Actualidad del tratamiento farmacológico de la pulpitis irreversible sintomática
Contenido principal del artículo
Resumen
En el presente artículo de revisión bibliográfica tenemos como objetivo dar a conocer recomendaciones para el tratamiento farmacológico sistémico y local de la pulpitis irreversible sintomática, la cual es una de las causas más frecuentes de visita al odontólogo por la búsqueda de un tratamiento para el dolor ocasionado. Según los artículos encontrados de bases de datos como PubMed, Cochrane, Science Direct, Google Scholar, además del consenso 2017 de la Sociedad Europea de Endodoncia (todos ellos con un alto nivel de evidencia científica), la premedicación con antiinflamatorios no esteroideos aumenta la tasa de éxito de la anestesia local proporcionando una anestesia predecible, la solución salina como irrigante a 2.5 °C reduce el dolor posoperatorio, la prescripción de antibióticos está proscrita en biopulpectomías dado que no disminuye el dolor posoperatorio y los AINE son los fármacos de elección para el control del dolor postratamiento de conductos.
Descargas
Detalles del artículo
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Citas
Yu J, Zhang T, Zhao D, Haapasalo M, Shen Y. Characteristics of Endodontic Emergencies during Coronavirus Disease 2019 Outbreak in Wuhan. J Endod [Internet]. 2020 Jun 1 [cited 2021 Feb 15];46(6):730–5. Available from: /pmc/articles/PMC7151235/ DOI: https://doi.org/10.1016/j.joen.2020.04.001
Nogueira BML, Silva LG, Mesquita CRM, Menezes SAF, Menezes TOA, Faria AGM, et al. Is the Use of Dexamethasone Effective in Controlling Pain Associated with Symptomatic Irreversible Pulpitis? A Systematic Review [Internet]. Vol. 44, Journal of Endodontics. Elsevier Inc.; 2018 [cited 2021 Feb 10]. p. 703–10. Available from: https://pubmed.ncbi.nlm.nih.gov/29571913/ DOI: https://doi.org/10.1016/j.joen.2018.02.006
Stamos A, Drum M, Reader A, Nusstein J, Fowler S, Beck M. An Evaluation of Ibuprofen Versus Ibuprofen/Acetaminophen for Postoperative Endodontic Pain in Patients With Symptomatic Irreversible Pulpitis and Symptomatic Apical Periodontitis. Anesth Prog [Internet]. 2019 Dec 1 [cited 2021 Feb 10];66(4):192–201. Available from: https://pubmed.ncbi.nlm.nih.gov/31891295/ DOI: https://doi.org/10.2344/anpr-66-03-06
Agnihotry A, Gill KS, Stevenson RG, Fedorowicz Z, Kumar V, Sprakel J, et al. Irreversi bl e pulpitis – A source of antibiotic over-prescription? Braz Dent J [Internet]. 2019 Jul 1 [cited 2021 Feb 15];30(4):374–9. Available from: http://dx.doi.org/10.1590/0103-6440201902873-com DOI: https://doi.org/10.1590/0103-6440201902873
Levin LG, Law AS, Holland GR, Abbott P V., Roda RS. Identify and Define All Diagnostic Terms for Pulpal Health and Disease States. J Endod [Internet]. 2009 [cited 2021 Feb 20];35(12):1645–57. Available from: https://pubmed.ncbi.nlm.nih.gov/19932339/ DOI: https://doi.org/10.1016/j.joen.2009.09.032
Rôças IN, Alves FRF, Rachid CTCC, Lima KC, Assunção I V., Gomes PN, et al. Microbiome of Deep Dentinal Caries Lesions in Teeth with Symptomatic Irreversible Pulpitis. PLoS One [Internet]. 2016 May 1 [cited 2021 Feb 20];11(5). Available from: /pmc/articles/PMC4852894/ DOI: https://doi.org/10.1371/journal.pone.0154653
