To determine the incidence of flare-up and the effect of age, gender, visit type, treatment duration, preoperative pain and intraoperative pain on flare-up in Nigerian adults.
Materials and methods
A total of 175 participants, aged 18 to 60 years with a necrotic central incisor, with or without preoperative pain, participated. They received postoperative paracetamol tablets and were asked to report back if unbearable pain/swelling developed.
Results
A 10% flare-up rate was recorded, while none of the studied factors had a significant relationship with flare-up.
Conclusion
The relationships between flare-up and studied related factors were not proven.
Clinical significance
Age, gender, visit type, treatment duration, preoperative pain and intraoperative pain have no effect on flare-up incidence.
How to cite this article
Udoye CI, Jafarzadeh H, Aguwa EN, Habibi M. Flare-up Incidence and Related Factors in Nigerian Adults. J Contemp Dent Pract 2011;12(2):120-123.
Endodontic practice (11th ed). Philadelphia: Lea and Febiger 1988.
Effect of trephination on postoperative pain and swelling in symptomatic necrotic teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:507-13.
Factors associated with endodontic flareup: A prospective study. Int Endod J 1995;28:261-65.
Incidence and factors related to flare-ups in a graduate endodontic program. Int Endod J 2009;42:94-104.
Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic necrotic teeth. J Endod 2001;27:53-56.
The prevalence of postoperative pain and flare-up in single and multivisit endodontic treatment: A systematic review. Int Endod J 2008;41:91-99.
Controversies in endodontics. Cit Rev Oral Biol Med 2004;15:99-114.
Single visit endodontics: A clinical study. J Endod 1983;9:147-52.
Endodontic flare-up: Comparison of incidence between single and multivisit procedures in patients attending a Nigerian Teaching Hospital BMC Oral Health 2004;4:4-6.
Postobturation pain after single endodontic therapy: A prospective study. J Dent 1988;26: 227-32.
Flare-up rate in pulpally necrotic molars in one-visit versus two-visit endodontic treatment. J Endod 1998;24:614-16.
Flare-up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital. J Dent 2006;34: 635-40.
Pain in endodontic therapy: Preliminary study. J Endod 1976;2:315-19.
Int Endod J 1987;20:53-64.
Pain in endodontics: Causes, prevention and management. Endodontol 2001;13:63-66.
Pain measurement in man: Neurophysiological correlates of pain. Amsterdam: Elsevier 1984.
Incidence of postoperative pain following the use of different sealers in immediate root canal filling. J Endod 1985;11:135-37.
Prospective randomized trial on efficacy of antibiotic prophylaxis in asymptomatic teeth with pulpal necrosis and associated periapical pathosis. Oral Surg Oral Med Oral Pathol 1988;66:722-33.
Effectiveness of various medications on postoperative pain following complete instrumentation. J Endod 1994;20:345-54.
Evaluation of prophylactic alveolar trephination to avoid pain. J Endod 1980;6:518-26.
A comparison of one visit versus two appointment endodontic therapy in teeth with nonvital pulps. Int Endod J 1991;22:179-83.
Comparative study of single visit and the multiple endodontic procedures. J Endod 1978;4:278-81.
Gender and age differences in attitudes to dental pain and dental control. Com Dent Oral Epidemiol 1997;25:315.