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Manage endodontic pain with a combination of analgesics, including non-steroidal anti-inflammatory drugs

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Abstract

Endodontic pain often presents as a dental emergency as apprehensive patients defer what they anticipate as a painful experience. Most correctly diagnosed cases of endodontic pain may be solved with endodontic treatment in conjunction with a local anaesthetic block, and pre- or post-procedural use of non-steroidal anti-inflammatory drugs plus paracetamol. Recognising patients at risk of severe or longer-term pain, including allodynia, hyperalgesia or pain catastrophising is important, and may warrant the addition of tramadol or corticosteroids. Opioids are reserved for second-line use, due to their potential for misuse and the risk of adverse drug events.

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  1. Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand

    Caroline Fenton & Arnold Lee

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  1. Caroline Fenton
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  2. Arnold Lee
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Correspondence to Arnold Lee.

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The preparation of this review was not supported by any external funding.

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C Fenton, a contracted employee of Adis International Ltd/Springer Nature, and A Lee, a salaried employee of Adis International Ltd/Springer Nature, declare no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.

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Fenton, C., Lee, A. Manage endodontic pain with a combination of analgesics, including non-steroidal anti-inflammatory drugs. Drugs Ther Perspect 38, 127–132 (2022). https://doi.org/10.1007/s40267-022-00898-7

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  • DOI: https://doi.org/10.1007/s40267-022-00898-7

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