AAE Online CE
SP-36 Endodontic Controversies: Clinical and Pharmacologic
Controversies exist in clinical and pharmacologic aspects of endodontics. For example, a recent study raised doubts about the benefits of incision and drainage for patients with fluctuant swellings of endodontic origin. However, incision and drainage has historically been the standard treatment for that condition. An assessment of the research and its significance for clinicians will be discussed. The appropriate use of opioids in dentistry continues to be a critical issue. In the face of an opioid epidemic, dentists have turned to over-the-counter analgesics. However, acetaminophen, ibuprofen and other NsAIDs have been associated with serious side reactions that are of concern especially when used by pregnant patients. These medications have been linked to childhood asthma/wheezing, behavioral problems, hyperkinetic activity and the incidence of myocardial infarcts. Another controversy concerning NsAIDS and acetaminophen is their value in pre meditating patients with irreversible pulpitis prior to inferior alveolar nerve blocks. The clinical implications of these controversies will be discussed.
At the conclusion, participants should be able to:
- Evaluate current evidence for Incision and dreaianage in patients with swelling.
- Discuss recent research concerning complications associated with acetaminophen and ibuprofen.
- Describe factors to be considered in selecting analgesics for pregnant patients.
|Access Date||Quiz Result||Score||Actions|
Paul A. Rosenberg, D.D.S.
Dr. Paul Rosenberg was Professor and Chair of the Department of Endodontics at New York University College of Dentistry (1990-2012). He was also Director of the Advanced Education Program and International Program in Endodontics from 1990-2015. He served as Associate Dean for Graduate Programs (2000-2005), was Director of the American Board of Endodontics (2002-2008) and was also a member of the Scientific Advisory Board of the Journal of Endodontics. He currently serves as a Professor and Senior Advisor. He has published extensively in journals and textbooks and has lectured nationally and internationally on the subject of pain. His textbook titled, Endodontic Pain: Diagnosis, Causes, Prevention and Treatment, was published by Springer in 2014. Dr. Rosenberg is Editor-in- Chief of the on-line Springer Journal, Clinical Dentistry Reviewed. In 2000, Dr. Rosenberg won the Distinguished Teaching Award, which is the highest award for teaching at NYU. In December 2007, NYU College of Dentistry unveiled a new facility, the Paul and Maxine Rosenberg Educational Wing in his honor, which is dedicated to providing post-graduate students with a facility devoted to their specific needs. In 2017, Dr. Rosenberg received the I.B. Bender Lifetime Educator Award from the American Association of Endodontists.
Paul A. Rosenberg, D.D.S.
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.