The Apical Battlefield: Mechanisms of Endodontic Acute Exacerbation: A Comprehensive Review of Literature on the Endodontic Flare-Up - Softcover

Krishnakumar, R.

Softcover

ISBN 10: 620959607X ISBN 13: 9786209596070

Verlag: LAP LAMBERT Academic Publishing, 2026

Inhaltsangabe

“The Apical Battlefield” examines endodontic flare-ups—acute exacerbations of previously asymptomatic pathology following root canal therapy. This complication disrupts the local adaptation syndrome, breaking the equilibrium between host defenses and microbial irritants. The primary etiology is the microbial extrusion of debris, accompanied by mechanical trauma and chemical irritation. Histopathologically, a rapid shift from chronic mononuclear cell infiltration to acute polymorphonuclear leukocyte (PMN) dominance leads to liquefaction necrosis and increased periapical pressure. Major risk factors include necrotic pulps, preoperative pain, and mandibular teeth, attributed to their thick cortical plates. Prevention emphasizes crown-down instrumentation to minimize debris extrusion rather than the prophylactic use of antibiotics, a misconception often referred to as the antibiotic fallacy. Management focuses on patient reassurance, drainage, re-debridement, and NSAIDs, reserving antibiotics for cases with systemic involvement.

Über diesen Titel

Über die Autorin bzw. den Autor

Prof. Dr. Krishnakumar, Department of Pediatric Dentistry, Government Dental College, Cuddalore.

Details zur Ausgabe

• Verlag: LAP LAMBERT Academic Publishing
• Erscheinungsdatum: 2026
• Sprache: Englisch
• ISBN 10: 620959607X
• ISBN 13: 9786209596070
• Einband: Taschenbuch
• Anzahl der Seiten: 76
• Kontakt zum Hersteller: preigu GmbH & Co. KG; mail@preigu.de; ; Lengericher Landstr. 19; Osnabrück; Niedersachsen; 49078; Deutschland