Este tipo de dolor suele ser agudo y puede relacionarse con varios diagnosticos potenciales que incluyen la pulpitis sintomatica irreversible, como un diagnostico pulpar, periodontitis apical sintomatica y absceso apical agudo como diagnostico apical.
Although IANB technique is most widely used for mandibular molars before endodontic treatment, it has higher failure rate and success rate are even lower when treating the mandibular posterior teeth with irreversible pulpitis. [2]
Se realizaron pruebas de sensibilidad pulpar tanto con frio y calor, las cuales resultaron positivas, localizada e incrementaba la molestia; en las pruebas periodontales fueron negativas por lo que se diagnostico como pulpitis irreversible sintomatica con periapice sano.
Until the 20th century, carious lesions were treated without anaesthesia, whereas pulpitis was treated with the use of devitalization methods which almost always was accompanied by pain and possible local or general complications [1].
Bacteria and their toxins which come from the oral cavity to the pulp cause pulpitis, pulp necrosis, periapical recurrent abscess or periapical complications without dental caries (1,2,4,5,7,9-14).
If the dental infections are not treated, it may result to pulpitis, ultimately, to necrosis of pulp, the tooth dies, which may result to localized abscess and may spread to surrounding tissues.
In another systematic review (66), the postoperative pain was evaluated in patients with irreversible pulpitis, which differs from our systematic review that included studies evaluated vital and nonvital teeth.