Rôças IN, Lima KC, Assunção I V., Gomes PN, Bracks I V., Siqueira JF. Advanced Caries Microbiota in Teeth with Irreversible Pulpitis. J Endod [Internet]. 2015 Sep 1 [cited 2021 Feb 20];41(9):1450–5. Available from: https://pubmed.ncbi.nlm.nih.gov/26187422/ DOI: https://doi.org/10.1016/j.joen.2015.05.013
Zheng J, Wu Z, Niu K, Xie Y, Hu X, Fu J, et al. Microbiome of Deep Dentinal Caries from Reversible Pulpitis to Irreversible Pulpitis. J Endod. 2019 Mar 1;45(3):302-309.e1. DOI: https://doi.org/10.1016/j.joen.2018.11.017
Tupyota P, Chailertvanitkul P, Laopaiboon M, Ngamjarus C, Abbott P V., Krisanaprakornkit S. Supplementary techniques for pain control during root canal treatment of lower posterior teeth with irreversible pulpitis: A systematic review and meta-analysis. Aust Endod J [Internet]. 2018 Apr 1 [cited 2021 Feb 19];44(1):14–25. Available from: https://pubmed.ncbi.nlm.nih.gov/28736921/ DOI: https://doi.org/10.1111/aej.12212
Shirvani A, Shamszadeh S, Eghbal MJ, Marvasti LA, Asgary S. Effect of preoperative oral analgesics on pulpal anesthesia in patients with irreversible pulpitis—a systematic review and meta-analysis [Internet]. Vol. 21, Clinical Oral Investigations. Springer Verlag; 2017 [cited 2021 Feb 21]. p. 43–52. Available from: https://pubmed.ncbi.nlm.nih.gov/27837343/ DOI: https://doi.org/10.1007/s00784-016-1974-1
de Geus JL, Wambier LM, Boing TF, Loguercio AD, Reis A. Effect of ibuprofen on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A meta-analysis [Internet]. Vol. 45, Australian Endodontic Journal. Wiley-Blackwell Publishing Asia; 2019 [cited 2021 Feb 21]. p. 246–58. Available from: https://pubmed.ncbi.nlm.nih.gov/30295006/ DOI: https://doi.org/10.1111/aej.12306
De Estomatología F, Beltrán R, Betsabe L, Mondragón P. Universidad Peruana Cayetano Heredia “Medicación Intraconducto: Cómo, Cuándo y Porqué” Investigación Bibliográfica del Proceso de Suficiencia Profesional para Obtener el Título de Cirujano Dentista. Lima; 2009.
De Estomatología F, Beltrán R, Vanessa S, Abad B. Universidad Peruana Cayetano Heredia “Soluciones Irrigantes en Endodoncia” Investigación Bibliográfica del Proceso de Suficiencia Profesional para Obtener el Título de Cirujano Dentista. Lima; 2009.
Manfredi M, Figini L, Gagliani M, Lodi G. Single versus multiple visits for endodontic treatment of permanent teeth [Internet]. Vol. 2016, Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2016 [cited 2021 Jan 25]. Available from: /pmc/articles/PMC6463951/?report=abstract DOI: https://doi.org/10.1002/14651858.CD005296.pub3
Tirupathi SP, Krishna N, Rajasekhar S, Nuvvula S. Clinical Efficacy of Single-visit Pulpectomy over Multiple-visit Pulpectomy in Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent [Internet]. 2019 Oct [cited 2021 Feb 22];12(5):453–9. Available from: /pmc/articles/PMC7229364/ DOI: https://doi.org/10.5005/jp-journals-10005-1654
Segura-Egea JJ, Gould K, Şen BH, Jonasson P, Cotti E, Mazzoni A, et al. European Society of Endodontology position statement: the use of antibiotics in endodontics. Int Endod J. 2018;51(1):20–5.
