Endodontic flare up: A nightmare every dentist wants to flee from

Background: Flare-ups can occur after root canal treatment and consist of acute exacerbation of an asymptomatic pulpal and/or per radicular pathologic conditions.Aim: This study aimed to evaluate the knowledge, attitude, skills and preparedness of endodontist and pedodontist to manage a case of Endodontic flare-up.Materials and methodology: A cross-sectional survey was carried out in May 2020 on 50 endodontist and pedodontist who had done post graduation from Delhi NCR. A 10 question based questionnaire was developed to assess their knowledge, awareness and skills. Data were subjected to appropriate statistical measures and analyzed.Result: 36% of the endodontist and pedodontist (n=50) had heard about Flare Up index by Rimmer but needed a brush up and 12% were only sure about FUI. 52.17% were sure of the scoring system too. 60% of specialists knew about cortical trephination as a successful modality to reduce Interappointment pain apart from reinstrumentation, incision and drainage and use of Intracanal medicaments.Conclusion: Endodontic flare-up are a hyperalgesia syndrome with acute pain and swelling causing undesirable situations for patients and dentists. Old age and absence of a periapical lesion in necrotic teeth is a significant risk factor for flare-ups.