Local pain management is the most critical aspect of patient care in dentistry. When efforts to achieve local anesthesia are unsuccessful, the resulting stress for both the patient and practitioner can be significant. It is imperative on our part to update our knowledge and skills in using newer alternatives in pain control and management and ways of administering them to increase the comfort level of our patients and resolve the clichéd paradigm of "Pain and Dentistry are inseparable". The improvements in techniques for local anesthesia are probably the most significant advances that have occurred in dental science. This paper provides an update on comparatively newer gadgets that are less commonly used to deliver local anesthetics.
to evaluate the efficacy of platelet rich fibrin in soft tissue healing, bone regeneration & to assess its effect on post-operative pain & swelling after periapical surgeries Materials and Methods: This prospective study was carried out in oral & maxillofacial surgery department. The study sample consists of 40 patients diagnosed with periapical pathologies of maxillary teeth only. Periapical curettage / enucleation & Apicoectomy was done in all patients & patients were divided into two groups. PRF placement was done in surgical cavity in Group A with 20 patients (Study group). In Group B with 20 patients, (control Group) surgical cavities were kept empty without PRF. Wound was sutured with 3.0 black silk. Pain, Swelling, soft tissue & bone healing was noted on 3 r d & 7 t h day, 1, 3 6, 9 months post operatively Results: Group a showed fast clinical & radiographic bone healing. Pain was less & consumption of analgesics was less as compared to Group B, however there was no difference in swelling & soft tissue healing in both group. Bone healing was complete in 6months in Group A Conclusion : Use of PRF promoted good results in terms of clinical & radiographic healing
Background: The clinical manifestations of these lesions comprises pain, paresthesia, swelling, drainage, tooth loss, root resorption, and facial deformity. Alteration in oral and maxillofacial (OMF) tissues of the lesions may cause esthetically and functionally unfavourable effects in patients. Aims and Objectives: To determine the frequency of odontogenic cysts, tumors, and other lesions. Materials and Methods: Patient's records of histopathological reports from the archives of the Department of Oral and Maxillofacial Pathology were obtained and reviewed over a period of 2 years, and therefore, the lesions were classified into four groups. In cases of recurrent lesions, only the primary diagnosis was considered. The research protocol was approved by the ethical committee of the institution. Results: About 56.4% of males had ameloblastoma, 54.9% of females had cementoma. 59.4% females had giant cell granuloma, 87.5% females had pyogenic granuloma, 77.2% females had osteoma, 65.1% of the female population were belongs to the benign fibro-osseous lesions and 50.2% of females were from fibrous dysplasia in group 3. About 58.8% females had squamous cell carcinoma in group 4. Conclusion: To adequately determine the prevalence and incidence rate of OMF lesions, biopsies performed by other specialists such as otolaryngologists and plastic surgeons in OMF regions should also be evaluated.
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