Diagnostic and clinical factors associated with pulpal and periapical pain
Carregando...
Data
2011
Título da Revista
ISSN da Revista
Título de Volume
Editor
Resumo
A retrospective survey was designed to identify diagnostic subgroups and clinical factors associated with odontogenic pain and discomfort
in dental urgency patients. A consecutive sample of 1,765 patients seeking treatment for dental pain at the Urgency Service of the
Dental School of the Federal University of Goiás, Brazil, was selected. Inclusion criteria were pulpal or periapical pain that occurred
before dental treatment (minimum 6 months after the last dental appointment), and the exclusion criteria were teeth with odontogenic
developmental anomalies and missing information or incomplete records. Clinical and radiographic examinations were performed to
assess clinical presentation of pain complaints including origin, duration, frequency and location of pain, palpation, percussion and
vitality tests, radiographic features, endodontic diagnosis and characteristics of teeth. Chi-square test and multiple logistic regression
were used to analyze association between pulpal and periapical pain and independent variables. The most frequent endodontic diagnosis
of pulpal pain were symptomatic pulpitis (28.3%) and hyperreactive pulpalgia (14.4%), and the most frequent periapical pain was
symptomatic apical periodontitis of infectious origin (26.4%). Regression analysis revealed that closed pulp chamber and caries were
highly associated with pulpal pain and, conversely, open pulp chamber was associated with periapical pain (p<0.001). Endodontic
diagnosis and local factors associated with pulpal and periapical pain suggest that the important clinical factor of pulpal pain was
closed pulp chamber and caries, and of periapical pain was open pulp chamber.
Descrição
Palavras-chave
Uurgency, Apical periodontitis, Ddental pain, Pulpal pain, Periapical pain
Citação
ESTRELA, Carlos et al. Diagnostic and clinical factors associated with pulpal and periapical pain. Brazilian Dental Journal, Ribeirão Preto, v. 22, n. 4, p. 306-311, 2011.