Table 3.
Tooth no. | Sex | Age (y) | Pulpal diagnosis | Periradicular diagnosis | Procedural intervention | Pharmacologic intervention | Outcome | Success/failure |
---|---|---|---|---|---|---|---|---|
19 | F | 13 | PN | AAA | First visit: incision and drainage | First visit: 400 mg ibuprofen & 325 mg APAP | Intraoral swelling and pain resolved, and no further interventions were required | Success |
18 | F | 63 | SIP | SAP | First visit: 400 mg ibuprofen & 325 mg APAP | Patient had tooth extracted shortly after because of pain and concerns of waiting for definitive treatment | Failure | |
31 | M | 21 | PN | SAP | Fourth visit: incision and drainage | First visit: 400 mg ibuprofen + 500 mg amoxicillin Second visit: 6 mg dexamethasone Third visit: 6 mg dexamethasone Fourth visit: 400 mg ibuprofen + 500 mg amoxicillin |
Intraoral swelling and pain resolved after fourth visit, and no further interventions were required | Success |
PN | AAA | |||||||
18 | F | 30 | PI | SAP | First visit: 400 mg ibuprofen & 325 mg APAP | Pain resolved, and no further interventions were required | Success | |
12 | F | 40 | PN | AAA | First visit: 400 mg ibuprofen & 325 mg APAP | Lost to follow-up | No response | |
19 | F | 44 | PT | SAP | First visit: referred to Oral surgery | Extraction | Success | |
8 | F | 62 | PT | SAP | First visit: referred to Oral surgery | Extraction | Success | |
10 | F | 62 | PT | SAP | First visit: referred to Oral surgery | Extraction | Success | |
4 | F | 66 | PT | AAA | First visit: incision and drainage | First visit: 875 mg augmentin | Intraoral swelling resolved, and no further interventions were required | Success |
28 | F | 71 | PN | SAP | Tooth extracted by general dentist, deemed unrestorable | Success | ||
19 | F | 61 | PN | AAA | First visit: incision and drainage | First visit: 600 mg ibuprofen & 500 mg APAP | Pain resolved, and no further interventions were required | Success |
3 | F | 71 | PN | AAA | Incision and drainage | First visit: 600 mg ibuprofen, 500 mg APAP, & 675 mg augmentin | Pain resolved, and no further interventions were required | Success |
30 | F | 45 | SIP | SAP | First visit: long-acting anesthetic- 0.5% Marcaine | First visit: 600 mg ibuprofen & 325 mg APAP | Pain resolved, and no further interventions were required | Success |
19 | F | 38 | SIP | SAP | Hand excavation of caries + calcium hydroxide dressing | First visit: 6 mg dexamethasone | Pain resolved, and no further interventions were required | Success |
12 | F | 68 | PT | SAP | First visit: 600 mg ibuprofen & 500 mg APAP | Pain resolved, and no further interventions were required | Success | |
2 | M | 16 | SIP | SAP | First visit: 600 mg ibuprofen & 500 mg APAP | Patient reported prolonged pain | Failure | |
7 | M | 16 | SIP | SAP | First visit: 600 mg ibuprofen & 500 mg APAP | Pain resolved, and no further interventions were required | Success | |
14 | F | 16 | SIP | SAP | First visit: referred to Oral surgery | First visit: 600 mg ibuprofen and 4 mg dexamethasone (IM) | Extraction | Success |
3 | F | 8 | PN | SAP | First visit: 400 mg ibuprofen & 325 mg APAP | Pain resolved, and no further interventions were required | Success | |
31 | M | 64 | PT | SAP | First visit: 400 mg ibuprofen & 325 mg APAP | Extraction | Success | |
2 | M | 64 | PT | SAP | First visit: 400 mg ibuprofen & 325 mg APAP | Pain resolved, and no further interventions were required | Success | |
18 | F | 43 | SIP | SAP | First visit: naproxen sodium 220 mg & 500 mg APAP | Patient pain did not resolve; after 5 days patient requested tooth be extracted | Failure | |
30 | F | 29 | SIP | SAP | First visit: naproxen sodium 220 mg & 500 mg APAP | Pain resolved, and no further interventions were required | Success | |
29 | F | 29 | SIP | SAP | First visit: naproxen sodium 220 mg & 500 mg APAP | Pain resolved, and no further interventions were required | Success | |
15 | F | 17 | SIP | SAP | First visit: 400 mg ibuprofen & 325 mg APAP | Symptoms did not resolve; patient required pulpotomy | Failure |
AAA- acute apical abscess; IM-intramuscular; PI, previously initiated; PN-pulp necrosis; PT-previously treated; SAP-symptomatic apical periodontitis; SIP-symptomatic irreversible pulpitis.