Persistent post endodontic pain many not be tooth related

shutterstock_2296216-root canal xray

Another critical summary of a systematic review prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry.   Originally published in 2010 , the review  aimed to assess the frequency of non-odontogenic dentoalveolar pain six months or more after endodontic therapy.

The summariser notes the that both English and non-English language articles were included in the search.  The included articles were restricted to prospective designs and although loss to follow up was a potential bias highlighted by the summariser the overall quality of evidence present was considered good.

Overall the review notes that around half of all persistent pain post endodontic therapy may be of non-odontogenic origin.

Go to the ADA summary as published in JADA

Go to the Pubmed abstract of the original review




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Derek Richards

Derek Richards is a specialist in dental public health, Director of the Centre for Evidence-Based Dentistry and Specialist Advisor to the Scottish Dental Clinical Effectiveness Programme (SDCEP) Development Team. A former editor of the Evidence-Based Dentistry Journal and chief blogger for the Dental Elf website until December 2023. Derek has been involved with a wide range of evidence-based initiatives both nationally and internationally since 1994. Derek retired from the NHS in 2019 remaining as a part-time senior lecturer at Dundee Dental School until the end of 2023.

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