Effectiveness of antinociceptive therapy in multiple endodontic interventions

Abstract

In modern medicine, including dentistry, pain is one of the leading issues as pain syndrome is one of the most common in most human diseases. However, pain in the maxillofacial region has its own characteristics. The tissues of the oral cavity are very richly innervated compared to other organs, which affects the greater sensitivity of this area. Patients most often seek medical help for pain-related reasons, which requires mandatory anesthesia. The endodontic treatment for complicated forms of carious lesions is based on invasive intervention. In addition to stress, there are other types of adaptive reactions of the body. A natural consequence of this is the initiation of nociceptive, neurovegetative and psychoemotional reactions. The result is the formation of chronic postoperative neuropathic pain syndromes affecting the dental health and life quality of the patient. Up to 70 % of patients' complaints are acute pain when seeking emergency care – this statistic is cited by the International Association for the Study of Pain (IASP, 2011). Pain is the main reason for patients seeking dental care. It forms the painful behavior of a person, while having an adverse effect on daily activities, which reduces the life quality of the patient.