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Academic Journal
Prevention and management of pain after endodontic treatment
K. V. Vetkova, E. V. Elohina, L. M. Lomiashvili, A. V. Chekina, S. M. Gorev
Эндодонтия Today, Vol 18, Iss 4, Pp 10-13 (2021)
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| Title | Prevention and management of pain after endodontic treatment |
|---|---|
| Authors | K. V. Vetkova, E. V. Elohina, L. M. Lomiashvili, A. V. Chekina, S. M. Gorev |
| Publication Year |
2021
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| Source |
Эндодонтия Today, Vol 18, Iss 4, Pp 10-13 (2021)
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| Description |
Aim. Medical therapy optimization for the prevention and management of pain after endodontic treatment.Materials and methods. A clinical study, in which 68 patients with sequelae of dental caries were examined. The following methods were used:clinical method, roentgenological method, pharmacoepidemiological method, expert judgements, mathematical statistics.Results. A spectrum of analgesics for self-medication of dental pain included 8 medications; 92.6% of which are nonsteroidal anti-inflammatory drugs. Pathology of gastritis in the past medical history was identified in 39.7 ± 5.9% of the patients. Pain was recorded in 79.4 ± 5.4% of the patients. After having finished the treatment analgesic was prescribed in 42.6 ± 4.2% of the cases. Analgesics were taken by 73.5 ± 5.4% of the patients with postendodontic pain. The connection between the analgesic's “strength” and the subjective assessment of its efficacy was identified: r = +0.31 p = 0.035.Conclusions. In most cases pain severity before and after endodontic treatment can be evaluated as moderate. Ketorolac (51,9%) is used as a preferred medication for self-help by the patients with dental pain. Ibuprofen (56,4%) and ketorolac (33,3%) are prescribed by doctors as an analgesic after endodontic treatment in most cases.However, patients often do not follow doctors' orders and choose other nonsteroidal anti-inflammatory drugs as a selfmedicating for preventing the pain. A prescription pattern of analgesic drugs for the prevention and management of pain after endodontic treatment is introduced: for moderate pain - ibuprofen or paracetamol, for severe pain - ketoprofen for the patients with somatic system disorder or ketorolac for the patients without somatic symptom disorder.
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| Document Type |
article
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| Language |
Russian
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| Publisher Information |
LLC "Endo Press", 2021.
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| Subject Terms | |
