The evaluation of endodontic flare-ups and their relationship to various risk factors

BMC Oral Health

A. Canan Yazici¹  Mete Ungor²  Emel Olga Onay² 

[1] Department of Biostatistics, Baskent University, School of Medicine, Ankara, Turkey;Department of Endodontics, Baskent University, School of Dentistry, 82 sok No 26, Bahcelievler, 06490, Ankara, Turkey

关键词: Visit type;    Root canal treatment;    Post-operative pain;    Irrigation;    Flare-up;   

Others  :  1233003
DOI  :  10.1186/s12903-015-0135-2

 received in 2015-05-25, accepted in 2015-11-10,  发布年份 2015

【 摘 要 】

Background

To evaluate the incidence of flare-ups and identify the risk factors including age, gender, tooth type, number of root canals, initial diagnosis, the type of irrigation regimen, treatment modality and the number of visits, in patients who received root canal treatment from January 2002 to January 2008.

Methods

Records of 1819 teeth belonging to 1410 patients treated by 1 endodontics specialist during 6-year period were kept. Patient, tooth, and treatment characteristics were evaluated and the relationships between these characteristics and flare-ups were studied. Statistical analysis was carried out by using Pearson Chi-square test, Fisher’s Exact test, and Binary Logistic regression analyses.

Results

The incidence of flare-ups was 59 (3.2 %) out of 1819 teeth that received endodontic therapy. Pulpal necrosis without periapical pathosis was the most common indication for flare-up (6 %) (p < 0.01). Teeth undergoing multiple visits had a higher risk of developing flare-ups compared to those with single appointments (OR: 3.14, CI: 1.414–7.009, p < 0.01). There were also no statistically significant differences in the incidence of flare-ups regarding to age, gender, tooth type, number of root canals, treatment modality, and the irrigation solutions that used during the treatment.

Conclusions

The incidence of flare-up is minimal when teeth are treated in one visit. Absence of a periapical lesion in necrotic teeth is a significant risk factor for flare-ups.

【 授权许可】

   
2015 Onay et al.

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