Management of Hot Irreversible Pulpitis with Radix Entomolaris: An Uphill Battle for a Pediatric Dentist. A Case Report.

Management of Hot Tooth Syndrome in Pediatric patient.

  • Vaishnavi Singh Institute of Dental Sciences, Bareilly
  • Dr Anshul Gangwar
Keywords: Hot tooth, Radix Entomolaris, N2O sedation, Behaviour Pain Scale, Opiod Analgesic, Local Anesthesia.

Abstract

Background: Hot tooth with Radix Entomolaris anomaly is rarely occurring condition. To achieve anesthesia satisfactorily in patients with a Hot tooth, especially in pediatric cases, can be seriously challenging for the pediatric dentist. Hot Irreversible pulpitis is most commonly found in permanent mandibular first molars, where the patient may experience severe or intense acute pain during the access opening procedure, even after the anesthetic block. The present case report describes the hot tooth, causes for anesthetic failure and some of its management techniques with a case report.

Keynote: To the best of our knowledge, this Case report is the first report of Hot tooth Syndrome with Radix Entomolaris treated under multiple Pain and Anxiety control methods.

References

References:
1. R. Preethi Mariona, S. Delphine Priscilla Antony. Survey On Knowledge and Treatment Of Hot Tooth Syndrome By General Dental Practitioners. Int J Dentistry Oral Sci. 2021;8(6):2889-2893.
2. Byers MR, Närhi MV. Dental injury models: experimental tools for understanding neuroinflammatory interactions and polymodal nociceptor functions. Crit Rev Oral Biol Med. 1999;10(1):4-39. Pubmed PMID: 10759425.
3. Bigby J, Reader A, Nusstein J, Beck M, Weaver J. Articaine for supplemental intraosseous anesthesia in patients with irreversible pulpitis. J Endod 2006; 32(11): 1044-7.
4. Somya Sahu, Pooja Kabra, Ekta Choudhary. Hot Tooth - A Challenge to Endodontists. International Journal of Science and Research.2019;8(3):106-9.
5. Abraham S, Raj D, Venugopal M. Endodontic Irrigants: A Comprehensive Review. J. Pharm. Sci. & Res. Vol. 7(1), 2015, 5-9.
6. Filip L. Calberson, Roeland J. De Moor, Christophe A. Deroose. The Radix Entomolaris and Paramolaris: Clinical Approach in Endodontics. J Endod.2007;33:58 –63.
7. Erica Martin, Alan Nimmo, Andrew Lee, Ernest Jennings. Correction: Articaine in dentistry: an overview of the evidence and meta-analysis of the latest randomised controlled trials on articaine safety and efficacy compared to lidocaine for routine dental treatment. BDJ Open (2021) 7:2.
8. Medve RA, Wang J, Karim R. Tramadol and acetaminophen tablets for dental pain. Anesth Prog. 2001 Summer;48(3):79-81. PMID: 11724223; PMCID: PMC2007376.
9. Brunick A, Clark M. Nitrous oxide and oxygen sedation: an update. Dent Assist. 2010 Jul-Aug;79(4):22-3, 26, 28-30; quiz 32, 34. PMID: 20853735.
10. American Academy of Pediatric Dentistry. Use of nitrous oxide for pediatric dental patients. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2022:353-8.
11. Sabine J. G. M. Ahlers, Aletta M. van der Veen, Monique van Dijk, Dick Tibboel, Catherijne A. J. Knibbe. The Use of the Behavioral Pain Scale to Assess Pain in Conscious Sedated Patients. Anesth Analg 2010; 110:127–33.
Published
2023-07-12
How to Cite
Singh, V., & Gangwar, A. (2023). Management of Hot Irreversible Pulpitis with Radix Entomolaris: An Uphill Battle for a Pediatric Dentist. A Case Report. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 9(3). https://doi.org/10.21276/ujds.2023.9.3.20