Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy

Recent studies report a 60-82% incidence of endodontic emergencies among all dental emergencies.

Within this group, 20-42% of patients seek care for teeth with symptomatic irreversible pulpitis (SIP).

Additionally, about 60% of SIP patients also complain of symptomatic apical periodontitis (SAP).

While pain due to a severely inflamed pulp is characterized by dull, throbbing and lingering pain sensations, it can be spontaneous or in response to an external stimulus, such as hot, cold or chewing.

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This makes SIP the bulk of the emergency cases seen in dental clinics.

The goal of management of endodontic emergencies is to quickly and effectively manage pain and infections thereby also minimizing the development of persistent pain and the formation of periapical pathology.

Dental Professional Community by the American Association of Endodontists (AAE)

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