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At least 1,099 records · Page 61Linked to original sources
PubMedDate not supplied

Nonsteroidal anti-inflammatory drug use in dentistry: gastrointestinal implications.

Pain management long has been an important consideration in dental care. Nonopioid analgesics such as aspirin, acetaminophen, and many of the nonsteroidal anti-inflammatory drugs (NSAIDs) generally provide predictable outcomes for control of dental pain because of their analgesic and anti-inflammatory properties. The anti-inflammatory action of NSAIDs also is being investigated in treatment of periodontal disease when used as an adjunct to non-surgical management. Since NSAID use by dental patients is high, gastrointestinal complications may arise, affecting long-term use of these agents. Systemic considerations of NSAID use are reviewed, as are complications frequently resulting in ulceration of the gastric mucosa.

Aged↗
PubMedDate not supplied

[Fiery teeth].

Explore the source record for details and available documents.

Homeopathy↗
PubMed1999

Abrasion, erosion, and abfraction combined with linear enamel hypoplasia: a case report.

Linear enamel hypoplasia is a developmental disturbance of enamel resulting in clinically visible horizontal defects in enamel that are present on eruption of the tooth. Nondevelopmental lesions of the hard tissues of the tooth, including carious, abrasion, erosion, attrition, and abfraction lesions, require varying amounts of time after tooth eruption to develop. Because linear enamel hypoplasia lesions are present on eruption and are exposed to the factors responsible for abrasion, erosion, and abfraction, nondevelopmental lesions could occur within them in any combination. This report describes a patient with multiple teeth with linear enamel hypoplasia lesions containing nondevelopmental defects as well as nondevelopmental defects that occurred separately. Severe pain and a unique lesion morphology were associated with the linear enamel hypoplasia defects. Affected teeth were extracted because of advanced periodontitis and were sectioned to determine the nature of the enamel and dentin lesions.

Aged↗
PubMed1999

Taking the mystery out of endodontics, Part 6. Painless anesthesia for the "hot" tooth.

Much of what we were taught in dental school is no longer valid. In this article, I've examined some of the myths surrounding what I have dubbed the "inferior" inferior alveolar nerve block. Using the X-tip anesthesia system, it is now possible to achieve total, instant and profound anesthesia of the "hot" tooth, without the problems formerly associated with intraosseous injections.

Anesthesia, Dental↗
PubMed1975

The role of the dentist in the emergency room.

Although most of the problems seen by the dentist in the hospital emergency room are not life-endangering, they can still cause considerable difficulty for the patient and anxiety for the doctor when not treated quickly and effectively. To manage an emergency effectively requires a prepared plan of action. Such planning must participation of the physicians, nurses, and auxiliary emergency room personnel. Since oral and maxillofacial emergencies may present unfamiliar problems to them, they must be instructed in advance about their role in proper care of such patients. Likewise, the dentist must familiarize himself with the emergency room- its operation and its facilities. Through such cooperative efforts, effective patient management will be provided no matter what unforeseen situation may suddenly arise.

Dental Service, Hospital↗
PubMed2000

[The analgesic action of the preparation Ketanov in the combined treatment of patients with pulpitis and periodontitis].

The purpose of this clinical investigation was to compare analgetic effect of analgin and Ketanov on posttreatment pain after canal filling in 50 patients with pulpitis and periodontitis. Clinical data have shown Ketanov effectiveness, absence of side effects. Marked reduction of pain was shown in all patients getting Ketanov, no analgetic effect was revealed in 20% patients getting analgin.

Adult↗
PubMed1999

Odontalgia in vascular orofacial pain.

A case of episodic, spontaneous odontalgia, aggravated by ingestion of cold food, with no apparent dental pathology is presented. Attempts at alleviating the pain by means of root canal treatment had failed in previous, similar episodes, and pain and pulpal hyperalgesia had shifted to other locations. Primary vascular orofacial pain was diagnosed and effective control obtained by prophylactic treatment with propranolol, a beta-adrenergic blocker. A prophylactic attempt with nifedipine, a calcium channel blocker, failed to alleviate the pain. This diagnostic entity and possible therapeutic approaches are discussed.

Adult↗
PubMed1999

COX-2 inhibitors and dental pain control.

Celecoxib (CELEBREX) and rofecoxib (VIOXX) appear to offer the following advantages: reduced incidence of gastric ulceration during long-term administration; little or no effect on platelet aggregation; longer clinical duration of action than aspirin, acetaminophen and ibuprofen. However, in the context of the management of dental pain and inflammation, the following points and disadvantages should be considered: no greater effectiveness than conventional NSAIDs (e.g., ibuprofen) for dental pain; greater cost than conventional NSAIDs (especially those available in generic forms); not available over-the-counter; possible inadequate duration of action for postoperative dental pain (see references 6 and 7); similar contraindications and drug interactions to less expensive, equally effective conventional non-selective NSAIDs. At this time, celebrex and rofecoxib cannot be recommended over conventional, non-selective NSAIDs as first-choice drugs for pain and inflammation in dentistry. Practitioners are cautioned against selecting any new drug based on "clinical trials of one", in which both the dentist and the patient know the drug being prescribed, (as opposed to double-blind studies), usually in the context of considerable "hype" about the drug (based on comments about the fact that the agent being tried is "new") and strong placebo reinforcement based on the dentist's enthusiasm for the new product, which does not usually accompany the prescription of older, routinely prescribed drugs. Finally, such "clinical trials of one" invariably involve close follow-up about the outcome of the treatment, which is usually not done with more common, older drugs, and which only introduces further bias into the interpretation of the effectiveness of the drug by both the patient and the dentist. Anaglesic drugs should be selected on the basis of controlled, double-blind, randomized clinical trials which utilize a reasonable, dentally-related pain model. The older NSAIDs, such as ibuprofen, naproxen, diflunisal and others, remain first-choice drugs for the treatment of mild-to-moderate pain in dentistry in patients lacking the contraindications for such drugs. As proposed by this author several years ago, the major contraindications to NSAIDs can be remembered by the "SAAB Rule", an acronym which stands for "Stomach problems", Aspirin Allergy" and "Bleeding problems", in addition to pregnancy and hepatic/renal disease.

Anti-Inflammatory Agents, Non-Steroidal↗