International Journal of Research and Review Vol. 10; Issue: 6; June 2023 Website: www.ijrrjournal.com Review Paper E-ISSN: 2349-9788; P-ISSN: 2454-2237 International Journal of Research and Review (ijrrjournal.com) 24 Volume 10; Issue: 6; June 2023 Managing Endodontic Emergencies Amid the COVID-19 Pandemic Dr. Nupur Sharma 1 , Dr. Shikha Jaiswal 2 , Dr. Vineeta Nikhil 3 , Dr. Sachin Gupta 4 1 Post Graduate Student, Department of Conservative Dentistry and Endodontics, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, India 2 Professor, Department of Conservative Dentistry and Endodontics, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, India 3 Professor and Head of the Department, Department of Conservative Dentistry and Endodontics, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, India 4 Professor, Department of Conservative Dentistry and Endodontics, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, India Corresponding Author: Dr. Nupur Sharma DOI: https://doi.org/10.52403/ijrr.20230605 ABSTRACT The impact of Covid 19 on dentistry has been profound with dental clinicians, who are at high risk of exposure to the virus. Initially at the inception of the pandemic, during the periods of lockdown, the elective dental treatment was halted and advice, analgesia and antimicrobials were preferred to manage the dental emergencies. Some patients could not be successfully managed with this approach and required face-to-face consultation. Therefore, dental emergency assessment via telephonic triage, Covid 19 screening and strict adherence to standard operating protocols for the patient, operatory and dentist were ensured while providing dental treatment based on minimum intervention and restraining from aerosol generating procedures. Now three years from the commencement of the pandemic, calls have been made for gradual return to regular clinical practice with extra precautions. Due to the emergence of new variants and ongoing easing and reimplementation of restrictions, it remains imperative to mitigate the risk of disease transmission during the dental treatment. Thus, this article provides an insight into the clinical protocols for the management of endodontic emergencies in the Covid 19 era, making the dentist better prepared to provide dental care in the patient’s best interest during such pandemic disease outbreaks now and in future. Key words: Coronavirus disease 19 outbreak, endodontic emergency, dental care. INTRODUCTION The recent outbreak of Coronavirus disease 2019 has posed a significant challenge for all healthcare workers. Coronavirus (SARS CoV-2 [2019-nCoV]) belongs to the lineage of RNA viruses in the Nidovirales order. Starting in November, 2019 from Wuhan, China spreading all around the world like a wildfire, WHO acknowledged it as a Pandemic with around 12,896,855 infected cases and global deaths reaching up to 568,586 by 12 July 2020 [1] . According to Occupational Safety and Health Administration, dental health care personnel are placed in very high exposure risk category as dentists work in close proximity to the patient ‘s oral cavity [2] . So, the high risk of infection with coronavirus forced dental practices to decline/limit oral healthcare services to emergency and urgent conditions during the periods of lockdown. Silva et al in 2021 in his article reviewed that during the COVID-19 epidemic in Wuhan, China, the majority (50.6%) of dental emergencies were of endodontic origin. These endodontic emergencies included symptomatic irreversible pulpitis,