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[Analgesic laser therapy in dentistry].

The authors, after an analysis of the laser structure and its main utilization, present some clinical reports in which the pain is resolved by soft-laser applications.

Dental Caries↗

Barodontalgia and barotrauma in the human teeth: findings in navy divers, frogmen, and submariners of the Federal Republic of Germany.

From 2,580 submariners, divers, and frogmen, 13,618 individual findings were evaluated from a total of about 50,000 dental findings of the Nautical Medical Institute of the German Navy, Kiel, West Germany. Trend analysis and statistical significance tests showed that the teeth of navy divers and frogmen had deteriorated very much more within a period of 9 years after their first dental examination than those of submariners. This negative tendency was verified through additional direct comparison between 37 navy divers and 37 submariners whose dental states were observed during a period of 10 years. Here as well, navy divers had significantly worse teeth. The cause of this distinctive dental deterioration among navy divers is probably due to the additional barometric stress they were subjected to for many years during their diving career. Delayed damages as a result of barotrauma may be assumed, a logical suspicion which should be verified by further scientific research.

Adolescent↗

Common dental emergencies. Evaluation and management for emergency physicians.

Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical terms. Treatment and referral options were offered. Techniques for local dental anesthesia and avulsed tooth splinting were described.

Analgesics↗

[Pulp pain].

The pulpal pain tract can be understood while learning the sensory nerve supply of the dental pulp and the trigeminal system. Some hypothesis on the pain genesis are related to the originality of the pulp-dentin complex.

Dental Pulp↗

[Traditional use of plants in oral disease. (Study made after a Tunisian experience but with possible application in other countries)].

Twenty-five plants, traditionally used in bucco-dental diseases, in Tunisia, were indexed during this study. The most frequently found indications are: Odontalgia, Inflammation of the oral mucosa, Bad breath, Progressing dental cavities. The study of the known chemical and pharmacological properties of some of these plants, demonstrates that these properties are widely justified.

Dental Caries↗

Activation of carotid sinus baroreceptors reduces pain sensations evoked by electrical and cold stimulation of human teeth.

Activation of carotid sinus baroreceptors (CSBs) has been shown to have an influence on the perception of pain evoked by electrical stimulation of the skin. The present work was carried out to study to what extent dental pain can be modulated by simultaneous activation of CSBs. In 19 healthy voluntary human subjects, activation of CSBs was induced by application of negative pressure to an air tight collar fitted around the neck of the subjects (neck suction). Dental pain was evoked by electrical stimulation of the tooth (determination of the pain threshold) and by cold stimulation of teeth (ratings of the pain intensity). Neck suction resulted in an elevation of the dental pain thresholds and a reduction of the ratings of the cold-evoked dental pain. The present findings support the suggestion of the interaction of cardiovascular control systems with trigeminal nociceptive systems.

Adult↗

Odontalgia mimicking trigeminal neuralgia.

Proper diagnosis of facial pain is complex and requires careful evaluation of several organ systems. When patients fail to respond to firstline therapy, a complete differential diagnosis is essential for the prevention of mistreatment or overtreatment. A case is presented in which multispecialty cooperation resulted in successful treatment of chronic pain which had not responded to aggressive primary medical therapy.

Aged↗

[Emergencies in pedodontics].

This paper describes several emergencies in pediatric dentistry, its prevention, diagnosis and treatment.

Child↗

[In vivo study of the analgesic action of different methods and drugs in endodontics].

In order to treat the acute pulpal pain of the emergency patient, there are different methods and medicaments in the clinical practice. The aim of this study was to investigate the efficacy of variant treatment methods and medicaments used clinically to manage acute pulpal pain. The material of this method consisted of 100 patients who came in the clinic of endodontics of Athens university, with symptoms of acute pulpitis. The patients were divided in three groups. In the first group the carious dentin was excavated without exposuring the pulp and a cotton pellet with eugenol or comphorted p-chlorophenol was placed in the cavity. In the second group the carious dentin was also removed, a small pulp lesion was made and the same medicaments were placed in the cavity. In the third group pulpotomy was performed and the same drugs were placed in the cavity. The results indicated that the method of pulpotomy was the most effective one for pain alleviation. Furthermore eugenol was proved to be more effective as a sedative drug than comphorted p-monochlorophenol.

Chlorophenols↗

[Dental and pulpal pain].

Sensory capacity of pulpo-dentinal complex depends on the site, different density and functional diversity of nerve fibers in the dental pulp. In the dentin and dental pulp only the pain is provoked regardless of the kind of irritant. But the pain can be expressed by several forms of appearance.

Dental Pulp↗