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Evaluation of acetaminophen and aspirin in the relief of preoperative dental pain.

The effectiveness of nonprescription analgesics--acetaminophen and aspirin--in providing subjective relief of preoperative dental pain was evaluated in a varied population of adults. This study demonstrates for the first time the feasibility of evaluating preoperative analgesic efficacy in preoperative dental pain and provides evidence that acetaminophen (1 gm) and aspirin (1 gm) can alleviate dental pain better than a placebo.

Acetaminophen↗

Facial pain of neurologic origin mimicking oral pathologic conditions: some current concepts and treatment.

A variety of pain syndromes of the face can arise from extradental pathologic conditions that can, at times, be confusing. Awareness of pain syndromes of neurologic origin that can mimic pathologic dental conditions is helpful. When doubt persists, rather than extract or endodontically treat a tooth, injection of a local anesthetic to the most sensitive areas can be a helpful diagnostic test. We recognize that there are many entities, including dental and temporomandibular joint syndromes, that much more often account for facial pain. However, we believe that those who most often treat these patients should also be aware of some of the advances in the understanding of the causes and treatment of the neurologic syndromes that can mimic pathologic oral conditions.

Adult↗

Acute, life-threatening disease first appearing as odontogenic pain.

Rapidly spreading rhinocerebral infection by Phycomycetes (mucormycosis) in a diabetic patient with ketoacidosis is described. The dentist and dental specialists should be alert to the early signs and symptoms of this disease as they evaluate and follow patients who are debilitated and who have odontogenic pain. It cannot be overemphasized that a successful outcome is critically dependent on early recognition and prompt therapy, especially in a person with diabetic acidosis as death may occur within 2-5 days after the first symptoms appear.

Acute Disease↗

Future applications of electronic thermography.

The dental literature does not yet indicate the full range of facial thermographic findings in health and disease. Thermography is not useful in assessing some common dental problems, such as periapical granuloma. Promising reports, however, support its use in the diagnosis of neuralgias and atypical odontalgia, TMJ, nerve damage and repair after oral surgery, and in evaluating local dental anesthesia. Unfortunately, few if any of these studies were properly designed or conducted, limiting current attempts to define the value of thermography in dentistry. Until this situation resolves, ET of the face, for use in dentistry, can only be considered an investigational procedure. More research will clarify the precise contribution of thermography to dental problems.

Body Temperature↗

Non-Hodgkin's lymphoma disguised as odontogenic pain.

A patient was treated for infraorbital swelling, nonvital teeth and a periapical lesion. Suspected malignancy, confirmed with an early biopsy, resulted in diagnosis of non-Hodgkin's lymphoma.

Dental Pulp Devitalization↗

The effects of bleaching application time on the dental pulp.

This study evaluated and compared pulpal responses of teeth exposed to a 10 percent carbamide peroxide bleaching gel using short and extended application times. Of 28 subjects, four discontinued use because of thermal sensitivity. For the remaining participants, there was no difference between the pulpal readings recorded before the use of the gel or at any point during the study.

Adult↗

Epidemiology of chronic facial pain: diagnostic usefulness in patient care.

Three chronic facial pain conditions--temporomandibular pain and dysfunction syndrome, phantom tooth pain and burning mouth syndrome--can puzzle dentists trying to provide diagnoses and treatment plans. Epidemiologic data and their usefulness in providing diagnostic criteria for these conditions are explored.

Adolescent↗

Dental quackery: a retrospective view.

Instances of dental quackery are easy to spot in history, but what qualifies as quackery in contemporary dentistry? A historical perspective leads to an evaluation of questionable practices in the field today.

History of Dentistry↗

The cracked tooth syndrome: an elusive diagnosis.

The authors review the literature and present a case of cracked tooth syndrome. Special emphasis is placed on diagnostic problems associated with this syndrome. The case report demonstrates classic and atypical features of cracked tooth syndrome.

Bruxism↗

Orofacial phantom pain: theory and phenomenology.

Developing a treatment strategy for patients who are in chronic pain can be challenging for any health care professional, particularly when traditional measures to relieve pain are ineffective. Pain treatment can be further complicated by phenomena known as phantom pain--most often associated with limb amputation. The author describes three phantom syndromes experienced in the orofacial region: phantom tooth pain, phantom bite syndrome and intraoral stump pain.

Afferent Pathways↗

Does the elimination of Medicaid reimbursement affect the frequency of emergency department dental visits?

In an attempt to save costs, the state of Maryland in February 1993 eliminated Medicaid reimbursement to dentists for treatment of adults with dental emergencies. The authors analyzed data from the University of Maryland Hospital's emergency department to determine if this change resulted in increased use of the emergency department by Medicaid recipients for treatment of dental conditions. After the policy change, the rate of dental visits to the emergency department by Medicaid recipients increased by 21.8 percent. This increase occurred during the same period in which the percentage of all emergency department visits by Medicaid recipients was decreasing.

Adult↗