Sammanfattning
Acute dental pain most often occurs in relation to
inflammatory conditions in the dental pulp or in
the periradicular tissues surrounding a tooth but
it is not always easy to reach a diagnosis and determine
what treatment to perform. The anamnesis
and the clinical examination provide valuable information
and a systematic approach is necessary.
This paper focuses on diagnosis and treatment of
pulpitis, pulp necrosis and apical periodontitis, periodontal
abscesses and endodontic-periodontal lesions,
pericoronitis and post-operative problems.
When patients seeks the dentist suffering from
acute dental pain, they expect that the dentist initiates
treatment at once and that is should provide
pain relief. In this situation many patients are fragile,
anxious and nervous. If the dentist is able to manage
emergency treatment of acute dental pain this
will build confidence and trust between patient and
dentist. However, often the dentist does not have
sufficient time to carry out more time-consuming
procedures. This paper provides a guide for rational
emergency treatments. It describes how or whether
the entire treatment or a less time-consuming pain
relieving procedure should be carried out. The administration
of local anesthesia, the role of antibiotics
and analgesics are discussed.