Emergency pain management in symptomatic pulpo-periradicular pathosis-case series

Medical Management is not the only choice for managing emergency endodontic pain. Numerous studies indicate that various clinical treatments provide substantial benefit for relief of odontogenic pain. The goal of emergency treatment in case of pulpal inflammation and infection is to achieve drainage and to relieve pressure from the tissue spaces. This case series describes the emergency treatment of symptomatic periapical abscess with a defined swelling in the anterior hard palate and cellulitis of orofacial region with pulpectomy and incision and drainage. This article focuses on procedures used to treat endodontic emergencies with local application of triple antibiotic paste as intracanal medicament. Although systemic analgesics and antibiotics appear to be clinically effective as an adjunct in certain emergency surgical and nonsurgical endodontic procedures, removal of the cause for pain and local application of Triple Antibiotic Paste as medicaments within the root canal system may be a more effective mode for drug delivery in endodontics. Key message is incision and Drainage is the treatment of choice in case of acute endodontic abscess. However local application of antibiotic as an intracanal medicament is a better option than systemic intake.