RESULTS Application of the Oral Health Impact Profile ( OHIP ) demonstrated that disease of pulpal origin affects quality of life with moderate severity , primarily through physical pain and psychological discomfort , and that RCT results in broad improvement of quality of life .
Satisfaction with RCT is extremely high , but cost is the primary reason for dissatisfaction .
Anxiety and fear affect RCT patients , profoundly influencing their behaviors , including treatment avoidance , and their pain experience .
Fear of pain is " fair " to " very much " prior to RCT .
Pain is widely feared , disliked , and remembered ; however , disease of pulpal origin generally produces moderate , but not severe pain .
RCT causes a dramatic decrease in pain prevalence and severity over the week following treatment .
Survival rates of teeth after RCT are very high ; complication rates are low .
Cost is a barrier to RCT , but initial costs , lifetime costs , cost effectiveness , cost utility , and cost benefit all compare extremely well to the alternatives involving replacement using implants or fixed prostheses .
INTRODUCTION Root canal treatment ( RCT ) success criteria inform us of the path to bony healing and of prognostic factors , but tell little about how the patient perceives , feels , or values RCT .
Patients choose , undergo , and pay for RCT , they live with the result , and inform their community .
The purpose of this narrative review was to appraise patient-centered outcomes of initial non-surgical RCT and nonsurgical retreatment , in adults .
A prospective randomized double-blind trial on efficacy of dexamethasone for endodontic interappointment pain in teeth with asymptomatic inflamed pulps.
To determine whether a relatively large dose of oral dexamethasone given for a short period of time would be effective in reducing endodontic interappointment pain , the current double-blind , placebo-controlled study was undertaken . After the visit for instrumentation , 40 patients with asymptomatic teeth having vital-inflamed pulps were r and omly given either dexamethasone ( 3 tablets of 4 mg each ) or a dextrose placebo identical in appearance ( same dosage schedule ) . The outcome showed that the oral administration of dexamethasone result ed in a statistically significant reduction in endodontic interappointment pain at all three time periods evaluated , that is , at 8 hours , 24 hours , and 48 hours ( p less than 0.01 ) . It appears from the results of this study that this dosage schedule of oral dexamethasone is sufficient to significantly reduce endodontic interappointment pain for teeth with asymptomatic vital-inflamed pulps . Further studies are needed for teeth with other endodontic pulpal-periapical conditions and for symptomatic teeth
RESULTS Application of the Oral Health Impact Profile ( OHIP ) demonstrated that disease of pulpal origin affects quality of life with moderate severity , primarily through physical pain and psychological discomfort , and that RCT results in broad improvement of quality of life .
Satisfaction with RCT is extremely high , but cost is the primary reason for dissatisfaction .
Anxiety and fear affect RCT patients , profoundly influencing their behaviors , including treatment avoidance , and their pain experience .
Fear of pain is " fair " to " very much " prior to RCT .
Pain is widely feared , disliked , and remembered ; however , disease of pulpal origin generally produces moderate , but not severe pain .
RCT causes a dramatic decrease in pain prevalence and severity over the week following treatment .
Survival rates of teeth after RCT are very high ; complication rates are low .
Cost is a barrier to RCT , but initial costs , lifetime costs , cost effectiveness , cost utility , and cost benefit all compare extremely well to the alternatives involving replacement using implants or fixed prostheses .
INTRODUCTION Root canal treatment ( RCT ) success criteria inform us of the path to bony healing and of prognostic factors , but tell little about how the patient perceives , feels , or values RCT .
Patients choose , undergo , and pay for RCT , they live with the result , and inform their community .
The purpose of this narrative review was to appraise patient-centered outcomes of initial non-surgical RCT and nonsurgical retreatment , in adults .