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At least 667 records · Page 37Linked to original sources
PubMed2006

[Spontaneous pain attacks: neuralgic pain].

Paroxysmal orofacial pains can cause diagnostic problems, especially when different clinical pictures occur simultaneously. Pain due to pulpitis, for example, may show the same characteristics as pain due to trigeminal neuralgia would. Moreover, the trigger point of trigeminal neuralgia can either be located in a healthy tooth or in the temporomandibular joint. Neuralgic pain is distinguished into trigeminal neuralgia, glossopharyngeal neuralgia, Horton's neuralgia, cluster headache and paroxysmal hemicrania. In 2 cases trigeminal neuralgia is successfully managed with a neurosurgical microvascular decompression procedure according to Jannetta. Characteristic pain attacks resembling neuralgic pain result from well understood pathophysiological mechanisms. Consequently, adequate therapy, such as a Janetta procedure and specific pharmacological therapy, is available.

Adult↗
PubMed1991

Clinical presentation and final diagnosis of patients referred to a temporomandibular joint clinic.

The clinical presentation and final diagnosis of 182 consecutive patients referred to the Temporomandibular Joint Clinic at the University of Otago School of Dentistry over a 12-month period were reviewed. The definitive diagnosis utilised a classification based upon accepted pathological concepts. Thirty-six percent of patients had internal derangement of the TMJ, 33 percent had joint overload, 12 percent had an acute muscle disorder, 12 percent had degenerative joint disease, and 7 percent had other conditions including ENT disorders and pulpitis. Only six percent of patients underwent treatment involving occlusal modification or TMJ surgery. The remainder received a variety of conservative treatments confirming the widely held view that the majority of patients with a TMJ disorder can be managed with a variety of reversible therapeutic methods.

Adolescent↗
PubMed1991

[The hydrodynamic behavior of dentinal tubule fluid under occlusal loading].

In an in-vitro study, the fluid movements were quantitatively recorded in natural teeth incorporated rigidly in a closed measuring system and exposed to an occlusal load of 122.6 N. Fluid movements under load are the result of elastic deformations of the tooth. Occlusal loads which were repeated within a short period of time caused a reversible plastic deformation. In comparison to the unfilled tooth the placement of an MOD restoration combined with a glass ionomer cement base caused the following alterations in fluid movements: composite inlay -24.7%, ceramic inlay +34.7%, MOD amalgam -3.1%; the placement of the base per se induced a reduction of -12.7%. In this in-vitro study, the physical properties of the restorative materials governed the magnitude of the fluid movements under load. The results are in contradiction to clinical findings and favor the pulpitis-related genesis of postoperative sensitivity. The intratubular and intrapulpal fluid movements under occlusal load simply seem to trigger the pain sensation.

Biomechanical Phenomena↗
PubMed1990

[Daily practice and pulp diseases].

Constructive or destructive processes of pulp tissue depend on many factors: anatomic topography, particular physiology, or intensity and duration of infectious, mechanical and chemical aggression. Also irritation of the pulpo-dentinal complex induce histologic and physiologic changes. The positive diagnosis of hyperemia, acute or chronic pulpitis, pulpal necrosis and acute or chronic apical abscess is performed by clinical investigations which allow a differential diagnosis with other dental or extra-dental diseases. These multiple steps lead to an adapted and appropriate treatment.

Dental Pulp Diseases↗
PubMedDate not supplied

[A comparative study of the effectiveness of the analgesic effect of electropuncture stimulation and nonnarcotic analgesics in therapy patients in an emergency dental care office].

Analysis of patients' subjective sensations, of rheography and electro-odontometry data has lead the authors to a conclusion that the analgesic effect of rengasil was higher than that of ibuprofen and that rengasil combination with electropuncture was still more effective. The analgesic effect was the most marked in alveolitis and periodontitis, less so in inflammations of the pulp, and no effect could be achieved in acute purulent pulpitis. The authors suppose that pain syndrome alleviation after electropuncture stimulation and after administration of anti-inflammatory drugs is explained mainly by changed hemodynamics at the site of inflammation, this resulting in reduction of the edema and in diminished effects of biochemical substances released in the course of inflammation.

Acupuncture Points↗
PubMed1990

[The role of x-ray films in diagnosis in operative dentistry].

