Alleviation of acute dental pain from localised apical periodontitis: A prospective randomised study comparing two emergency treatment procedures.

Abstract:

OBJECTIVE:To compare the outcomes of two emergency treatment procedures to alleviate pain from localised symptomatic apical periodontitis: complete chemo-mechanical disinfection (CMD) of the root canal system, or removal of necrotic tissue from the pulp chamber (RNT), that is without instrumentation of the root canals. METHODS:Fifty-seven consecutive patients from the emergency clinic at Malmö University met the inclusion criteria: spontaneous pain and/or pain on percussion and palpation, non-bleeding pulp in the canal orifice, pain ≥4 on a Numeric Rating Scale and ≥18 years of age. The diagnosis was symptomatic apical periodontitis, in the absence of swelling and/or fever. Pre-operative pain levels and intake of analgesics were registered. The patients were randomised to one of the two treatment groups. Three to five days post-operatively, the patients were contacted by telephone and asked to grade their current pain level and report any post-operative intake of analgesics and antibiotics. RESULTS:Of the patients treated with CMD of the root canal system, 26/30 (87%) reported satisfactory pain relief, compared with 22/27 (81%) of those treated by RNT. There was no mean difference in pain relief between the two groups (P = 0.879). Post-operatively, 37% in each group reported using analgesics and one in each group reported using antibiotics. CONCLUSION:Three to five days after treatment, a majority (>80%) in both groups reported adequate pain relief, in some cases in combination with analgesics. Removal of necrotic and infected tissue from the pulp chamber might therefore be a cost-effective emergency treatment alternative to complete chemo-mechanical disinfection.

journal_name

J Oral Rehabil

authors

Wolf E,Dragicevic M,Fuhrmann M

doi

10.1111/joor.12730

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

120-126

issue

2

eissn

0305-182X

issn

1365-2842

journal_volume

46

pub_type

杂志文章,随机对照试验
  • General health factors and denture function in patients with burning mouth syndrome and matched control subjects.

    abstract::A total of 30 denture-wearing patients with burning mouth syndrome (BMS) referred to a Pain Clinic Unit and 26 age- and sex-matched control subjects were examined and compared with respect to general health factors and denture function. The study demonstrated a significantly higher frequency of multiple chronic diseas...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1995.tb00237.x

    authors: Svensson P,Kaaber S

    更新日期:1995-12-01 00:00:00

  • The wave forms of temporomandibular joint sound clicking and crepitation.

    abstract::The aim of the present study was to determine the sound wave forms which correspond to auscultatory findings of temporomandibular joint (TMJ) clicking and crepitation. Such knowledge is important when selecting parts of digital recordings for spectral analysis. Electronic digital recordings were made with a sampling r...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1996.tb00810.x

    authors: Widmalm SE,Williams WJ,Adams BS

    更新日期:1996-01-01 00:00:00

  • Tongue muscle strength affects posterior pharyngeal wall advancement during swallowing: A cross-sectional study of outpatients with dysphagia.

    abstract:BACKGROUND:Tongue muscle strength is important for swallowing but decreases with age, in association with reduced skeletal muscle mass. However, the relationships between pharyngeal dynamics and both skeletal muscle mass and tongue muscle strength are unknown. OBJECTIVE:To investigate the effect of reductions in tongu...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/joor.13120

    authors: Nagashima K,Kikutani T,Miyashita T,Yajima Y,Tamura F

    更新日期:2021-02-01 00:00:00

  • Finite element analysis on preferable I-bar clasp shape.

    abstract::An I-bar clasp is one of the most popular direct retainers for distal-extension removable partial dentures. However, no adequate information is available on preferable shape as determined by biomechanics. This study aimed (1) to investigate, by finite element analysis (FEA), the dimensions and stress of I-bar clasps h...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1046/j.1365-2842.2001.00673.x

    authors: Sato Y,Tsuga K,Abe Y,Asahara S,Akagawa Y

    更新日期:2001-05-01 00:00:00

  • Mechanical properties of cast Ti-6Al-4V-XCu alloys.

    abstract::The mechanical properties of Ti-6Al-4V-XCu (1, 4 and 10 wt% Cu) alloys were examined. The castings for each alloy were made in a centrifugal titanium casting machine. Two shapes of specimens were used: a dumbbell (20 mm gauge length x 2.8 mm diameter) for mechanical property studies, and a flat slab (2 mm x 10 mm x 10...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2004.01347.x

    authors: Aoki T,Okafor IC,Watanabe I,Hattori M,Oda Y,Okabe T

    更新日期:2004-11-01 00:00:00

  • Long-term changes in marginal and periapical periodontal conditions in patients with fixed prostheses: a radiographic study.

