Agudización post-endodoncia relacionada con la necrosis pulpar y la periodontitis apical asintomática reportada en la literatura: Scoping Review

Abstract

Background: Post-endodontic flare-up or flare-up refers to the development of pain and/or edema that begins a few hours or days after endodontic treatments. This pain is severe enough to require an unscheduled visit for emergency treatment. The rates reported in the literature on exacerbations range from 1.4% to 16%. Through a Scoping Review, this research seeks to update, gather and synthesize the quantitative magnitude of the relationship reported in the literature between post-endodontic exacerbation with pulpal necrosis and asymptomatic apical periodontitis. Materials and methods: A search for articles from the last 10 years was carried out in the Pubmed, ScienceDirect, Ebsco, Lilacs, Cochrane and Google Scholar databases according to the previously defined inclusion and exclusion criteria. Assessment of methodological quality, risk of bias, and data extraction were performed independently and in duplicate. The main results were extracted into a results sheet designed by the authors. Results: 4 studies were selected, 3 of which were case-control and 1 cohort. A low risk of bias and a medium methodological quality were found according to the guidelines used for its evaluation. None of the included studies showed the magnitude of the relationship between pulp necrosis, apical periodontitis and Flare Up. Conclusions: The magnitude of the relationship between pulp necrosis and asymptomatic apical periodontitis with Flare Up could not be established due to the lack of information and data reported by the articles included in this work.