
title_sort post operative endodontic pain management an overview of systematic reviews on post operatively administered oral medications and integrated evidence based clinical recommendations
topic endodontics
non-steroidal anti-inflammatory drugs
pain
root canal treatment
steroidal anti-inflammatory drugs
url https://www.mdpi.com/2227-9032/10/5/760
work_keys_str_mv AT federicadispirito postoperativeendodonticpainmanagementanoverviewofsystematicreviewsonpostoperativelyadministeredoralmedicationsandintegratedevidencebasedclinicalrecommendations
AT giuseppescelza postoperativeendodonticpainmanagementanoverviewofsystematicreviewsonpostoperativelyadministeredoralmedicationsandintegratedevidencebasedclinicalrecommendations
AT robertofornara postoperativeendodonticpainmanagementanoverviewofsystematicreviewsonpostoperativelyadministeredoralmedicationsandintegratedevidencebasedclinicalrecommendations
AT francescogiordano postoperativeendodonticpainmanagementanoverviewofsystematicreviewsonpostoperativelyadministeredoralmedicationsandintegratedevidencebasedclinicalrecommendations
AT donatorosa postoperativeendodonticpainmanagementanoverviewofsystematicreviewsonpostoperativelyadministeredoralmedicationsandintegratedevidencebasedclinicalrecommendations
AT alessandraamato postoperativeendodonticpainmanagementanoverviewofsystematicreviewsonpostoperativelyadministeredoralmedicationsandintegratedevidencebasedclinicalrecommendations