AGUDIZACIONES ENDODONTICAS: “FLARE-UPS” (PARTE I)

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https://revistas.ustabuca.edu.co/index.php/USTASALUD_ODONTOLOGIA/article/view/1809
10.15332/us.v6i2.1809
10.15332/us.v6i2.1809
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Universidad Santo Tomás Seccional Bucaramanga
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La agudización endodóntica se caracteriza por el desarrollo de dolor, edema o ambos, posterior a una intervención endodóntica. Generalmente, los factores causantes son: daño mecánico, químico y/o microbiano a la pulpa o tejidos perirradiculares. De todos ellos, los microorganismos son indiscutiblemente el mayor agente etiológico de las agudizaciones. Se presentan varios regímenes de tratamiento para el alivio del dolor durante la terapia endodóntica que incluyen el alivio de la oclusión, premedicación, drenaje y medicaciones sistémicas y dentro del conducto radicular. El objetivo de este primer artículo fue realizar una revisión de la literatura acerca de su definición, incidencia y posibles factores desencadenantes. En la segunda parte se tratará la etiopatogenia y la adopción de medidas preventivas apropiadas para reducir significativamente la incidencia de este indeseable fenómeno clínico.[Torres OL. Agudizaciones endodónticas: “Flare ups” (Parte I). Revista Ustasalud Odontología 2007; 6: 123 - 130]
Inter-appointment flare-ups are characterized by the development of pain, swelling or both, following an endodontic treatment. The etiologic factors of flare-ups included mechanical and/or microbial injury to the pulp or perirradicular tissues. Of these factors, microorganisms are probable the major causative agents of flare-ups. Various treatment regimens for the relief of pain during endodontic therapy, including relief of drainage, and intracanal and systemic medications are presented. The aim of this first paper was to make a literature review about its definition, incidence and relative factors that may cause flare ups. The second paper will review the etiology and some preventive aids to reduce its incidence.
Inter-appointment flare-ups are characterized by the development of pain, swelling or both, following an endodontic treatment. The etiologic factors of flare-ups included mechanical and/or microbial injury to the pulp or perirradicular tissues. Of these factors, microorganisms are probable the major causative agents of flare-ups. Various treatment regimens for the relief of pain during endodontic therapy, including relief of drainage, and intracanal and systemic medications are presented. The aim of this first paper was to make a literature review about its definition, incidence and relative factors that may cause flare ups. The second paper will review the etiology and some preventive aids to reduce its incidence.
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Flare ups, Endodontic treatment, Root canal infection, Agudización, Tratamiento endodóntico, Infección del conducto radicular
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