    abstract::Patients treated at a prosthodontic department during the years 1968-73 with fixed restorations (at least five units) were followed up in 1991-92. The aim of the present study was to compare marginal and periapical periodontal conditions on radiographs from 1968-73 and 1991-92 and relate the changes to the results of ...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1996.tb01217.x

    authors: Swartz B,Svenson B,Palmqvist S

    更新日期:1996-02-01 00:00:00

  • Extracting direction and curvature features of jaw movement traces with chain code.

    abstract::Frontal chewing patterns have been classified in a manual and visual way on recorded movement tracks. The main aim of this study was to use a chain code method to extract the direction and curvature features of the tracks in the frontal plane. The test results indicate that the chain code can stand for the direction a...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1995.tb01570.x

    authors: Shi CS,Mao Y

    更新日期:1995-03-01 00:00:00

  • Surface characteristics of aesthetic restorative materials - an SEM study.

    abstract::To determine the degree of surface roughness of glass-ionomer cements (GICs) and polyacid-modified resin composite (PAMRC) after polishing and immersion in various foodstuffs. Three tooth-coloured restorative materials were used: a PAMRC (F2000), a conventional glass-ionomer cement (CGIC) (Fuji IX) and a resin-modifie...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2006.01608.x

    authors: Bagheri R,Burrow MF,Tyas MJ

    更新日期:2007-01-01 00:00:00

  • Long-term strength of aesthetic restoratives.

    abstract::Glass-ionomer cements have established an important role in clinical dentistry since their introduction over 20 years ago. More recently, in an attempt to enhance the strength of the material, resin additions have been made to conventional glass-ionomer cements. This study established the long term flexural strength o...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1046/j.1365-2842.1998.00240.x

    authors: Frankel N,Pearson GJ,Labella R

    更新日期:1998-02-01 00:00:00

  • Airway increase after open bite closure with temporary anchorage devices for intrusion of the upper posteriors: Evidence from 2D cephalometric measurements and 3D magnetic resonance imaging.

    abstract:OBJECTIVE:The aim of this study was to analyse morphological changes in the upper airways in patients with anterior open bite treated with temporary anchorage devices for intrusion of upper posterior teeth. MATERIALS AND METHODS:Twelve nonobese (body mass index: <25) anterior open bite patients between the ages of 19 ...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/joor.12712

    authors: Chen YJ,Chen HH,Hsu LF,Wang SH,Chen YJ,Lai EH,Chang JZ,Yao CJ

    更新日期:2018-12-01 00:00:00

  • Two-body wear of occlusal splint materials.

    abstract::This study investigates the wear resistance of four different types of occlusal splint materials based on two-body wear simulations under wet and dry conditions. Twenty specimens of each splint material (Dentalon Plus, Orthoplast, Biocryl C, and Eclipse), each with a diameter of 16 mm and a thickness of 3 mm, were tes...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2012.02301.x

    authors: Kurt H,Erdelt KJ,Cilingir A,Mumcu E,Sülün T,Tuncer N,Gernet W,Beuer F

    更新日期:2012-08-01 00:00:00

  • Changes in jaw relations and activity of masticatory muscles in patients with immediate complete upper dentures.

    abstract::A longitudinal radiographic cephalometric and electromyographic investigation was performed on eighteen subjects provided with an immediate complete upper and a partial lower denture. The observation stages were: before final extractions and 7 weeks, 6 months and 1 year after denture insertion. The cephalometric analy...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1986.tb00665.x

    authors: Tallgren A,Tryde G,Mizutani H

    更新日期:1986-07-01 00:00:00

  • Use of sonographic elastography of the masseter muscles for optimizing massage pressure: a preliminary study.

    abstract::To examine the stiffness of the masseter muscle using sonographic elastography and to investigate its relationship with the most comfortable massage pressure in the healthy volunteers. In 16 healthy volunteers (10 men and 6 women), the Masseter Stiffness Index (MSI) was measured using EUB-7000 real-time tissue elastog...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2009.01977.x

    authors: Ariji Y,Katsumata A,Hiraiwa Y,Izumi M,Iida Y,Goto M,Sakuma S,Ogi N,Kurita K,Ariji E