In operative dentistry x-ray films play an important part as a diagnostic procedure. Image quality depends on factors such as exposure and projection but also on optimum processing of the x-ray film. Of particular importance among the exposure-related factors are such features as variable voltage, short exposure time and narrow focussing. According to the new regulations in Germany x-rays may be used if this is indicated for medical reasons in dentistry. This condition is given far more frequently than x-rays are performed in the dental office. In the diagnosis of caries individual bitewing radiographs, if indicated, should always be preferred over panoramic radiographs. In pulp diseases radiographs may aid in detecting chronic pulpitis and in differential diagnosis with apical periodontitis. Both for diagnosis and documentation on intraoral films, tooth fractures are best imaged using two different projections. Radiovisiography facilitates radiographic diagnosis by employing a simple technique and operating with considerably lower doses.

Dental Caries↗
PubMed1990

[Meteorologic effects on dental pain conditions].

Cases of treatment because of acutely occurring states of pain were analysed in a big-city dental outpatients department. The one-year examination covered about 4,000 cases of the total number of 40,000 consultations. As for the diagnoses considered in the examination, it concerned primarily dental caries, acute apical periodontitis and pulpitis. It was to find out if here is a relation between "toothache" and airhygienic influences. This was done with reference to an examination using the same method which was performed as early as in 1982/83. Apparently, there is no immediate correlation.

Air Pollution↗
PubMed1989

[Clinical evaluation of 20K gold alloy inlay restorations on young permanent teeth from the viewpoint of tooth-emergence age].

UNLABELLED: We observed 173 cases of 20K gold alloy inlay restorations on young permanent premolars and molars and investigated the emergence age of all these teeth. The observation period of inlay restorations was from 1 year to 11 years and 6 months. Clinical evaluations were made by exploring with an explorer, roentgenography and color photography. RESULTS: 1. Changes in inlay restorations occurred in 1 case (0.6%) of discoloration and 4 cases (2.3%) of inlay dislodgement. 2. Changes in teeth occurred in 8 cases (4.6%) of secondary caries, 15 cases (8.7%) of new caries and 4 cases (2.3%) of pulpitis. 3. Clinical failures occurred in 32 cases, and 24 of those cases were restored within 2 years after tooth emergence. 4. Almost clinical failures occurred on the maxillary and mandibular first molars. 5. In 27 cases (15.6%), repeat restoration was necessary. In 10 of these cases, the original 20K gold alloy inlay restorations continued in use.

Child↗
PubMedDate not supplied

[Periodontal diseases with Entamoeba gingivalis].

At the beginning of our century Entamoeba gingivalis was considered to be a pathogenic bacteria, capable to induce parodontal lesions. Later on it was also found in healthy persons, and the germ was less interesting from the medical view-point. In the present study the authors report their findings concerning E. gingivalis in 135 patients with various stomatological affections including: dental caries, parodontopathies, pulpitis, gangrene, ulcero-necrotic stomatitis etc. The study was started following the discovery of the amoeba in the gingival exsudate of a male aged 19 years with chronic superficial marginal parodontopathy, who, after a treatment with metronidazol, was cured. Entamoeba gingivalis belongs to the Rhizopoda class, together with E. dysenteriae, and E. coli, but, in contrast with these strains it does not have resistance forms (cysts). Oral amoeba were evidenced in 18 out of 78 patients with parodontal lesions (23.07%), in the gingival exsudate, the purulent secretion from parodontal pouches, in the dental tartar, the alveolar fluid following extraction etc. In 117 students from the Faculty of Stomatology, and in 57 patients with various other stomatological affections these germs were not found in any of the abovementioned products. Microscopic examination of fresh preparations, and of Giemsa-stained smears was the main method for the detection of the amoeba. The etiopathogenic role of E. gingivalis is re-examined in discussions regarding certain parodontopathies.

Adult↗
PubMed1979

[Atypical facial neuralgia].

Under the name of pain we designate algies which cannot be attributed to a well defined syndrome or to a characterized disease. Sometimes it is possible, by the intermediary of clinical and radiological investigations, to uncover the causes of such pains, for example chronic pulpitis, denticles, impacted teeth, impacted root debris, cysts, enostoses, osteoid tumors, sequela of sinus surgery, etc. More rarely we can observe algies without anatomical substrate, located in the canine fossa and the zygomatic-alveolar crest. When looking for the causes of atypical pain, the participation of internal, neurological or psychogenous factors should not be forgotten.

