Present status of soft tissue grafting.
Explore the source record for details and available documents.
Age Factors↗
SEARCH · Search PubMed
Results for “Toothache”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Inflammatory cervical root resorption following segmental orthognathic surgery. A case report.
An unusual case of bilateral inflammatory external/internal root resorption developed in the maxillae of a 28 year-old female approximately 4 years following routine segmental orthognathic surgery. The patient experienced dental pain in a tooth adjacent to a segmental osteotomy cut 8 months postsurgery, however, the tooth later became asymptomatic. A definitive diagnosis of inflammatory cervical root resorption was not established until nearly 4 years later on routine dental examination. The external/internal resorptive lesions were located 4 to 6 mm apical to the connective tissue attachment on 3 of the 4 tooth roots adjacent to osteotomy cuts. Two of the affected teeth required non-surgical root canal therapy due to pulpal communication with the resorptive defects. The lesions were accessed by flap surgery, thoroughly debrided, and obturated with an intermediate restorative material until definitive restorative therapy could be completed. All sites healed uneventfully and the patient has been closely observed for approximately 2 years without symptoms or recurrence of the resorptive lesions. Dental health care providers should be alert to the possible occurrence of inflammatory root resorption in sites adjacent to osteotomy cuts over extended periods of time. Routine radiographic examination may be beneficial in the postoperative management of the segmental orthognathic surgery patient.
Adult↗
Clinical evaluation of wound healing following multiple exposures to enamel matrix protein derivative in the treatment of intrabony periodontal defects.
BACKGROUND: Multiple exposures to enamel matrix protein derivative (EMD) during periodontal therapy have been shown to be safe for the patient. The purpose of this study was to clinically determine if an altered course of wound healing would occur after multiple exposures to EMD in the treatment of intrabony defects. A secondary aim was to assess the efficacy of EMD in probing depth reduction and clinical attachment level gain. METHODS: Thirty-two systemically healthy patients (18 females, 14 males, 33 to 69 years old) who were being treated for moderate to advanced periodontal disease were selected for the study. Surgical procedures involving 2 sites were separated by at least 8 weeks, and wound healing comparisons were made between the first and second procedure. Patients were given a diary card the day of surgery, which consisted of questions concerning the presence and severity of headaches, root hypersensitivity, tooth pain, swelling, and itching. Patients were also examined at postoperative visits to clinically assess wound healing and discuss responses to the questionnaire. Soft tissue measurements were taken the day of surgery and 6 months postoperatively to ascertain probing depth reduction (PD) and gains in clinical attachment levels (CAL). RESULTS: The results revealed no clinically detectable reaction that could not be attributed to normal postoperative sequelae. There were no differences in reported symptoms between patient gender, first and second procedures, or intrabony and non-intrabony defects. Smokers were found to have a statistically significantly higher incidence of severe symptoms in root hypersensitivity, tooth pain, and swelling compared to non-smokers (n = 21). The mean probing depth reduction was 3.8 +/- 1.5 mm (2 to 9 mm), while the mean clinical attachment level gain was 2.8 +/- 1.7 mm (0 to 8 mm). CONCLUSIONS: The findings of this study demonstrate that EMD is a clinically safe product to use in the treatment of periodontal defects and that multiple uses do not have a negative impact on periodontal wound healing. In addition, a statistically significant gain in clinical attachment and reduction in probing depth were demonstrated.
Adult↗
A Medicaid population's use of physicians' offices for dental problems.
OBJECTIVES: This study evaluated how the elimination of Medicaid reimbursement to dentists for the treatment of adult dental problems affected patients' visits to physicians. METHODS: Data tapes describing physicians' claims for adult Medicaid patients were obtained from the Maryland Medicaid Management Information System. The database contains information on all claims made to Maryland Medicaid, including date, provider, International Classification of Diseases, Ninth Revision, Clinical Modification Manual code, and payments. RESULTS: A total of 5334 individuals made physician's office claims related to dental problems sometime during the 4-year study period. The rate of dental-related claims by physicians decreased by 8% after the policy change. CONCLUSIONS: Visits to physicians' offices decreased even though an increase might have been expected because of the elimination of access to dentists in private practice. Patients might have assumed that if visits to dentists would no longer be paid for, neither would visits to physicians' offices.
