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Periapical Block

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1. Periapical Block

Periapical Block Periapical Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Periapical Block Periapical Block Aka: Periapical (...) Block , Periapical Nerve Block , Supraperiosteal Dental Anesthesia , Buccal Anesthesia II. Indications anesthesia for all but the molar teeth Most useful for the upper teeth Inferior alveolar is preferred for the lower teeth III. Preparation Bupivicaine 0.25% with 2 cc in a 3 cc syringe (or dental control syringe) Needle 27 gauge 1.25" Topical benzocaine 20% gel IV. Technique Apply topical benzocaine 20% gel to injection site Grasp the upper lip with gauze and retract Insert needle into the above

2018 FP Notebook

2. Correlation of Vascular and Inflammatory Index in Oral Pyogenic Granuloma and Periapical Granuloma – An Insight into Pathogenesis (PubMed)

in physiologic and pathologic angiogenesis.The aim of the present study was to evaluate and compare the expression of VEGF in oral Pyogenic Granuloma (PG) and Periapical Granuloma (PAG) and also to correlate with the inflammatory cell infiltrate.Paraffin embedded tissue blocks of histologically diagnosed cases of PG and PAG, 20 of each were retrieved from the archives. The cases were selected randomly to evaluate the expression of VEGF marker and to assess the Mean Vascular Count (MVC) index and inflammation (...) Correlation of Vascular and Inflammatory Index in Oral Pyogenic Granuloma and Periapical Granuloma – An Insight into Pathogenesis Angiogenesis is vital in the aetiology and pathogenesis of a number of pathological processes that include solid reactive lesions like pyogenic granuloma and chronic inflammatory disorders like periapical granuloma. Vascular Endothelial Growth Factor (VEGF) is a potent proangiogenic cytokine secreted by many cell types which present several pivotal functions

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2017 Journal of clinical and diagnostic research : JCDR

3. Cone-Beam Computed Tomography vs. PA?s at Detecting Small Periapical Lesions

imaging of teeth with small endodontic problems, like acute pulpitis or periapical periodontitis, is more accurate at diagnosing small periapical lesions than traditional periapical radiographs. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Tsai/2012 6 dry mandibles with fabricated PA lesions of increasing sizes In-vitro Study Key results Six half mandible block sections were used and only non-restored (...) Cone-Beam Computed Tomography vs. PA?s at Detecting Small Periapical Lesions UTCAT2319, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Cone-Beam Computed Tomography vs. PA’s at Detecting Small Periapical Lesions Clinical Question In patients with acute pulpitis or acute periapical periodontitis is CBCT better at detecting small periapical lesions than traditional periapical radiography. Clinical Bottom Line CBCT

2012 UTHSCSA Dental School CAT Library

4. Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study (PubMed)

Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study This study sought to assess the diagnostic accuracy of cone beam computed tomography (CBCT) with different voxel sizes and intraoral digital radiography with photostimulable phosphor (PSP) plate for detection of periapical (PA) bone lesions.In this ex vivo diagnostic study, one-millimeter defects were created in the alveolar sockets of 15 bone (...) blocks, each with two posterior teeth. A no-defect control group was also included. Digital PA radiographs with PSP plates and CBCT scans with 200, 250 and 300μ voxel sizes were obtained. Four observers evaluated the possibility of lesion detection using a 5-point scale. Sensitivity, specificity, positive predictive value (PPV) and negative predicative value (NPV) were analyzed using one-way ANOVA and Tamhane's post hoc test. Kappa and weighted kappa statistics were applied to assess intraobserver

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2016 Journal of dentistry (Tehran, Iran)