Diagnosis, Differential↗
PubMed1986

Results obtained from patients referred for the investigation of complaints related to oral galvanism.

One hundred consecutive patients, 74 women and 26 men, aged between 18 and 83 years (mean = 54.8 years), referred with complaints related to oral galvanism were investigated and treated and the treatment results were evaluated after 2-3 years. Forty of the patients reported facial pain, pain from the teeth, temporomandibular joints (TMJ) and masticatory muscles and TMJ clicking and locking and 26 reported headache. Smarting in the oral mucosa, smarting of the tongue and xerostomia were reported by 26, 21 and 24 patients, respectively, and 30 patients reported an unpleasant taste, a metallic taste or a battery taste. The same patient often reported several symptoms. The patients also reported various general symptoms, above all joint symptoms, pain in the back, neck and shoulders and general muscular pain but also tiredness, weakness, difficulty in concentrating, depression and insomnia. After clinical and radiological examination, salivary tests, determination of the maximum galvanic current at metallic contacts and screening for contact allergy to dental materials, various oral diagnoses could be established. Most of the patients exhibited functional disturbances of the masticatory system, periodontitis, smarting of the oral mucosa, xerostomia, pulpitis and pulpal necrosis and mucosal lesions. The medical illnesses the patients reported themselves to be suffering from or had been treated for included cardiovascular disorders, high and low blood pressure, asthma, rheumatic disorders, diabetes, pernicious anaemia, gastritis and peptic ulcer. Seventy-six patients took drugs regularly. In most cases there were several oral, dental and medical explanations for the symptoms.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1978

[Review of the literature on the use of substance P in dental practice].

The authors reviewed the relevant literature to find out whether vexed questions of stomatological research or dental practice (such as conduction in the dentine, prevention of pain produced by cavity preparation, conservative treatment of pulpitis) could be settled by means of the substance P. It seems that this is not the case at present.

Dental Care↗
PubMed1985

Single-blind clinical trial comparing use of fentiazac and paracetamol in postendodontic periodontitis.

The efficacy of oral fentiazac (100 mg QID) was compared with that of paracetamol (500 mg QID) in a single-blind trial in 30 patients suffering from post-endodontic periodontitis secondary to infiltrative or abscessed pulpitis. Patients were allocated at random to two treatment groups and treated for four days. Over each of the four days, patients scored the severity of spontaneous pain and induced pain. The same symptoms were assessed by the investigator at 0, 48, and 96 hours. Special attention was paid to the occurrence of adverse reactions. A statistically significant difference favoring fentiazac was seen in the patients' assessments of induced pain (while eating) but not in the investigator's assessment of induced pain (percussion). There was no significant difference in the analgesic effects of fentiazac and paracetamol with respect to spontaneous pain scored by patients or the investigator. No side effects were seen. Fentiazac was shown to be an effective analgesic for use in this painful inflammatory condition.

Acetaminophen↗
PubMedDate not supplied

[Allergic contact dermatitis caused by garlic, Primula, Frullania and Compositae].

As a complementary study to a previous work (14) in which we examined 43 cases of contact dermatitis to plants, we have taken a closer look at the provocative cases which made up 76% of that study - Allium (garlic) (11 cases), Primula (8), Frullania (8) and Compositae (6). The clinical methodology, preparation of extracts and execution of the skin tests were identical to those described in the previous study (14). Patients with sensitivity to Frullania and Compositae were submitted to standard skin tests as shown in table II. These patients were also tested with a 0.1% preparation of Helenin in vaseline. The eleven cases of sensitization to Allium sativum L (garlic) corresponded to women whose primary or secondary profession was that of a housewife. In each case, the reaction was in the form of pulpitis, typically affecting the thumbs, left middle and index fingers and right thumb, which are those that have the greatest contact with the garlic bulb. Primula obconica Hance was responsible for the sensitization of 7 women and 1 man. In two of the patients, the positive test result was unrelated to the clinical picture for which the patients sought medical attention. In one of the two cases, the patient had had prolonged, previous contact with Primula but without reaction. In the other case, the origin of the reaction could not be established. The contact dermatitis produced by Primula are located principally in the face and hands.(ABSTRACT TRUNCATED AT 250 WORDS)

Benzoquinones↗
PubMedDate not supplied

[Use of floctafenine for dental pain of adults and children; a controlled study. I].

