Innovations in Pain Management Strategies in Endodontics: Review

Abstract

Background: Pain management in endodontics remains a critical concern, as dental procedures can induce significant discomfort. Recent advancements in bioceramics, particularly calcium silicate-based materials, have shown promise in enhancing treatment outcomes and patient comfort.

Methods: A comprehensive literature review was conducted using PubMed and Web of Science databases from 1993 to 2023, focusing on studies related to bioceramic materials in endodontics. Keywords such as "bioceramics," "pain management," "endodontics," "root canal therapy," and "vital pulp therapy" were utilized to identify relevant research articles.

Results: The review highlighted the evolution of bioceramics, with materials like Mineral Trioxide Aggregate (MTA), Biodentine, and BioAggregate demonstrating superior biocompatibility and bioactivity. These materials facilitate effective pain management by promoting tissue regeneration and reducing inflammation. Innovations such as the incorporation of antibacterial ions into bioceramic formulations further enhance their efficacy against endodontic pathogens, thereby improving patient comfort during and after procedures.

Conclusion: The integration of advanced bioceramics in endodontic practice significantly contributes to pain management and treatment efficacy. These materials not only support biological healing processes but also reduce procedural discomfort. Future research should focus on optimizing mechanical properties and exploring novel bioceramic formulations to address current limitations. Continued clinical studies are essential to establish the long-term benefits of these innovations in routine dental practice.