Background.
Local anesthesia is given to decrease pain perception during dental treatments, but it may itself be a reason for pain and aggravate the dental fear. Computer-controlled local anesthetic delivery system (CCLADS) is one of the alternatives for decreasing the patients’ pain during local anesthesia. This study compared the time required for the recovery from anesthesia, pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia with CCLADS, a standard self-aspirating syringe and a conventional disposable 2-mL syringe. Methods. The study was conducted on 90 subjects (an age group of 20-40 years), who suffered from sensitivity during cavity preparation. They were randomly divided into three groups of 30 individuals each to receive intraligamentary anesthesia (2% lignocaine with 1:80,000 adrenaline) using either of the three techniques: CCLADS, a standard self-aspirating syringe, or a conventional disposable 2-mL syringe. The onset of anesthesia, time required for recovery from anesthesia (in minutes), pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia were recorded. Results. The time required for the onset of anesthesia and recovery from anesthesia was shorter with CCLADS (4.83±2.31 and 34.2±1.895, respectively) as compared to the standard self-aspirating group (10.83±1.90 and 43.5±7.581, respectively) and the conventional group (11.00±2.03 and 43.5±6.453, respectively) (P<0.001). The patients in the CCLADS group experienced no pain during local anesthesia administration as compared to the patients in the self-aspirating and conventional groups. The CCLADS and self-aspirating groups showed lower pain response as compared to the conventional group for pain after 24 hours. Conclusion. CCLADS can be an effective and pain-free alternative to conventional local anesthetic procedures.
ProTaper retreatment files and D-RaCe files are recommended over other instrument systems in terms of quality for managing retreatment root canal cases.
Biological width (BW) is the distance established from the junctional epithelium and connective tissue attachment to the root surface of a tooth. It acts as a natural seal protecting the tooth from infections and diseases. The normal dimension of it is 2.04 mm on average. A periodontal probe is used to determine BW in routine clinical practice. Various methods are available for the determination of BW. A diagnosis of BW violation is asserted when the distance is found to be less than 2 mm at single or multiple locations. Gingival health is of utmost importance when considering the long-term health of the tooth as well as any restoration. A plethora of BW violations can lead to a myriad of complications, which are discussed briefly in this article. The article also aims to highlight BW in relation to restorative margins and implants and its clinical assessment as well as shed light on the procedure that can be employed to correct BW violations in dental practice.
Aim: This incidence based study was conducted to comprehensively assess the incidence of post-operative pain in single and multiple visit endodontic treatment attempted in maxillary lateral incisors.
Materials & Methods: This study was designed to conduct on the treated patient of department OPD. Patients were firstly explained about the study and asked to voluntarily participate in this study. Total 40 patients (both males and females) were selected and assessed for their reactions. Single rooted maxillary lateral incisors were included in the study. For ease of study, all participants were separated into two major study groups of 20 each. Group one has all participants wherein root canal treatment was completed in one visit. Group two has all participants wherein root canal treatment was completed in more than one visit (multiple). Estimation of pain in post-treatment visits was conducted by Visual Analogue Scale. Patients were explained about user instructions of this scale. They requested to make responses on VAS scale with prefixed values. Pain was observed on VAS scale in follow up stages of 12, 24 and 36 hours.
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