    更新日期:2009-09-01 00:00:00

  • Repair of glass ionomer cements--methods for conditioning the surface of the cement to achieve bonding.

    abstract::Two chemically different glass ionomer cements (Ketac Fil and ChemFil II Caps) and three different methods of conditioning the surface for repair were evaluated. Specimens of each material were prepared, aged and sectioned. The cut surfaces were treated with either phosphoric acid, polyacrylic acid or a combination of...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1994.tb01180.x

    authors: Jamaluddin A,Pearson GJ

    更新日期:1994-11-01 00:00:00

  • Whiplash injuries of the temporomandibular joint in motor vehicle accidents: speculations and facts.

    abstract::Referring to the temporomandibular joint (TMJ) of the human mandibular locomotor system, it has been asserted that displacement of the TMJ disc and inflammation of TMJ tissues are the results of acute and indirect trauma to the TMJ; on occasion this is allegedly experienced in motor vehicle accidents and commonly know...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2842.1998.00321.x

    authors: McKay DC,Christensen LV

    更新日期:1998-10-01 00:00:00

  • Monitoring of the discrimination threshold for interocclusal thicknesses in rehabilitated edentulous patients.

    abstract::Thirty-seven white Caucasian subjects with unsatisfactory dentures were tested for interocclusal thickness discrimination threshold. New dentures were prepared and the test was repeated on days 1, 4 and 90 (from delivery). Eight patients whose situation was still unsatisfactory were given osseointegrated implant ancho...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1994.tb01137.x

    authors: Preti G,Gassino G,Lombardi M,Mazzone P

    更新日期:1994-03-01 00:00:00

  • In vitro comparison of the efficacy of Carisolv and conventional rotary instrument in caries removal.

    abstract::The purpose of this in vitro study was to compare the efficacy of a new chemomechanical caries removal agent, Carisolv (MediTeam AB, Sävedalen, Sweden), with conventional slow-speed rotary instrument (bur). Fourteen extracted human molar teeth with deep dentine caries and no enamel coverage were selected for the study...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2003.01627.x

    authors: Yazici AR,Atílla P,Ozgünaltay G,Müftüoglu S

    更新日期:2003-12-01 00:00:00

  • Forces required by complete dentures for penetrating food in simulated function.

    abstract::Forces required by complete dentures for penetrating some commonly used food items were measured experimentally. These forces were compared with the maximal bite forces of twenty-seven complete denture wearers. Food items that required the greatest forces in direct closure were rye bread (167 N), raw carrot (118 N), b...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1987.tb00757.x

    authors: Eerikäinen E,Könönen M

    更新日期:1987-11-01 00:00:00

  • The metal post and composite core combination.

    abstract::Restoring broken down non-vital teeth implies in general the provision of a post and core foundation. Many materials and techniques have been introduced for this purpose in recent years. In this article the advantages and disadvantages of the cast and the non-cast post and core are discussed. The problems involved wit...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1987.tb00687.x

    authors: Käyser AF,Leempoel PJ,Snoek PA

    更新日期:1987-01-01 00:00:00

  • Continuing changes in the contour of the maxillary residual alveolar ridge.

    abstract::Using a cast measuring technique, the change in contour of the residual maxillary alveolar ridge of patients who have worn dentures for a number of years and are then fitted with new dentures, has been investigated. The study confirmed that even after 30 years of denture wearing, further bone resorption may occur bene...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1980.tb00441.x

    authors: Jackson RA,Ralph WJ

    更新日期:1980-05-01 00:00:00

  • Diclofenac sodium and occlusal splint therapy in TMJ osteoarthritis: a randomized controlled trial.

    abstract::The aim of the study was to compare treatment with diclofenac sodium (Voltaren 3 x 50 mg) to occlusal splint therapy in a randomized, single-blind controlled trial of patients with a diagnosis of temporomandibular joint (TMJ) osteoarthritis (OA) in accordance with Research Diagnostic Criteria for temporomandibular dis...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2842.2008.01863.x

    authors: Mejersjö C,Wenneberg B

    更新日期:2008-10-01 00:00:00

  • Power spectral analysis of occlusal sounds of natural dentition subjects.

    abstract::Fifteen subjects with complete natural dentitions were selected for investigation of their occlusal sounds on the left and right sides by means of power spectral analysis. It was found that the occlusal sounds consisted of various frequency components. Their mean power frequencies (MPF) and frequencies at 10, 20, 50, ...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.1991.tb00057.x

    authors: Shi CS,Guan OY,Guo TW

    更新日期:1991-05-01 00:00:00

  • Cross-cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain.

