Aim:The aim of this study is to evaluate the efficacy of sublingual piroxicam as a preemptive analgesic agent in patients undergoing single implant surgery. Materials and methods: This was a prospective triple-blind placebo-controlled trial that involved 40 patients presented for the placement of a single endosteal implant in the posterior maxillary arch. Patients were randomly allocated to one of the following groups. Group I (study) who received sublingual piroxicam 40 mg 1 hour prior to the surgical procedure and group II (control) received placebo 1 hour before the surgery, both the groups received sublingual piroxicam 20 mg tablet twice a day on the first and the second postoperative day and once a day on the postoperative day 3. Visual analog scores for measuring pain intensity were assessed at postoperative 1 hour, 6 hours, days 1, 3, and 5. Facial swelling was measured and evaluated during the first, third, and fifth postoperative days using the digital vernier caliper. The Mann-Whitney U test was used to make between-group comparisons. The Wilcoxon-signed rank test was used to make within-group comparisons. Results: At all-time intervals, both mean pain and mean swelling scores were higher in controls as compared with those of cases. The difference between the two groups was also statistically significant at all-time intervals for both parameters except for pain at 1 hour. Conclusion: Our findings suggest that preoperative sublingual piroxicam is more effective for controlling postoperative pain and swelling after surgical implant placement than only postoperative administration.
Introduction: Laser is one of the most important latest addition in the existing list of advanced equipments. However exaggerated marketing claims by clinician and manufacturers initiated falsely elevated expectations with regard to performance of laser in dentistry. Aims and Objectives: The aims and objectives of present study was to evaluate the efficacy of ErCR:YSGG laser gingivectomy over conventional scalpel gingivectomy. Materials and Methods: Twenty patients (20) with a total of Forty ( 40) quadrants of gingival enlargements were selected for external bevel gingivectomy. Patients divided into following groups: Group-A (Test Group) after phase1 therapy remaining suprabony pocket/enlarged gingiva removed by laser gingivectomy using Er,Cr:YSGG laser in 20 patients. Group-B (Control Group): After phase1 therapy remaining suprabony pocket/enlarged gingiva removed by conventional scalpel gingivectomy in 20 patients. The clinical evaluations were done under the following parameters: 1) Per & Post -operative bleeding 2) Postoperative pain 3) Postoperative swelling.Patients were evaluated at 1st, 2nd, 3rd, 7th, 14th, 28th day after gingivectomy. Results and Conclusion: All peroperative and postoperative records were compared between test & control groups. Following conclusions are drawn from the present study: Laser gingivectomy is superior to scalpel gingivectomy in terms of controlling per and post operative bleeding, postoperative pain and postoperative swelling as compared to scalpel gingivectomy.
Rehabilitation of completely edentulous patients with implant-supported prosthesis (ISP) is the need of the day, but in many patients, the routine ISP is not possible due to the severe atrophic residual ridges. The present case series describes three cases with atrophic ridges rehabilitated using zygomatic implants and/or All-on-4 treatment concepts. In case 1 and case 3, in maxillary arch, there was not enough bone in Zone 3 to rehabilitate the patient with routine protocol followed for the All-on-4 treatment concept, so in these two cases, zygomatic implants were placed. Case 1 and case 2 were rehabilitated with Malo Bridge and case 3 with acrylic teeth-hybrid prosthesis using a computerized milling procedure to obtain improved fit, function, esthetics, and ease of retrievability whenever required.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.