Intracanal and systemic medications recommended at Brazilian dental schools for urgency treatment of acute periapical abscess

  • Fabiana Vieira Vier-Pelisser UNINGÁ - Curso de Especialização em Endodontia (Caxias do Sul)
  • Roberta Paniz Garbin UNINGÁ - Curso de Especialização em Endodontia (Caxias do Sul)
  • Marcus Vinícius Reis Só Universidade de Passo Fundo e UNINGÁ - Curso de Especialização em Endodontia (Caxias do Sul)
  • Caroline Marca UNINGÁ - Curso de Especialização em Endodontia (Caxias do Sul)
  • Audrei Pelisser
Keywords: Acute periapical abscess, intracanal medication, systemic medication, analgesics, anti-inflammatory drug, antibiotics

Abstract

Purpose: The aim of this study was to evaluate the prescription of intracanal medication (ICM) and systemic medication (SM) for urgency treatment of acute periapical abscess (APA) in Brazilian Dental Schools. Methods: Questionnaires were mailed to 141 Brazilian Dental Schools addressed to the Head of the Discipline of Endodontics. Questions focused on prescribed intracanal and systemic medication for urgency treatment of APA under various stages according to its progress: early stage, in evolution, and evolved stage. Results: Tricresol formalin was the most used ICM regardless of APA stage, followed by paramonochlorophenol, calcium hydroxide, chlorhexidine, and sodium hypochlorite. The most used SM was antibiotics for all APA stages, followed by analgesics and antiinflammatory drugs. The most recommended systemic drug association was antibiotics/ analgesics, followed by antibiotics/anti-inflammatory drug. Paracetamol, diclofenac, and amoxicillin were the first-choice analgesics, anti-inflammatory drug, and antibiotics, respectively. For ‘in evolution’ and ‘evolved’ APA stages, prescriptions comprised more powerful analgesics, such as paracetamol associated with codeine and dextropropoxyphen. Conclusion: Although there is a plethora of intracanal and systemic medications available for endodontic purposes, there is no consensus amongst Brazilian Dental Schools on the best protocol for APA treatment. Key words: Acute periapical abscess; intracanal medication; systemic medication; analgesics; anti-inflammatory drug; antibiotics
Published
2008-06-22
Section
Original Article