# Dental Cement Placement to Temporize Recalcitrant Dental Pain From Acute Pulpitis

**Authors:** Brian Chinnock, Kevin Fortier

PMC · DOI: 10.1016/j.acepjo.2026.100349 · Journal of the American College of Emergency Physicians Open · 2026-03-03

## TL;DR

An emergency department physician temporarily relieved a patient's severe dental pain using dental cement until a dentist could provide definitive care.

## Contribution

Demonstrates the use of dental cement in the ED as a temporizing measure for acute pulpitis-related pain.

## Key findings

- The patient experienced almost complete pain relief after the cement placement.
- The pain relief lasted several days until the patient could see a dentist.
- The intervention was effective in an emergency setting with no dental specialist available.

## Abstract

Acute pulpitis due to dental caries can commonly lead to severe pain that is recalcitrant to oral medications. Although definitive treatment normally requires a dentist, this is rarely available in the emergency department (ED), and patients can have prolonged delays for an available appointment. This case report described a patient with severe recalcitrant dental pain from acute pulpitis due to dental caries who had a temporary dental cement covering placed by the ED physician. The patient had almost complete resolution of dental pain that persisted for several days until the appointment with the dentist.

## Linked entities

- **Diseases:** dental caries (MONDO:0005276)

## Full-text entities

- **Diseases:** fractures (MESH:D050723), Dental Pain (MESH:D010146), inflammation (MESH:D007249), intraoral abscess (MESH:D000038), facial swelling (MESH:D004487), addiction (MESH:D019966), ED (MESH:D004630), periapical abscess (MESH:D010482), inferior alveolar nerve block (MESH:D000080902), caries (MESH:D003731), cytotoxic (MESH:D064420), gingival swelling (MESH:D005891), dental infection (MESH:D007239), Pulpitis (MESH:D011671), necrosis (MESH:D009336)
- **Chemicals:** acetaminophen (MESH:D000082), ibuprofen (MESH:D007052), epinephrine (MESH:D004837), Temrex CR Plus (-), oil (MESH:D009821), calcium hydroxide (MESH:D002126), bupivacaine (MESH:D002045), Eugenol (MESH:D005054)
- **Species:** Syzygium aromaticum (clove, species) [taxon 219868], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12969615/full.md

## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC12969615/full.md

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Source: https://tomesphere.com/paper/PMC12969615