IADR Abstract Archives
Cross-sectional Evaluation of Endodontic Flare-ups in Turkish Population
Objectives: The aim of this cross-sectional clinical study was to evaluate the incidence of flare-ups (pain and/or swelling requiring endodontic interappointment and emergency treatment) and identify the risk factors associated with their occurrence in patients who received endodontic treatment from January 2002 to January 2008.
Methods: Records of 1819 teeth belonging to 1410 patients treated by 1 endodontics specialist during 6-year period were kept. Patient, tooth, and treatment characteristics were evaluated and the relationships between these characteristics and flare-ups were studied. Statistical analysis was carried out by using Pearson Chi-square test, Fisher’s Exact test, and Binary Logistic regression analyses.
Results: The incidence of flare-ups was 3.2 out of 1819 teeth that received endodontic therapy. Pulpal necrosis with periapical pathosis was the most common indication for flare-ups (52.5%) followed by irreversible pulpitis (40.7%) and pulpal necrosis without periapical pathosis (6.8%) (p<0.01). Teeth undergoing multiple visits had a higher risk of developing flare-ups compared to those with single appointments (OR: 3.148, CI: 1.414-7.009, p<0.01). Occurrence of flare-ups according to treatment modality was higher in the initial treatment group (91.5%) when compared to retreatment group (8.5%) but this difference was not significant (p>0.05). There were also no statistically significant differences in the incidence of flare-ups regarding to age, gender, tooth type, number of root canals, and the irrigation solutions that used during the treatment.
Conclusions: Further research analyzing possible relationships between cultural and other subjective factors on one hand, and more objective factors on the other, such as those investigated in our study, may shed light on alternative strategies to deal with flare-ups.
Methods: Records of 1819 teeth belonging to 1410 patients treated by 1 endodontics specialist during 6-year period were kept. Patient, tooth, and treatment characteristics were evaluated and the relationships between these characteristics and flare-ups were studied. Statistical analysis was carried out by using Pearson Chi-square test, Fisher’s Exact test, and Binary Logistic regression analyses.
Results: The incidence of flare-ups was 3.2 out of 1819 teeth that received endodontic therapy. Pulpal necrosis with periapical pathosis was the most common indication for flare-ups (52.5%) followed by irreversible pulpitis (40.7%) and pulpal necrosis without periapical pathosis (6.8%) (p<0.01). Teeth undergoing multiple visits had a higher risk of developing flare-ups compared to those with single appointments (OR: 3.148, CI: 1.414-7.009, p<0.01). Occurrence of flare-ups according to treatment modality was higher in the initial treatment group (91.5%) when compared to retreatment group (8.5%) but this difference was not significant (p>0.05). There were also no statistically significant differences in the incidence of flare-ups regarding to age, gender, tooth type, number of root canals, and the irrigation solutions that used during the treatment.
Conclusions: Further research analyzing possible relationships between cultural and other subjective factors on one hand, and more objective factors on the other, such as those investigated in our study, may shed light on alternative strategies to deal with flare-ups.