Adult↗
A benefit-risk assessment of caffeine as an analgesic adjuvant.
Caffeine has been an additive in analgesics for many years. However, the analgesic adjuvant effects of caffeine have not been seriously investigated since a pooled analysis conducted in 1984 showed that caffeine reduces the amount of paracetamol (acetaminophen) necessary for the same effect by approximately 40%. In vitro and in vivo pharmacological research has provided some evidence that caffeine can have anti-nociceptive actions through blockade of adenosine receptors, inhibition of cyclo-oxygenase-2 enzyme synthesis, or by changes in emotion state. Nevertheless, these actions are only considered in some cases. It is suggested that the actual doses of analgesics and caffeine used can influence the analgesic adjuvant effects of caffeine, and doses that are either too low or too high lead to no analgesic enhancement. Clinical trials suggest that caffeine in doses of more than 65 mg may be useful for enhancement of analgesia. However, except for in headache pain, the benefits are equivocal. While adding caffeine to analgesics increases the number of patients who become free from headache [rate ratio = 1.36, 95% confidence interval (CI) 1.17 to 1.58], it also leads to more patients with nervousness and dizziness (relative risk = 1.60, 95% CI 1.26 to 2.03). It is suggested that long-term use or overuse of analgesic medications is associated with rebound headache. However, there is no robust evidence that headache after use or withdrawal of caffeine-containing analgesics is more frequent than after other analgesics. Case-control studies have shown that caffeine-containing analgesics are associated with analgesic nephropathy (odds ratio = 4.9, 95% CI 2.3 to 10.3). However, no specific contribution of caffeine to analgesic nephropathy can be identified from these studies. Whether caffeine produces nephrotoxicity on its own, or increases nephrotoxicity due to analgesics, is yet to be established.
Adjuvants, Pharmaceutic↗
[A report of hypersensitive teeth induced by abnormal occlusal contacts].
Explore the source record for details and available documents.
Adolescent↗
[Influence of occlusal overload on tooth sensation and periodontal tissue].
Explore the source record for details and available documents.
Dental Occlusion, Balanced↗
The perception of the common cold, and other ailments and discomforts, as related to age.
Perception of the common cold and other discomforts was studied as a function fo age among 456 normals ranging in age from 18 to 82. Respondents completed a questionnaire which deal with the frequency and duration of their colds, their symptoms and treatments-and, finally, with the perceived severity of various discomforts. Though older Rs were found to suffer more than younger with body aches, the former had less difficulty with a variety of other physical and psychological symptoms-and also contracted relatively few colds. Older Rs treated their colds less often with Contac and Dristan, but more often by staying home and/or calling their doctor. As compared with younger Rs, older respondents perceived intestinal flu to be relatively less serious-but earache, sprained toe, indigestion, having a tooth filled, stiff neck, and hangover to be relatively more serious.
Adolescent↗
Changes and equalization in hearing level induced by dental treatment and instruction in bilaterally equalized chewing: a clinical report.
Hearing problems such as hearing loss and susurrus aurium are said to improve with occlusal treatment, but few objective clinical reports have been published in the dental field. We looked at the effect of occlusal treatment and chewing instruction on hearing ability in five patients who had an occlusal disorder and the unilateral chewing habit. The following results were obtained: 1. Unilateral chewing due to occlusal disorder may cause differences in hearing ability between the right and left sides (Cases 1, 2 and 3). 2. A reduction in the vertical dimension of occlusion is considered to be one of the factors that cause a decrease in hearing ability (Cases 4 and 5). 3. In all cases, occlusal treatment and chewing instruction lead to a improvement in hearing and to equalizing of hearing ability between low and high frequencies. These clinical findings indicate that there is a relationship between changes in hearing ability and oral function.
