Cognitive behavioural therapy effective for pain control in the initial stage of orthodontic treatment

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Pain is not an uncommon experience during orthodontic treatment, and has been reported as a cause of treatment discontinuation. The aim of the study was to assess the efficacy of a cognitive behavioural therapy (CBT) intervention for patients experiencing pain during orthodontic treatment. Eligible patients were randomised into three groups CBT intervention(n=150), ibuprofen intervention(n=150), and [read the full story…]

acetylsalicylic acid for secondary prevention of cardiovascular events and post extraction haemorrhage

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In patients who use acetylsalicylic acid (ASA) for the primary and secondary prevention of cardiovascular events some dentists recommend suspending its use before dental procedures to reduce bleeding. However, this potentially increases the risk of thromboembolic events. The effect of ASA on the amount of bleeding that occurs during tooth extraction procedures is controversial, and [read the full story…]

Ibuprofen and ibuprofen/acetaminophen have similar effect on postoperative endodontic pain

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The aim of this study was to determine whether  in patients diagnosed with pulpal necrosis and associated periapical radiolucency with moderate to severe preoperative pain ibuprofen or ibuprofen/acetaminophen was more effective for postoperative endodontic pain. 71 patients with a  symptomatic tooth with a pulpal diagnosis of necrosis and moderate to severe pain at the time [read the full story…]

Preoperative ibuprofen and acetaminophen did not improve inferior alveolar nerve anaesthesia success in patients with pulpitis.

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The inferior alveolar nerve block (IANB)  does not always result in successful pulpal anaesthesia with studies noting failure rates between  44% and 81%.  Previous studies have suggested that preoperative medication might increase the success rate of the IANB.  The aim of this study was to determine the effect of the administration of the combination of [read the full story…]

Are single dose oral medications for post root treatment pain relief effective?

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The pain associated with root canal treatment is a major source of fear for patients. Pre treatment, treatment, and post treatment pain is anticipated, experienced, remembered, and shared by patients. The aim of this trail was to compare the effects of single doses of three oral medications on postoperative pain following instrumentation of root canals [read the full story…]

NSAIDs and the risk of head and neck cancer

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Non-steroidal anti-inflammatory drugs (NSAIDs) use  has been associated with a reduced risk of a number of  cancers. The mechanism is thought to be via the inhibitory action on the cyclooxygenase (COX) enzyme, COX-2.  The aim of this review was to investigate the association between NSAID/aspirin use and risk of head and neck cancer (HNC). The [read the full story…]

Preoperative NSAIDs improve local anaesthetic success for root canal treatment of mandibular teeth

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Inferior alveolar nerve block (IANB) is the most frequently used injection technique for achieving local anaesthesia for root canal treatment of mandibular teeth. However it is not always successful in endodontics with studies failure rates occurring between 44% and 81% of the time.  The aim of this randomised trial was to determine the effect of [read the full story…]