Incidence of neuropathic pain after endodontic treatment
DOI:
https://doi.org/10.24265/kiru.2024.v21n2.01Keywords:
Neuropathy; Endodontics; Toothache; Facial PainAbstract
Objectives: To determine the incidence of neuropathic pain after endodontic treatment with follow-up at 6 months. Materials and Methods: This was a prospective observational clinical study that was carried out on patients who underwent endodontic treatment or retreatment carried out in the Master of Endodontics at the International University of Catalonia (UIC) from January 2022 to December 2022. After the treatment, a six-month follow-up was carried out, determining the presence of persistent pain, and whether the cause was of non-odontogenic origin, through anamnesis and physical examination carried out in the Department of Craniomandibular Dysfunction and Orofacial Pain of the Faculty of Dentistry. Results: A total of 231 treatments were obtained, obtaining a 53% response via telephone call. A descriptive analysis of the results was done, there were 88 patients who did not present pain after 6 months of endodontic treatment (72%); while 35 patients reported pain (28%). 9% of the cases with pain were caused by endodontic failure, in 74% the cause was due to involvement of another tooth and 11% due to periodontal reasons. It was estimated that 1.5% of treated patients had failed endodontic treatments at 6 months of follow-up. The causes of persistent pain were periodontal problems, such as food packaging, dentin hypersensitivity or pulpal origin associated with another tooth. Conclusions: After 6 months of follow-up, no patient presented neuropathic origin pain.
Downloads
References
Ng Y, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. 2010;(43):171-189. doi: 10.1111/j.1365-2591.2009.01671.x.
Bosch M, Vázquez E, Gay C. Atypical odontalgia: A systematic review following the evidence-based principles of dentistry. Cranio. 2011;(3):219-26. doi: 10.1179/crn.2011.031.
Jaclyn G, Shane N. Pain prevalence and severity before, during, and after root canal treatment: a systematic review. J Endod. 2011;(37):429-438. doi: 10.1016/j. joen.2010.12.016.
Nixdorf D, Moana-Filho E, Law A, McGuire L, Hodges J, John M. Frequency of non odontogenic pain after endodontic therapy: A systematic review and meta- analysis. J Endod. 2010;(36):1494-1498. doi: 10.1016/j. joen.2010.06.020.
Nixdorf DR, Law AS, Look JO, et al. Frequency of persistent pain following endodontics within the National Dental PBRN. J Dent Res. 2013;92 (Spec Iss A):176415. doi: 10.1097/j.pain.0000000000000343.
Tizzoni R, Tizzoni M, Clerici C. Atypical odontalgia and trigeminal neuralgia: psychological, behavioral and psychopharmacological approach in a dental clinic – an overviewofpathologiesrelatedtothechallengingdifferential diagnosis in orofacial pain. F1000Res. 2021;10:317. doi:10.12688/f1000research.51845.3
McElin TW, Horton BT. Atypical face pain; a statistical consideration of 66 cases. Ann Int Med. 1947;27(5):749- 768. doi: 10.7326/0003-4819-27-5-749
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38(1):1-211. doi: 10.1177/0333102417738202. PMID: 29368949.
Woda A, Tubert-Jeannin S, Bouhassira D, et al. Towards a new taxonomy of idiopathic orofacial pain. Pain. 2005;(116):396–406. doi: 10.1016/j.pain.2005.05.009.
Marbach JJ. Is Phantom tooth pain a deafferentation (neuropathic) syndrome. Part 1: Evidence derived from the pathophysiology and treatment. Oral Surg, Oral Med, Oral Path. 1993;(75):95–105. doi: 10.1016/0030- 4220(93)90413-X.
De Chevigny C. Treatment Outcome in Endodontics: The Toronto Study—Phases 3 and 4: Orthograde Retreatment. J Endod. 2008 Feb;34(2):131-7. doi: 10.1016/j.joen.2007.11.003
Bhatt, M, Coil J, Chehroudi B, Esteves A, Aleksejuniene J, MacDonald D. Clinical decision-making and importance of the AAE/AAOMR position statement for CBCT examination in endodontic cases. Int endod J. 2021;54(1):26-37. doi: 10.1111/iej.13397
Nixdorf D, Drangsholt MT, Ettlin DA. Classifying orofacial pains: A new proposal of taxonomy based on ontology. J Oral Rehabil. 2012;39(3):161- 169. doi: 10.1111/j.1365- 2842.2011.02247.x.
Nixdorf D, Moana-Filho E. Persistent Dento-Alveolar Pain disorder (PDAP): Working towards a better understanding. Rev Pain. 2011 Dec;5(4):18-27. doi: 10.1177/204946371100500404
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recomemmdations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1): 6–27. doi: 10.11607/ jop.1151.
Takács J, Bódizs R,; Ujma P, Horváth K, Rajna P, Harmat L. Reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI- HUN): comparing psychiatric patients with control subjects. Sleep Breath. 2016;20(3):1045-1051. doi 10.1007/s11325-016-1347-7
Vanderzee KI, Sanderman R, Heyink JW, de Haes H. Psychometric qualities of the RAND 36-Item Health Survey 1.0: a multidimensional measure of general health status. Int J Behav Med. 1996;3(2):104-22. doi: 10.1207/s15327558ijbm0302_2.
Headache Classification Committee of the International Headache S. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. doi: 10.1177/0333102413485658.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Jordi Tomás Aliberas, Gabriela Villarroel Montaño, Álvaro Giner Sopena , Natalia Felipe Spada
This work is licensed under a Creative Commons Attribution 4.0 International License.
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) posterior al proceso de aprobación del manuscrito, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada.
