Manejo del dolor postendodóntico. Revisión sistemática.

Abstract

Introduction: Endodontic pain is a condition that occurs when the pulp tissue becomes inflamed as a result of deep caries or other irritants. The etiological causes of postendodontic pain are varied, and its contributing factors even more, for which it is important to know them in order to proceed accordingly. Objective: The objective of this research was to review the available literature on postendodontic pain, seeking to classify its etiology, associated factors and causes, and then presenting, based on the literature, a better management for it. Material and methods: The present work is a qualitative, non-experimental, descriptive-analytical, retrospective cross-sectional systematic review. 106 articles were collected on the management of post-endodontic pain. Only 54 articles met the inclusion criteria proposed for this research. Results: Articles were divided into folders according to the corresponding variable. Each folder was also entered into a mother table which was later used to perform the descriptive statistical analysis. The etiology of post-endodontic pain and associated factors were evaluated, where the sex of the patient had a 50% influence as an associated factor. Variables such as causes that exacerbate pain and pharmacological and non-pharmacological alternatives for its treatment were also evaluated. Conclussion: Post-endodontic pain is a common post-treatment complication. Understanding its causes and establishing its predictive factors are the key to providing adequate treatment, which ranges from pharmacological therapies, and nonpharmacological alternatives for its management.