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[Results of comparative studies of psychophysiological factors essential for self-evaluation of pain during oral therapeutic interventions].

The efficiency of infiltration, conduction, and intraligamental anesthesia with different anesthetics for oral therapeutic interventions was evaluated in 331 patients without concomitant somatic diseases. The levels of reactivity and personal anxiety, as well as the patient's mood have an essential impact on their own appraisal of the quality of analgesia, which the dentist should bear in mind when planning and carrying out anesthesia. Mean and high levels of anxiety are characterized by decreased subjective confidence in the quality of analgesia and can mislead the dentist, if he/she neglects these characteristics.

Adolescent↗

Dental pain and sleep. Experimental study on guinea pigs (Cavia porcellus).

The relationship between pain and sleep was studied by using electrocorticograms (ECoG) taken from guinea pigs submitted to noxious stimulation (NS) of the dental pulp of the upper incisors, after local application of serotonin (5-HT) to the obex (a brain region inductive to sleep). The results showed that the dental electrical stimulation of the sleepy animal was capable of keeping this animal in a state of vigilance and excitation, suggesting that the trigeminal system probably acts on the sleep regulating centers.

Animals↗

Modern concepts in endodontics. Part 1. Diagnosis.

Diagnosis is the basic procedure from which further endodontic treatment decisions flow. Although we still use diagnostic tools which differ little from those of 50 years ago, our understanding and interpretation of their results has been slowly changing. As an example, we now believe that the painful responses to hot and cold occur via different a delta and C fibre pathways, involving changes in intra pulpal pressure and neuropeptides such as VIP and SP. As treatment planning is becoming more sophisticated and treatment modalities and options are expanding, correct endodontic diagnosis is even more important in the new age of rising patient expectations and ever-increasing legal complexities. Endodontists are frequently called upon to deal with difficult diagnostic situations, or manage situations of misdiagnosis where treatment has been initiated but the original chief complaint mysteriously persists. In the future, new exciting techniques such as pulse oximetry or laser doppler analysis may be clinically available as endodontic diagnostic aids. This paper will try and cover some of the broader concepts involved in correctly diagnosing a patient's chief complaint.

Dental Pulp Diseases↗

Atypical odontalgia.

Atypical odontalgia describes atypical facial pain in apparently normal teeth. Unfortunately, dentists usually consider this diagnosis only after the failure of invasive treatment. Atypical odontalgia patients are typified by women in their mid-40s who complain of persistent pain in one or more premolar or molar teeth. They associate pain with dental procedures or trauma to the region. While the cause of atypical odontalgia is uncertain, deafferentation pain appears to be a plausible mechanism. This article reviews relevant aspects of this perplexing pain problem. To help avert the untimely diagnosis of atypical odontalgia, identifying inclusion criteria are presented.

Adult↗

Dental pain.

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Humans↗