5. Incidence of Mast Cells in Gingival and Periapical Inflammation- A Kaleidoscopic Study (PubMed)

findings histopathologically.In this study, we used 5 micron thick sections from paraffin-embedded tissue blocks of previously diagnosed periapical and gingival inflammatory lesions. The sections were stained with routine H & E and metachromatic stains like Toluidine blue, Alcian blue, Aldehyde fuchsin and Giemsa. The number of mast cells was quantified. Statistical analysis was done and mast cell numbers were compared.In both gingival and periapical inflammatory lesions, toludine blue showed more (...) Incidence of Mast Cells in Gingival and Periapical Inflammation- A Kaleidoscopic Study Mast cells are large granular cells that have classically been related to neutrophil stimulation during early step of inflammation.The objective of this work was to identify the incidence of mast cells in inflammatory lesions like periapical granuloma, pyogenic granuloma, gingival hyperplasia. 1. To assess the staining intensity of mast cells by using different metachromatic stains. 2. To correlate the above

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2016 Journal of clinical and diagnostic research : JCDR

6. Periapical Block

Periapical Block Periapical Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Periapical Block Periapical Block Aka: Periapical (...) Block , Periapical Nerve Block , Supraperiosteal Dental Anesthesia , Buccal Anesthesia II. Indications anesthesia for all but the molar teeth Most useful for the upper teeth Inferior alveolar is preferred for the lower teeth III. Preparation Bupivicaine 0.25% with 2 cc in a 3 cc syringe (or dental control syringe) Needle 27 gauge 1.25" Topical benzocaine 20% gel IV. Technique Apply topical benzocaine 20% gel to injection site Grasp the upper lip with gauze and retract Insert needle into the above

2015 FP Notebook

7. Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block for Tooth Extraction

Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block for Tooth Extraction Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block for Tooth Extraction - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save (...) this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block for Tooth Extraction The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details

2017 Clinical Trials

8. Effect of Lidocaine With Magnesium Sulfate on the Success of the Inferior Alveolar Nerve Block

Effect of Lidocaine With Magnesium Sulfate on the Success of the Inferior Alveolar Nerve Block Effect of Lidocaine With Magnesium Sulfate on the Success of the Inferior Alveolar Nerve Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Effect of Lidocaine With Magnesium Sulfate on the Success of the Inferior Alveolar Nerve Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03262857 Recruitment Status : Active, not recruiting First Posted : August 25, 2017 Last Update Posted : August 28, 2017

2017 Clinical Trials

9. Periapical inflammation subsequent to coronal inoculation of dog teeth root filled with resilon/epiphany in 1 or 2 treatment sessions with chlorhexidine medication. (PubMed)

, and coronally sealed. Negative controls treated as groups 1 and 2 remained sealed. Positive controls had canals unfilled and exposed. Seven months after inoculation, dogs were euthanized; jaw blocks processed for histologic examination; and periapical inflammation (PI) recorded as none, mild, or severe.In groups 1 and 2, severe PI occurred in 5 of 65 roots (8%) and mild PI in 18 of 65 roots (28%) with a significantly higher (P = .031) PI incidence in group 2 than in group 1. Negative controls had only mild (...) Periapical inflammation subsequent to coronal inoculation of dog teeth root filled with resilon/epiphany in 1 or 2 treatment sessions with chlorhexidine medication. Therapeutic methods that inhibit microbial ingress into filled root canals are desirable. This in vivo study assessed the inhibition of periapical inflammation subsequent to coronal inoculation in canals medicated with 2% chlorhexidine gel and filled with Resilon/Epiphany (Pentron Clinical Technologies, Wallingford, CT).Six Beagle

