Evidence Based Clinical Practice Guidelines For Management Of Acute Pain With Apical Periodontitis

Introduction: Acute apical periodontitis (AAP) or symptomatic apical periodontitis is a common endodontic diagnosis and requires immediate attention as the patient may present with moderate to severe pain. However, an array of symptoms may be presented which may lead us to a collective diagnosis of AAP. The management protocol of AAP is not standardised throughout the world and is seen to depend on personal choice. A need to establish standardised protocol for AAP is thus imperative. Aim: This article gives an overview on the management of AAP and suggests a sequential approach for pain management in cases presenting with symptomatic apical periodontitis. Materials and Methods: Randomised clinical trials, Systematic reviews, literature reviews and previously published clinical practice guidelines that deal with the management of acute apical periodontitis (AAP) were selected and data extracted. Results: A protocol based on the existent information was suggested for the management of pain caused by acute apical periodontitis. Conclusion: Pain management is an essential step for patient management and needs to be focused on as pain alleviation requires immediate attention.