Guía docente

Control del Dolor en Endodòncia

code 09716
course 1
term Anual
type OB
credits 2

Main language of instruction: Catalan

Other languages of instruction: Spanish

Head instructor

Dr. Fernando Salvador DURÁN-SINDREU - fduran@uic.es
Dr. Jordi TOMÀS - jtomas@uic.es

The student will learn the different mechanisms by which dental pain occurs and the different techniques to control it.

No previous requirements

Via the method of reading and study of established and current literature, reviews and clinical articles, the following learning objectives should be achieved:

1. To understand the influence of analgesic and anti-inflammatory pre-medication during the administration of anaesthesia.

2. To understand the pain control mechanisms before and after endodontic treatment.

3. To diagnose and treat dental pain of a non-odontogenic origin.

4. To determine the effects of sedation on anxiety control in non-cooperative patients. Treatment guidelines.

5. To determine the pharmacological interactions in patients affected by the administration of anaesthesia.

6. To handle endodontic complications and emergencies during and post treatment. To be familiar with the
correct methodology for their solution and with their origin.

7. To establish which are the ideal methods for administering anaesthesia for endodontic treatments and
periapical surgery.

8. To determine the indications and contraindications of antibiotic therapy, as well as its dosage and
administration methods.

9. To determine the indications and contraindications of analgesic and anti-inflammatory medications as
well as its dosage and administration methods.

10. To understand the pharmacology employed in infant patients. To calculate the dosage and indications according to the pulp pathology of the patient.

11. To handle the patient’s complications in the dental clinic. To establish protocols according to the systemic pathology of the patient and the seriousness of the situation.

Seminar 1- ANALGESIC AND ANTI-INFLAMMATORY PREMEDICATION

Articles to be read: Simpson M, Drum M, Nusstein J, Reader A, Beck M. Effect of combination of preoperative ibuprofen/acetaminophen on the success of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis. J Endod. 2011 May;37(5):593-7.

Parirokh M, Ashouri R, Rekabi AR, Nakhaee N, Pardakhti A, Askarifard S, Abbott PV. The effect of
premedication with ibuprofen and indomethacin on the success of inferior alveolar nerve block for teeth
with irreversible pulpitis. J Endod. 2010 Sep;36(9):1450-4.

Aggarwal V, Singla M, Kabi D. Comparative evaluation of effect of preoperative oral medication of ibuprofen and ketorolac on anesthetic efficacy of inferior alveolar nerve block with lidocaine in patients with irreversible pulpitis: a prospective, double-blind, randomized clinical trial. J Endod. 2010 Mar;36(3):375-8.

Seminar 2- DIAGNOSIS OF NON-ODONTOGENIC DENTAL PAIN.

Cohen S, Hargreaves K. Vías de la pulpa. 10 ed. ElSevier, 2011 Barcelona. Cap. 3 49-70.
Seminar 3- SEDATION.

Articles to be read:

Lindemann M, Reader A, Nusstein J, Drum M, Beck M. Effect of sublingual triazolam on the success of
inferior alveolar nerve block in patients with irreversible pulpitis. J Endod. 2008 Oct;34(10):1167-70.
JOE Editorial Board. Pain and anxiety control: an online study guide. J Endod. 2008 May;34(5 Suppl):e165-79.

Seminar 4- HANDLING ENDODONTIC EMERGENCIES.

Hülsmann M, Schäfer E. Problems in endodontics. Quintessence Publishing, 2009 New Malden. Cap. 7 127-143.

Seminar 5- PHARMACOLOGICAL INTERACTIONS OF THE PATIENT IN ENDODONTICS.

Cohen S, Hargreaves K. Vías de la pulpa. 10 ed. ElSevier, 2011 Barcelona. Cap. 24 858-89.

Seminar 6- ANAESTHESIA IN ENDODONTICS AND PERIAPICAL SURGERY.

Cohen S, Hargreaves K. Vías de la pulpa. 10 ed. ElSevier, 2011 Barcelona. Cap. 20 691-19.
Martin M, Nusstein J, Drum M, Reader A, Beck M. Anesthetic efficacy of 1,8 ml versus 3,6 ml of 4% articaine with 1:100.000 epinephrine as a primary buccal infiltration of the mandibular first molar. J Endod 2011 May;34(5):588-92.

Hülsmann M, Schäfer E. Problems in endodontics. Quintessence Publishing, 2009 New Malden. Cap. 6 115-25.

Seminar 7- ANTIBIOTIC THERAPY.

Rodriguez-Núñez A, Cisneros-Cabello R, Velasco-Ortega E, Llamas-Carreras JM, Tórres-Lagares D, Segura-Egea JJ. Antibiotic use by members of the Spanish Endodontic Society. J Endod. 2009 Sep;35(9):1198-203.ç

Yingling NM, Byrne BE, Hartwell GR. Antibiotic use by members of the American Association of Endodontists in the year 2000: report of a national survey. J Endod 2002;28:396–404

Cohen S, Hargreaves K. Vías de la pulpa. 10 ed. El Sevier, 2011 Barcelona. Cap. 19 684-5.
Seminar 8- ANALGESIA AND ANTI-INFLAMMATORIES.
Mehrvarzfar P, Abbott PV, Saghiri MA, Delvarani A, Asgar K, Lotfi M, Karamifar K, Kharazifard MJ, Khabazi H.

Effects of three oral analgesics on postoperative pain following root canal preparation: a controlled clinical trial. Int Endod J. 2012 Jan;45(1):76-82.

Wells LK, Drum M, Nusstein J, Reader A, Beck M. Efficacy of Ibuprofen and ibuprofen/acetaminophen on
postoperative pain in symptomatic patients with a pulpal diagnosis of necrosis. J Endod. 2011 Dec;37(12):1608-12.

Cohen S, Hargreaves K. Vías de la pulpa. 10 ed. ElSevier, 2011 Barcelona. Cap. 19 679-4.

Seminar 9- PEDIATRIC PHARMACOLOGY.

Boj JR, Catalá M, García-Ballesta C, Mendoza A. Odontopediatría. Masson, 2004, Barcelona. Cap. 24 271-83.

Seminar 10- HANDLING COMPLICATIONS IN ENDODONTICS.
Lee J, Lorenzo D, Rawlins T, Cardo VA Jr. Sodium hypochlorite extrusion: an atypical case of massive soft tissue necrosis. J Oral Maxillofac Surg. 2011 Jun;69(6):1776-81.

Hülsmann M, Schäfer E. Problems in endodontics. Quintessence Publishing, 2009 New Malden. Cap. 22
479-83.

Koch F, Breil P, Marroquín BB, Gawehn J, Kunkel M. Abscess of the orbit arising 48 h after root canal
treatment of a maxillary first molar. Int Endod J. 2006 Aug;39(8):657-64.

Seminar 11- HANDLING COMPLICATIONS IN THE DENTAL CLINIC.

Theoretical-practical seminar on handling systemic complications in the patient in the dental clinic, given
by Dr. D. Sotorra (Odontologist and MA in medical emergencies by SEM).

Written exam consisting of 30 short questions. The test is passed with 70%.