2014 Journal of Endodontics

10. Expression of angiogenic factors in rat periapical lesions. (PubMed)

Expression of angiogenic factors in rat periapical lesions. Angiogenic factors such as VEGFR2 (vascular endothelial cell growth factor receptor 2), Bcl-2 (a prosurvival and proangiogenic signaling molecule), and chemokine (C-X-C motif) ligand 1 (CXCL1) (a proangiogenic chemokine) may have critical roles in enhancing the establishment of apical periodontitis. To understand the role of these factors in the pathogenesis of apical periodontitis, we conducted immunohistochemical and molecular (...) biological analysis.Apical periodontitis was induced in the lower first molars of Wistar rats by making unsealed pulp exposures. After, 14, 21, and 28 days, the molars were retrieved, embedded as frozen sample blocks, and cut in a cryostat. Normal lower first molars served as controls. Immunostaining for CD31 (a marker for endothelial cells), Bcl-2, and real-time polymerase chain reaction analysis of VEGFR2, Bcl-2, CXCL1, and CXCR2 messenger RNA were performed. In the real-time polymerase chain reaction

2012 Journal of Endodontics

11. Effect of Ibuprofen on IL-1β, TNF-α and PGE2 levels in periapical exudates: a double blinded clinical trial. (PubMed)

groups and in each group before and after treatment.The data indicate that Ibuprofen, as a non-steroidal anti-inflammatory drug (NSAID), can be used to block PGE2 release, enhance healing of inflammatory periapical lesions and possibly to inhibit bone resorption. (...) Effect of Ibuprofen on IL-1β, TNF-α and PGE2 levels in periapical exudates: a double blinded clinical trial. Bone resorption is one of the main features of inflammatory periapical lesions and is mainly mediated by interleukin-1 beta (IL-1β), tumor necrosis factor-alpha (TNF-α) and prostaglandin-E2 (PGE2). Recent investigations of these lesions revealed that pharmacological modulation may be possible.The aim of this study was to evaluate the effect of Ibuprofen on IL-1β, TNF-α and PGE2 levels

2011 Iranian journal of immunology : IJI

12. Effect of Alprazolam on the Success of Inferior Alveolar Nerve (IAN) Block

Effect of Alprazolam on the Success of Inferior Alveolar Nerve (IAN) Block Effect of Alprazolam on the Success of Inferior Alveolar Nerve (IAN) Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effect (...) of Alprazolam on the Success of Inferior Alveolar Nerve (IAN) Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01546090 Recruitment Status : Completed First Posted : March 7, 2012 Last Update Posted : March 7, 2012 Sponsor: Isfahan University of Medical Sciences Collaborator: University of Isfahan

2012 Clinical Trials

13. Management of Valvular Heart Disease

procedures are advised in this population. Antibiotic prophylaxis should be considered in dental procedures involving manipulation of the gingival or periapical region of the teeth or manipulation of the oral mucosa. 3.5 Prophylaxis for rheumatic fever Prevention of rheumatic heart disease should preferably be oriented towards preventing the first attack of acute rheumatic fever. Antibiotic treatment of group A Streptococcus sore throat is key in primary prevention. In patients with rheumatic heart

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2017 European Society of Cardiology

14. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

of the gingival or periapical region of teeth or perforation of the oral mucosa, antibiotic prophylaxis is not recommended before respiratory tract procedures, gastrointestinal or genitourinary procedures, and dermatologic or musculoskeletal procedures unless the potential for infection exists or the patient is immunocompromised. Increased utilization of color duplex ultrasound is suggested for postoperative surveillance after EVAR in the absence of endoleak or aneurysm expansion. Conclusions Important new (...) -onset lower extremity claudication, ischemia, or reduction in ABI after aneurysm repair. Level of recommendation 1 (Strong) Quality of evidence A (High) We recommend antibiotic prophylaxis to prevent graft infection before any dental procedure involving the manipulation of the gingival or periapical region of teeth or perforation of the oral mucosa, including scaling and root canal procedures, for any patient with an aortic prosthesis, whether placed by OSR or EVAR. Level of recommendation 1 (Strong