The analgesic activity and tolerance of a new non-narcotic synthetic analgesic derive from quinoline has been experimented in a double blind study. Phloctaphenin (200 mg) was compared with 200 mg of Acetylsalicylic acid (ASA). Administration of the drug was randomized: 41 patients received Phloctaphenin and 37 ASA. In addition to normal patients, the study also included menstruating women and, after paediatric check-up, children (i.e. under-12's). The conditions treated included periodontitis, pulpitis, abscesses, caries (with extraction), dysodontiasis and traumas. Patients were subdivided into groups (already treated with analgesics in the previous 24 h, not treated in the previous 24 h, affected by continuous pain, affected by fits of pain, subjects in whom a single drug administration was sufficient, patients in their menstrual period). Account was also taken of the outcome of treatment in relation to meals and of the influence of the association of an antibiotic (always the same). The study showed that both drugs possess analgesic activity but that of Phloctaphenin is statistically superior (almost always highly significant, i.e. P < 0.01) compared to ASA. The same applies to latency and the duration of the effect, the clinical judgment ad the need to administered other drugs. Association with the antibiotic has no influence whatever as might have been presumed considering the period of administration and the times of assessing the pain killing action of the two drugs. Administration before or after meals was irrelevant for both drugs. Statistical study of individual groups confirmed these results. From the viewpoint of side-effects, Phloctaphenin is better tolerated: with this new analgesic, in effect, only 2 debatable cases (4.87%) of side-effects (somnolence) were observed while 6 of the patients treated with ASA (16.20%) presented side-effects: 3 cases of gastric pyrosis (8.10%) before meals and 3 cases (8.10%) of hyperhydrosis after meals.

Adolescent↗
PubMedDate not supplied

[Use of floctafenine in toothaches in adults and children (a controlled study). II].

A double-blind study was made of the activity and tolerance of 400 mg Floctaphenine versus 400 mg Acetylsalicylic Acid (ASA) on ordinary random administration. 48 patients received Floctaphenine and 50 ASA. Menstruating women were included, but not children aged less than 12 yr. Periodontitis, pulpitis, abscesses, extractions and dysodontiasis were the most frequently represented sources of pain. Subjects completing the study were divided into groups: those already treated with other analgesics in the previous 24 hr, those with uninterrupted pain, those with attacks of pain, those for whom one administration was sufficient, menstruating women. Account was also taken of the effect of treatment before or after meals, and the influence of a simultaneously administered antibiotic (the same one in each case). Statistical assessment showed that both drugs were analgesic, but that Floctaphenine was significantly (P < 0.01) better than ASA. The same was true with regard to latency time, duration of the effect, clinical assessment, need for support from other analgesics. The antibiotic appeared to have no appreciable influence of the activity of the two drugs, nor did the time of administration (before or after meals). Much the same picture was apparent in each group. Menstrual status was devoid of influence, though it cannot be stated with equal certainty that whether secondary effects were more frequent. Floctaphenine was very well tolerated. There were 4 somewhat doubtful cases of somnolence (8.33%). It was not certain, in fact, whether this was not an outcome of the relief from pain. ASA was accompanied by stomach pain in 9 cases (18%). This was much more common when it was taken on an empty stomach.

Adolescent↗
PubMed1984

[Pitfalls in restorative dentistry].

The first part of this report contains data on the pitfalls which may be encountered during the diagnosis of conditions for which reconstructive dentistry is applicable: dental caries, pulpitis, pulpo -arthritis, desmodontitis . The second part enumerates possible pitfalls during reconstructive dental surgery: anesthesia, arsenical dressings, use of canal pins and of ozone, canal obturation and its immediate consequences, nerve root artefacts and sections under anesthesia, apical cysts, caries obturation.

Dental Caries↗
PubMed1981

Facial pain - toothache or tumour?

Three cases are presented which illustrate the diagnostic problem of vague facial pain. One patient complained of toothache and was finally proved to have an intraventricular meningioma. The second had been diagnosed as trigeminal neuralgia but was finally found to have a meningioma. The third presented with facial pain, underwent 2 weeks of intensive neurological investigations and the pain was finally related to pulpitis in an upper molar. These three cases serve to stimulate a discussion on the problems of diagnosis of facial pain and the role of computerised axial tomography in this field.

Adult↗