Systemic medication applied to endodontic treatment: a literature review

Resumo

A problem of endodontic origin is solved mainly by
cleaning and disinfecting the root canal system. However, the use of
medicines for systemic use is a great auxiliary in combating pain,
inflammation and/or infection, making easier to treat the clinical
status, that patient experiences less pain. Objective: To conduct
a literature review evidencing the clinical indications of systemic
medication application in endodontics, to aid the professional in
achieving more effective and safer therapeutics. Literature review:
There is a wide variety of drugs available on market. Consequently,
the dentist is uncertain when prescribing systemic medication
because a pharmacological arsenal is available. Also, the dentist
frequently does not know the mechanism of action of these drugs
and their interactions. Additionally to analgesics, anti-inflammatories
and antibiotics, used to combat pain, inflammation and infection,
respectively, dentists can still make use of anxiolytics, in cases of
patients very fearful to endodontic treatment. Conclusion: It is of
fundamental importance that the dentist knows about the medication
type to be used in each case and whether systemic therapy is really
necessary, through a comprehensive case evaluation.