Volume : 4 | Issue : 1 | Year : 2019

e-ISSN 2459-1726

Current Issue Archive Most Accessed Articles Ahead of Print

Emergency management of acute irreversible pulpitis by periapical injection of methylprednisolone [Turk Endod J]
Turk Endod J. Ahead of Print: TEJ-39974

Emergency management of acute irreversible pulpitis by periapical injection of methylprednisolone

Khaly Bane1, SEYDINA OUSMANE NIANG1, Yolande Gnagne-Koffi2, Wendpoulomdé AiméDésiré Kaboré3, Babacar Touré1
1Department of Conservative Dentistry and Endodontics, Cheikh Anta Diop University, Dakar, Senegal
2Department of Conservative Dentistry and Endodontics, Félix Houphouët Boigny University, Abidjan, Ivory Coast
3Department of Conservative Dentistry and Endodontics, Ouagadougou University, Ouagadou, Burkina Faso

Objective: Periradicular corticosteroid injection has shown its feasibility and efficacy in the emergency treatment of acute irreversible pulpitis. Our aim was to confirm previous results and provide a week’s profile of drug intake.
Methods: 31 patients consulting for acute irreversible pulpitis pain at university-affiliated teaching hospital dental clinics in Dakar, Senegal, underwent periradicular injection of methylprednisolone acetate for emergency pain management. At 1 week follow-up the therapeutic outcome of their treatment was evaluated.
Results: Immediately after injection, 71% of patients showed no spontaneous pain and 87.1% had no pain at tooth percussion. On day 7, 77.4% of patients were reviewed. The evaluation of analgesic efficacy of the therapeutic procedure on the 24 available patients showed a Sum of Pain Intensity Difference (SPID) of 12.19 and a Sum of Pain Percussion Intensity Differences (SPPID) of 0.77. At follow-up, absence of medication was observed with a maximum of 83.3% at day 5 and a minimum of 58.3% at day 2. 37.5% of patients took ibuprofen at day 2 and 4.2% at day 5. 29.2% of patients took paracetamol codeine at day 1 and 4.2% at day 5.
Conclusion: Methylprednisolone injection for acute pulpitis provides minimally invasive pharmacologic relief and conserves dental resources.

Keywords: Emergency treatment, endodontics, pain management, pulpitis

Corresponding Author: Khaly Bane, Senegal

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