Keskin C, Özdemir Ö, Uzun İ, Güler B. Effect of intracanal cryotherapy on pain after single-visit root canal treatment. Aust Endod J [Internet]. 2017 Aug 1 [cited 2021 Feb 22];43(2):85–90. Available from: https://pubmed.ncbi.nlm.nih.gov/27699913/ DOI: https://doi.org/10.1111/aej.12175
Agnihotry A, Thompson W, Fedorowicz Z, van Zuuren EJ, Sprakel J. Antibiotic use for irreversible pulpitis [Internet]. Vol. 2019, Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2019 [cited 2021 Feb 10]. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004969.pub5/full DOI: https://doi.org/10.1002/14651858.CD004969.pub5
Hoskin E, Veitz-Keenan A. Antibiotics are not useful to reduce pain associated with irreversible pulpitis [Internet]. Vol. 17, Evidence-Based Dentistry. Nature Publishing Group; 2016 [cited 2021 Feb 15]. p. 81–2. Available from: https://pubmed.ncbi.nlm.nih.gov/27767119/ DOI: https://doi.org/10.1038/sj.ebd.6401187
Segura-Egea JJ, Gould K, Şen BH, Jonasson P, Cotti E, Mazzoni A, et al. European Society of Endodontology position statement: the use of antibiotics in endodontics [Internet]. Vol. 51, International Endodontic Journal. Blackwell Publishing Ltd; 2018 [cited 2021 Feb 19]. p. 20–5. Available from: https://pubmed.ncbi.nlm.nih.gov/28436043/ DOI: https://doi.org/10.1111/iej.12781
Murugesan H, Venkatappan S, Renganathan SK, Narasimhan S, Sekar M. Comparison of Acupuncture with Ibuprofen for Pain Management in Patients with Symptomatic Irreversible Pulpitis: A Randomized Double-Blind Clinical Trial. JAMS J Acupunct Meridian Stud [Internet]. 2017 Dec 1 [cited 2021 Feb 21];10(6):396–401. Available from: https://pubmed.ncbi.nlm.nih.gov/29275795/ DOI: https://doi.org/10.1016/j.jams.2017.09.002
Kérourédan O, Jallon L, Perez P, Germain C, Péli JF, Oriez D, et al. Efficacy of orally administered prednisolone versus partial endodontic treatment on pain reduction in emergency care of acute irreversible pulpitis of mandibular molars: Study protocol for a randomized controlled trial. Trials [Internet]. 2017 Mar 28 [cited 2021 Feb 15];18(1). Available from: /pmc/articles/PMC5371272/ DOI: https://doi.org/10.1186/s13063-017-1883-x
Aminoshariae A, Kulild JC, Donaldson M, Hersh E V. Evidence-based recommendations for analgesic efficacy to treat pain of endodontic origin: A systematic review of randomized controlled trials [Internet]. Vol. 147, Journal of the American Dental Association. American Dental Association; 2016 [cited 2021 Feb 21]. p. 826–39. Available from: https://pubmed.ncbi.nlm.nih.gov/27475974/ DOI: https://doi.org/10.1016/j.adaj.2016.05.010
Elkhadem A, Ezzat K, Ramadan M, AbdelGhaffar S, Khamis D, Hassan A, et al. The effect of preoperative oral administration of prednisolone on postoperative pain in patients with symptomatic irreversible pulpitis: a single-centre randomized controlled trial. Int Endod J [Internet]. 2018 Apr 1 [cited 2021 Feb 21];51:e189–96. Available from: https://pubmed.ncbi.nlm.nih.gov/28560802/ DOI: https://doi.org/10.1111/iej.12795
Jalalzadeh SM, Mamavi A, Shahriari S, Santos FA, Pochapski MT. Effect of pretreatment prednisolone on postendodontic pain: A double-blind parallel-randomized clinical trial. J Endod [Internet]. 2010 [cited 2021 Feb 21];36(6):978–81. Available from: https://pubmed.ncbi.nlm.nih.gov/20478449/ DOI: https://doi.org/10.1016/j.joen.2010.03.015