Adult↗
Sodium acetylsalicylate and the role of prostaglandins in the mechanism of intradental pain.
In order to study the effect of sodium acetylsalicylate and the role of prostaglandins on intradental nerve impulse activity experiments were performed on the teeth of anaesthetized cats. Nerve impulse activity was induced by mechanical and chemical stimuli and recorded by means of electrodes inserted into dentinal cavities. It was shown that such activity could not be blocked by sodium acetylsalicylate or indomethacin given locally or i.v. PGE2 failed to excite the sensory units when given locally (3.5 microng/ml) or intraarterially (35-140 ng/min) alone or in combination with mechanical and thermal stimuli or combined with local application of histamine (10 mg/ml) or bradykinin (10 mg/ml). Intraarterial infusion or arachidonic acid, a precursor to PGE2, PGF2 alpha PGG2 and PGH2 failed to change the excitability even on applying local stimuli to the pulp or with local application of histamine or bradykinin. These findings seem to indicate that the increased sensitivity of the tooth to thermal stimuli seen during acute pulpitis is not due to formation of prostaglandins.
Administration, Topical↗
Signs and symptoms of mandibular dysfunction after introduction of experimental balancing-side interferences.
A double-blind study was performed in two groups of young, healthy women without signs or symptoms of mandibular dysfunction. Each group contained 12 individuals. In one of the groups, balancing-side interferences were applied bilaterally, whereas the application was simulated in the other group. The participants were re-examined after 2 weeks. Ten individuals in the experimental group reported one or more subjective symptoms during the 2 weeks, whereas seven exhibited clinical signs of dysfunction. The commonest symptom was headache, and the commonest clinical sign was muscles tender to palpation. In the control group, three individuals reported subjective symptoms, and three had clinical signs of dysfunction. One week after elimination of the interferences, all signs and symptoms had disappeared in all individuals but two. In these two subjects it took 6 weeks before pre-experimental conditions were restored. It is concluded that there is no simple relationship between interferences and signs and symptoms of dysfunction. How the individual reacts to local factors depends on his or her psychic condition. In some individuals addition of balancing-side interferences is sufficient to create dysfunction. The findings thus underline the importance of local factors in the etiology of mandibular dysfunction but show that a relationship is not obligatory.
Adolescent↗
On cantilever loading of vital and non-vital teeth. An experimental clinical study.
Three healthy subjects with neighboring or contralateral vital and root-filled teeth requiring crown therapy were selected as test persons. All teeth had optimal alveolar bone support. The root-filled teeth were furnished with individual cast posts and cores, and veneer crowns were made on both the vital and non-vital teeth. Buccal extension bars were then soldered to the occlusal surfaces of these crowns, and weights were applied in different positions along the bars until the test persons experienced pain. The experiments were repeated under local anesthesia. The results showed that non-vital teeth had mean pain threshold levels that, on cantilever loading, were more than twice as high as those of their neighboring or contralateral vital teeth. The positions of the centers of rotational deformations of the loaded teeth, which were assumed to be mainly rotational, were calculated and found to be located inside the peripheries of the crowns for the vital teeth but extracoronally in markedly more peripheral positions for the non-vital teeth.
Adult↗
Analysis of patients utilizing emergency dental care in two Finnish cities.
The use of emergency dental services was surveyed by interviewing patients seeking treatment during hours of organized emergency service in two large cities in Finland. It was spread rather evenly over all the days of the week. Marked differences were found between the volume of dental emergencies in the two cities. More than 60% of the patients had been in pain for 1 to 3 days and needed immediate help. One-third of the emergency visits were made by 20- to 29-year-olds. No significant differences in use of the services were found between men and women, although a larger proportion of women than men claimed to visit a dentist regularly and to have a dentist of their own. Fourteen per cent had failed to get an appointment with their regular dentist. More than 40% of the patients had used the emergency services previously. These patients, more often than first-time users, visited a dentist irregularly, did not have their own dentist, and were content with the rapid service at the emergency clinic.
Adolescent↗
Piezoelectricity in dental materials, a conceivable cause of postrestorative sensitivity.
