Hot tooth A challenge to endodontists
DOI:
https://doi.org/10.7439/ijbr.v9i12.4966Abstract
The successful management of pain has been one of the cornerstones of endodontic practice and dentistry worldwide since time immemorial. Achieving profound pulpal anesthesia not only helps patients overcome their fears and displeasures towards dentistry but also favors the dentists who will be less stressed worrying about the patient reaction or sudden movement during the treatment procedure. But, achieving adequate anesthesia in patients with a hot tooth, which is a tooth with irreversible pulpitis, can be a challenge. This article describes the hot tooth, reasons for anesthetic failure and some of its management strategies.Downloads
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References
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.
Ingle JI, Bakland LK. Preparation for Endodontic Treatment. In: Endodontics. 5th ed, Hamilton (ON): BC Decker; 2002: 385-8.
Matthews R, Drum M, Reader A, Nusstein J, Beck M. Articaine for supplemental buccal mandibular infiltration anesthesia in patients with irreversible pulpitis when the inferior alveolar nerve block fails. J Endod 2009; 35(3): 343-6.
Laura Minea, Diane Ricci, Maryam Safaei, Mukarram Khan, Melissa Dent, Sean Tjandra. What is the best approach to achieve anesthesia of a hot tooth? An Evidence Based Report.
Nusstein JM, Reader A, Drum M. Local anesthesia strategies for the patient with a hot tooth. Dent Clin North Am 2010; 54:237–47.
Deirimika Lakiang, Abhishek Singh, D Arunagiri, Preeti Singh. Hot Tooth: A review. Journal of Dental College Azamgarh 2015; 1(1): 96-102.
S. Shabin, Aditya Shetty, Ganesh Bhat and Mithra N. Hegde. Management of Local Anesthesia Failures in Endodontics with Different Anesthetic Techniques and Agents. Annual Research & Review in Biology 2014; 4(7): 1080-91.
Cohen HP, Cha BY, Spangberg LS. Endodontic anesthesia in mandibular molars: A clinical study. J Endod 1993; 19:370-3.
Reisman D, Reader A, Nist R, Beck M, Weaver J. Anesthetic efficacy of the supplemental intraosseous injection of 3% mepivacaine in irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:676-82
Nusstein J, Reader A, Nist R, Beck M, Meyers WJ. Anesthetic efficacy of the supplemental intraosseous injection of 2% lidocaine with 1:100,000 epinephrine in irreversible pulpitis. J Endod 1998; 24:487-91.
Kennedy S, Reader A, Nusstein J, Beck M, Weaver J. The significance of needle deflection in success of the inferior alveolar nerve block in patients with irreversible pulpitis. J Endod 2003; 29:630-3.
Ianiro SR, Jeansonne BG, McNeal SF, Eleazer PD. Effect of pre-operative acetaminophen or a combination of acetaminophen and ibuprofen on the success of inferior alveolar nerve block for teeth with irreversible pulpitis. J Endod 2007; 33:11-14.
Ingle JI, Bakland LK. Preparation for Endodontic Treatment. In: Endodontics. 5th ed, Hamilton (ON): BC Decker; 2002: 385.
W.B. Saunders, Philadelphia. Carr GB: Ch. 20, Local anesthesia in endodontics. In Cohen
Nusstein JM, Reader A, Drum M. Local anesthesia strategies for the patient with a
Ingle JI, Bakland LK. Preparation for Endodontic Treatment. In: Endodontics. 5th ed, Hamilton (ON): BC Decker; 2002: 385-8.
Matthews R, Drum M, Reader A, Nusstein J, Beck M. Articaine for supplemental buccal mandibular infiltration anesthesia in patients with irreversible pulpitis when the inferior alveolar nerve block fails. J Endod 2009; 35(3): 343-6.
Laura Minea, Diane Ricci, Maryam Safaei, Mukarram Khan, Melissa Dent, Sean Tjandra. What is the best approach to achieve anesthesia of a hot tooth? An Evidence Based Report.
Nusstein JM, Reader A, Drum M. Local anesthesia strategies for the patient with a hot tooth. Dent Clin North Am 2010; 54:237–47.
Deirimika Lakiang, Abhishek Singh, D Arunagiri, Preeti Singh. Hot Tooth: A review. Journal of Dental College Azamgarh 2015; 1(1): 96-102.
S. Shabin, Aditya Shetty, Ganesh Bhat and Mithra N. Hegde. Management of Local Anesthesia Failures in Endodontics with Different Anesthetic Techniques and Agents. Annual Research & Review in Biology 2014; 4(7): 1080-91.
Cohen HP, Cha BY, Spangberg LS. Endodontic anesthesia in mandibular molars: A clinical study. J Endod 1993; 19:370-3.
Reisman D, Reader A, Nist R, Beck M, Weaver J. Anesthetic efficacy of the supplemental intraosseous injection of 3% mepivacaine in irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:676-82
Nusstein J, Reader A, Nist R, Beck M, Meyers WJ. Anesthetic efficacy of the supplemental intraosseous injection of 2% lidocaine with 1:100,000 epinephrine in irreversible pulpitis. J Endod 1998; 24:487-91.
Kennedy S, Reader A, Nusstein J, Beck M, Weaver J. The significance of needle deflection in success of the inferior alveolar nerve block in patients with irreversible pulpitis. J Endod 2003; 29:630-3.
Ianiro SR, Jeansonne BG, McNeal SF, Eleazer PD. Effect of pre-operative acetaminophen or a combination of acetaminophen and ibuprofen on the success of inferior alveolar nerve block for teeth with irreversible pulpitis. J Endod 2007; 33:11-14.
Ingle JI, Bakland LK. Preparation for Endodontic Treatment. In: Endodontics. 5th ed, Hamilton (ON): BC Decker; 2002: 385.
W.B. Saunders, Philadelphia. Carr GB: Ch. 20, Local anesthesia in endodontics. In Cohen
Nusstein JM, Reader A, Drum M. Local anesthesia strategies for the patient with a
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2018-12-15
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How to Cite
1.
Hot tooth A challenge to endodontists. Int Jour of Biomed Res [Internet]. 2018 Dec. 15 [cited 2025 Mar. 12];9(12):391-8. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/4966