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Year : 2022  |  Volume : 16  |  Issue : 1  |  Page : 30-35

Evaluation of characteristics and clinical implications of endodontic emergencies during COVID-19 pandemic

Army Dental Centre (Research and Referral), New Delhi, India

Correspondence Address:
Seema Chaudhary
Army Dental Centre (Research and Referral), New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jodd.jodd_33_21

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Background: The spread of a new coronavirus named Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) was detected in China in late 2019, which later spread to other parts of the world. Affected persons present with symptoms such as dry cough, malaise, and a high fever. During the various phases of the pandemic, patients presented with the symptomatology of a plethora of dental emergencies including endodontic emergencies to the dental institute. Aim: The present study aimed to analyze the nature and characterize endodontic emergencies. Materials and Methods: Patients reporting with pain and swelling of endodontic nature were included in the study. Information about patients was collected and systematized by date of visit, gender, age, and diagnosis. Only the patients exhibiting emergencies of endodontic origin were included in the study. Emergencies were divided into three groups: Group I: Preoperative, Group II: Intraoperative and Group III: Postoperative. These groups were further stratified according to the final diagnosis. A numerical rating scale (NRS) was used to record pain levels. Results: A total of 4274 patients were attended for endodontic emergencies. The age group which presented with maximum number of endodontic emergencies was 30–39 years (37%). The majority of endodontic emergency diagnoses were diseases of symptomatic irreversible pulpitis (57%). Patients who were diagnosed with symptomatic irreversible pulpitis showed higher mean verbal NRS scores than that of other groups although the difference was statistically nonsignificant. Conclusion: The type of endodontic emergencies varies depending on the inflammatory status of the pulp. Keeping in mind the characteristics of endodontic emergencies, treatment protocols can be formulated and patients can be managed taking care of all due precautions to reduce the risk of infection transmission.

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