An Update of Pain Management in Endodontic Flare-Ups:A Review

Flare-up can be defined as the occurrence of swelling, pain or the combination of these during the course of ischolar_main canal therapy, which results in unscheduled visits by patients. Inter appointment pain is caused mainly by microbial injury to the periradicular tissues and to some extent by iatrogenic factors which are chemical and mechanical in nature. The offending agents cause inflammation in the periradicular tissues which result in pain and swelling. While post endodontic flare-up is a relatively rare occurrence, the sudden increase in patient symptoms demands for a focused and active treatment plan. This review article discusses these many facets of the flare-up: definition, aetiology, clinical symptoms and management of the situation after its occurrence.