SP-32 - Pain Outcomes After Root End Resection Surgery: Risk Factors for Acute and Persistent Pain

Accepted Speaker(s)

• 

  Jennifer L. Gibbs, MS, DDS, PhD

  Member of the Faculty
  Harvard School of Dental Medicine

  Nothing to disclose

Session Host(s)

• NC

  Nauman Chatha

For many patients, pain is the most important outcome of any endodontic intervention. Despite our best efforts to perform technically ideal procedures, how much post-operative pain will be experienced and for how long is often unpredictable. Here we will discuss findings from a prospective study that measured post-operative pain intensity and duration after root end resection surgery. Risk factors identified in this study will be discussed and given context through the discussion of established risk factors for worse pain outcomes after surgery. We will also describe individual cases where the pain did not resolve after surgery and discuss whether these cases should be categorized as chronic post-surgical pain.

Learning Objectives:

• Explain the biological mechanisms contributing to individual variability in pain after surgery.
• Identify risk factors that can help identify patients at risk for high intensity acute post-surgical pain.
• Describe the phenomena of chronic post-surgical pain and the risk factors for chronic pain after root end resection surgery.