With the increased use of tooth-colored posterior inlays reports of postrestorative sensitivity have also increased. One of the symptoms the patients complain of is a sharp pain when the inlays are loaded through chewing and biting. Many explanations for the causes of dissimilar types of postrestorative sensitivity have been offered, but one conceivable explanation that has not hitherto been studied is the direct piezoelectric effect in dental materials. Direct piezoelectric effect means that when certain anisotropic crystals are mechanically loaded, a charge is generated on the surface. The aim of the present study was to examine whether this physical phenomenon occurs in certain materials intended for dental use. Specimens of four different dental ceramics and one indirect composite resin for inlays were mechanically loaded with various forces, and the current was directly recorded. Currents of up to 0.9 microA with a pulse duraton of 0.4 msec were extracted, and it cannot be excluded that the piezoelectric phenomenon and related properties may cause postrestorative sensitivity. This has to be taken into consideration when posterior inlays of the types concerned are used.
Acrylic Resins↗
Characteristics of patients with chronic idiopathic orofacial pain. A retrospective study.
Chronic orofacial pain without obvious pathologic findings is not uncommon and is a diagnostic problem. It is uncertain whether this type of pain is different from other chronic idiopathic pain conditions. Fifty-five patients referred to the Facial Pain Diagnostic Group at The Karolinska Institute, School of Dentistry at Huddinge University Hospital, Stockholm, were investigated retrospectively. There were 49 women and 6 men, ranging in age from 30 to 81 years, all with orofacial pain of more than 6 months' duration, which the patients considered to be of dental or paradental origin. Despite dental treatment aimed to relieve the pain, no permanent relief was observed. The results suggest that chronic idiopathic orofacial pain resembles other chronic idiopathic pain, and adequate diagnosis and treatment require not only dental but also medical competence.
Adult↗
Symptoms and lesions associated with retained or partially erupted third molars. Some variables of third-molar surgery in Norwegian general practice.
A questionnaire on third-molar problems was mailed to a systematic random sample of 200 Norwegian general dental practitioners in November 1991. A 88% return rate was obtained. The following conclusions were drawn: on an average, 3.8 patients with lesions or complaints from retained or partially erupted third molars were seen in general practice in 1 month, and most of these consultations were associated with partially erupted third molars. A mean of 1.3 surgical removals of third molars was performed in general practice in 1 month. The mean one-way travel time for patients to specialists in oral surgery was 1.3 h, and variations were not related to surgical activity in practice. Fourteen per cent of the general practitioners refer surgical cases to non-specialists.
Adult↗
Sensibility threshold in patients with masticatory muscle pain.
Sensibility and pain thresholds were measured in 27 patients with myofascial pain and craniomandibular disorders and in 19 controls. A monopolar electric stimulator with increasing direct current values was used to record pain and sensibility thresholds in the lower incisors. Patients with myofascial pain had a tendency towards lower sensibility and lower pain thresholds than the controls, although the differences were not statistically significant.
Adult↗
Ceramic inlays (Cerec) cemented with either a dual-cured or a chemically cured composite resin luting agent. A 2-year clinical study.
On the basis of the criteria of the California Dental Association (CDA), 66 CAD/CAM-manufactured ceramic class-II inlays (Cerec) were compared intraindividually after they had been cemented with either a chemically cured or a dual-cured composite resin luting agent in 27 patients. Plaque and gingival conditions, the overall time consumption for producing each inlay, and the frequency of postoperative sensitivity were also evaluated. There was no statistically significant difference between the two luting agents with regard to the properties evaluated. One inlay was replaced owing to fracture of the restored tooth just before the 24-month re-examination. After 2 years excellent CDA ratings were obtained for color in 92% of the remaining 65 inlays. The corresponding figures for surface and for anatomic form were 100% and 85%, respectively. For margin integrity 85% of the 33 inlays cemented with the dual-cured luting agent and 88% of the 33 inlays cemented with the chemically cured luting agent were rated excellent after 2 years.
Adolescent↗