    abstract:OBJECTIVES:Women with temporomandibular disorder (TMD) pain from three cultures were assessed for type of treatment received and core illness beliefs. METHODS:In a clinical setting, 122 women patients with chronic TMD pain (39 Saudis, 41 Swedes and 42 Italians) were evaluated for patient characteristics, type of pract...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1111/joor.12683

    authors: Al-Harthy M,List T,Ohrbach R,Michelotti A

    更新日期:2018-09-01 00:00:00

  • Effect of age on salivary flow obtained under feeding and non-feeding conditions.

    abstract::Age, health status and disease treatments are thought to influence salivary flow. In this study, age effect on salivation was compared in non-feeding (at rest and during parafilm chewing) and feeding (during meat chewing) conditions for two groups of healthy subjects, 25 young subjects (mean age 27.4 years) and 20 old...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2004.01253.x

    authors: Bourdiol P,Mioche L,Monier S

    更新日期:2004-05-01 00:00:00

  • The effects of bolus size and chewing rate on masticatory performance with artificial test foods.

    abstract::To better understand 'within subject' variability in masticatory performance of artificial food, this study evaluates the effects of bolus size and chewing rate. Twenty young adult male subjects each participated in two experiments evaluating their ability to process an artificial food (CutterSil). Based on the freque...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1046/j.1365-2842.1997.00524.x

    authors: Buschang PH,Throckmorton GS,Travers KH,Johnson G

    更新日期:1997-07-01 00:00:00

  • The electromyographic activity of masseter and anterior temporalis during orofacial symptoms induced by experimental occlusal highspot.

    abstract::The aim of the present study was to investigate the short-term impact of an occlusal highspot on the occurrence of orofacial symptoms by collecting self-evaluation and using electromyography (EMG) evaluation. A rigid unilateral intercuspal occlusal highspot (A cast onlay of 0.5 mm) was placed on the right lower first ...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2007.01750.x

    authors: Li J,Jiang T,Feng H,Wang K,Zhang Z,Ishikawa T

    更新日期:2008-02-01 00:00:00

  • Verification of the reliability of current perception threshold and pain threshold testing by application of an electrical current stimulus to mandibular mucosa in young adults.

    abstract:BACKGROUND:There is little evidence regarding the reliability of CPT and PT measurements to gauge mandibular perception. Thus, this study aimed to evaluate the test-retest reliability of CPT and PT values obtained from the mandibular oral mucosa and to test the bilateral differences in CPT and PT values obtained from t...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/joor.12777

    authors: Furuse N,Kimoto S,Nakashima Y,Ogawa T,Furokawa S,Okubo M,Yamaguchi H,Kawai Y

    更新日期:2019-06-01 00:00:00

  • In vivo and in vitro evaluation of marginal fit of class II ceromer inlays.

    abstract::The aim of this study was to evaluate the marginal adaptation of class II ceromer (Targis, Vivadent) indirect inlay restorations under both in vivo and in vitro conditions. Twenty Targis inlays were produced for class II inlay cavities (13 mandibular and seven maxillary teeth) in 20 patients. The in vivo adaptation of...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/j.1365-2842.2005.01562.x

    authors: Gemalmaz D,Kükrer D

    更新日期:2006-06-01 00:00:00

  • Dental occlusion and body balance: A question of environmental constraints?

    abstract:BACKGROUND:In the past few years, growing interest was given to the relationship between the dental occlusion and the body balance. While most research focused on this relationship at static conditions, it is evident that the contribution of the sensory information for balance control is different depending on the envi...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1111/joor.12767

    authors: Julià-Sánchez S,Álvarez-Herms J,Burtscher M

    更新日期:2019-04-01 00:00:00

  • Factors related to removable denture use in independent older people: A cross-sectional study.

    abstract:BACKGROUND:Denture use for recovery of major tooth loss can reduce the need for care, and thus, it is important for dentists to identify the types of patients who use removable dentures. OBJECTIVE:To identify factors associated with removable denture use in independent older Japanese people. METHODS:This cross-sectio...

    journal_title:Journal of oral rehabilitation

    pub_type: 杂志文章

    doi:10.1111/joor.13022

    authors: Hama Y,Kubota C,Moriya S,Onda R,Watanabe Y,Minakuchi S

    更新日期:2020-08-01 00:00:00