EC Dental Science

Introduction: An endodontic emergency presents with acute pain and swelling in the involved tooth due to pulpal inflammation and infection. Many factors contribute to pulpal inflammation, which may vary in severity from mild to severe. The treatment of which also depends on the severity of pulpal inflammation and the current state. When pulp is reversibly or irreversibly damaged. It may lead to apical periodontitis and alveolar abscess. And if untreated, it progresses to diffuse life-threatening cellulitis. Most of the cases present with extreme pain, tooth tender on percussion, intra-oral or extra-oral swelling, extrusion, and mobility of teeth as well as some systemic symptoms such as fever, fatigue, etc. The treatment includes proper irrigation and debridement of root canals after establishing drainage of pus, which will relieve the inbuilt pressure and thereby the pain. Once root canal treatment is complete, a
restoration is placed. Analgesics and antibiotics must be prescribed when necessary.

Aim of the Study: The purpose of the review is to understand various endodontic emergencies encountered in clinical practice and the management of the same.

Methodology: The review is a comprehensive research of PUBMED since the year 1973 to 2017.

Conclusion: The proper treatment of endodontic emergencies in patients requires a sound understanding of case diagnosis, conventional endodontic treatment, application of local anesthesia and clinical pharmacology for appropriate pain control. The dentist should develop these clinical skills, thorough enough to treat emergency endodontic cases as a routine, conventional non-emergency endodontic treatment. The successful treatment of emergency endodontic treatment should be in a way that gratifies both the pa-
tient as well as the doctor.

Keywords: Reversible Pulpitis; Irreversible Pulpitis; Acute Apical Periodontitis; Root Fracture; Cracked Tooth Syndrome

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