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Iconodontalgia V.

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Ceramics↗

[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↗

Psychophysiological assessment of transcutaneous electric nerve stimulation (TENS) effects upon orofacial pain.

Fear of pain in dentistry may be one reason why preventive care is avoided by a number of individuals. Therefore, measures which reduce painful experiences may be beneficial for patients' attitudes towards medical interventions. Using conservative dental treatment as a model situation, we studied effects of transcutaneous electric nerve stimulation (TENS) upon acute orofacial pain in three experiments. In the first experiment, pain thresholds (electric tooth stimulation) were found to be increased under TENS. In the second experiment, electric brain potentials (ERP) were evoked by electric tooth stimulation. The ERP amplitude is intensity-dependent and revealed a marked decrease as a consequence of TENS. Finally, TENS was applied during real treatment, and subjective estimates confirm its beneficial effect upon pain and stress.

Adult↗

[Headaches and craniofacial pains with dental involvement in the classification of the International Headache Society (1988)].

Facial pain often presents complex diagnosis, requiring other specialists' consultation. The use of different terminology and protocols can affect the information exchange negatively. These problems in the field of headache, cranial neuralgias and facial pain lead the International Headache Society to introduce a new classification in 1988. The chief difference with the previous ones is the presence of strictly codified diagnostic principles. Its target is research, but it can help the general practice as well. We discuss the most interesting points to the stomatologist.

Facial Pain↗

[Dental pain and cardiac pain].

Some aching troubles encountered in heart disease can affect the jaw and patients can visit a dentist for this reason. The severity of this affection needs a quick diagnostic for preserving the patient's life.

Angina Pectoris↗

[The significance of endogenous peptides for dental pulp pain].

The increase of knowledges in the field of endorphines and other peptides causes new aspects of development and transmission of dental pain. Methionin-enkephalin (ME) and substance P (SP) are found also in the dental pulp and the dentine. The concentration of SP is higher in the pulp, than in some other tissues. The concentration of both, ME and SP, in the endodont is different with respect to different functional situations, e.g. it is lower in case of pain. We suppose, there is a peptiderg reception and transmission of pain in dentine. Interaction with this new system opens new ways for opposing pulpal pain.

Dental Pulp↗