What Is the Outcome of an Incision and Drainage Procedure in Endodontic Patients? A Prospective, Randomized, Single-blind Study

3.75 (4 votes)

CE Hours: 1.0 CE hour 

There are no prospective endodontic studies to determine the outcome of an incision and drainage (I&D) procedure for swelling in healthy, endodontic patients. The purpose of this prospective, randomized, single-blind study was to compare the postoperative course of I&D with drain placement versus a mock I&D procedure with mock drain placement after endodontic debridement in swollen emergency patients with symptomatic teeth and a pulpal diagnosis of necrosis.

At the conclusion, participants should be able to:

  • Compare postoperative pain for the patients receiving the I & D versus the mock I & D.
  • Discuss if the I & D procedure resulted in immediate relief of moderate to severe pain.
  • Describe why patients with a mock I & D procedure had less postoperative pain.

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Hannah Beus, DDS, MS

Dr. Hannah Beus graduated from Brigham Young University and received her Doctor of Dental surgery degree from The Ohio State University.  After working for 2 years as a general dentist in Ohio, she returned to The Ohio State University for her endodontic residency, earning a Master of Science with a focus on anesthetics and odontogenic swellings.  Her research has been accepted for publication to the Journal of Endodontics, 2018. 

She spends her free time enjoying the many activities available in the Reno/Tahoe area and making memories with her husband and two darling children.  She is thrilled to join Sierra Endodontics and looks forward to continuing her service in the local community.

Sara Fowler, DMD, MS

Dr. Sara Fowler received her DMD from the University of Nevada Las Vegas School of Dental Medicine, a graduate of the school’s inaugural class. A native of Columbus, Ohio, Dr. Fowler returned to complete post-graduate training at The Ohio State University College of Dentistry, first with a General Practice Residency, followed by Endodontic Fellowship, and Advanced Endodontic Residency. After working in private practice, Dr. Fowler returned to teach at Ohio State and is now an Associate Professor with tenure in the Division of Endodontics. She is the director of Predoctoral Endodontics and the Emergency Dental Care Clinic, maintains private practice in the Ohio State Dental Faculty Practice, and actively participates in teaching and research with the Advanced Endodontic Residency Program.

Disclosure:

In accordance with this policy, I declare that I have NO past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith.

Melissa Drum, DDS, MS

Dr. Drum received her DDS from the University of Minnesota and her endodontic certificate/master's degree from The Ohio State University. She teaches at the dental student and resident levels and is the Advanced Endodontic Program Director and past Predoctoral Endodontic/Emergency Clinic Director.  Dr. Drum is active in service at the college, state and national levels and is a full tenured professor.  She has published more than 80 articles, multiple book chapters, and coauthored a book. Dr. Drum became a Diplomate of the ABE in 2008 and is currently a Director and President of the ABE.  She was named holder of the Al Reader Endowed Professorship in 2013.  Dr. Drum received the AAE Edward M. Ostetek Award in 2014 as well as numerous local teaching and research awards over the years.  Dr. Drum hates writing and reading bios and is much more fun than this paragraph describes.

Al Reader, DDS, MS

Dr. Al Reader is a Professor in the Division of Endodontics and is a previous program director of Advanced Endodontics at the The Ohio State University.

John Nusstein, DDS, MS

Dr. John Nusstein is a tenured Professor and the Chair of the Division of Endodontics at The Ohio State University College of Dentistry in Columbus, Ohio.

Mike Beck, DDS, MA

Courtney Jatana, DDS, MS

Courtney A. Jatana, DDS is a practicing Dentist in Columbus, OH. Dr. Jatana graduated from Virginia Commonwealth University School of Dentistry in 2006 and has been in practice for 11 years. Dr. Jatana also specializes in Oral & Maxillofacial Surgery. Dr. Jatana accepts multiple insurance plans including Medicare, Delta Dental and Cigna Dental.