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Endodontic emergencies represent a significant portion of the daily consultations of Odontostomatologists (OS). The main objective of this study was to evaluate the management of pain during emergency endodontic care among OS practitioners in the city of Mahajanga. This was a descriptive, retrospective, cross-sectional study conducted from June 2023 to October 2024. The evaluation required a survey form concerning operative procedures and prescribing habits, which was completed during each interview. The data were processed using SPSS 20.0 software for Windows. The sample consisted of 40 odontostomatologists. The results showed that 7.5% of OS adhered to recommendations in accordance with the norms in the literature for pulp hyperemia. This proportion was 57.5% for irreversible acute pulpitis, 32.5% for acute apical periodontitis, 5% for acute apical abscess, and 17.5% for cellulitis. The management of endodontic emergencies revealed that few OS practitioners implemented therapeutic approaches consistent with the recommendations in the literature. Further studies conducted in other cities in Madagascar would be desirable to assess the quality of endodontic emergency management.