2018 Society for Vascular Surgery

15. Apical patency technique does not increase post endodontic pain (CAT#3358)

might extrude debris and induce periapical inflammation, leading to increased post-operative pain but this meta-analysis proves otherwise. This conclusion should be interpreted with caution as the analysis had only a limited number of studies with most of them having high risk of bias. There are also many potential confounding variables (e.g. age, gender, tooth location, pulp status and instrumentation technique), which could affect the outcome measure and a subset analysis was not performed (...) to study the same. This heterogeneity further limits the external validity and makes the generalization of the results to a diverse patient population questionable. Apical patency technique has advantages of keeping a root canal free of blocks, ledges and helps in apical delivery of root canal irrigant. Keeping in mind the abovementioned advantages and the finding that it does not increase post endodontic pain, apical patency technique during root canal instrumentation might be utilized to ensure

2018 UTHSCSA Dental School CAT Library

16. CRACKCast E070 – Oral Medicine

OR 5) List 3 complications of maxillary (eg. canine) tooth infection? Intracranial extension of abscess Periorbital cellulitis Cavernous Sinus Thrombosis 6) Describe management of Dental Caries vs Periapical abscess Dental Caries: Locate tooth by percussion or having patient bite down on tongue depressor NSAIDS are mainstay of treatment. Consider local/regional blocks for rescue therapy May consider short course of synthetic opioids, as a take home, but falling out of favour ***Pearl (...) ***: If the tooth is exquisitely tender to palpation and insensate to hot / cold temp, this is likely form pulp demise and HIGH LIKELIHOOD OF PERIAPICAL ABSCESS. U/S can help to confirm (93% Sens, 100% spec?) Simple Dental Abscess: Step 1: Anesthetize area – via apical nerve block or superior / inferior alveolar blocks. Rosens recommends lido w/epi, but consider longer acting bupivicane for patient comfort. Checkout this link for more info: Step 2: Stab incision through gingiva, extend down through periosteum

2017 CandiEM

17. Prevention, Diagnosis & Management of infective endocarditis

Prevention, Diagnosis & Management of infective endocarditis CLINICAL PRACTICE GUIDELINES FOR THE PREVENTION, DIAGNOSIS & MANAGEMENT OF INFECTIVE ENDOCARDITISPUBLISHED BY: Clinical Practice Guidelines (CPG) Secretariat c/o Health Technology Assessment (HTA) Unit Medical Development Division Ministry of Health Malaysia 4 th floor, Block E1, Parcel E 62590 Putrajaya COPYRIGHT The owners of this publication are the National Heart Association of Malaysia (NHAM) and the Academy of Medicine Malaysia (...) and for complications (refer Section 4.1). • Some common complications of IE are (refer Section 4.1.2): > Heart failure: » Commonly associated with valve dysfunction. » Surgery is indicated for those with acute decompensated heart failure due to valvular dysfunction. > Persistent infection and perivalvular extensions: » Monitor for conduction abnormalities e.g. atrioventricular (AV) block. » TEE should be performed to look for perivalvular extensions. > Systemic embolism: » Usually occurs in left-sided IE

2017 Ministry of Health, Malaysia

18. For Peri-implant Bone Evaluation, Cone Beam CT Offers a 3D View of the Surrounding Bone and Thus More Information than Intraoral Radiography, but Whether this Information Alters Dental Implant-Related Treatment Outcomes is Uncertain

implants in 12 dog jaws Animal study Key results There is a significant correlation (P #2) Dave/2013 15 implants placed in 4 blocks of bovine bone Laboratory study Key results For peri-implant space diagnosis, digital long cone periapical (LCPA) radiographic views were significantly more accurate than the CBCT machines used, 3D Accuitomo and i-CAT, for all planes of view. LCPA also performed significantly better than both types of cone beam CT (CBCT) in all planes of view when comparing zero peri (...) Radiography, but Whether this Information Alters Dental Implant-Related Treatment Outcomes is Uncertain Clinical Question Is CBCT more reliable than periapical radiographs in measuring bone dimensions near implants and implant sites? Clinical Bottom Line For implant success evaluation, intraoral radiography performs similarly and even significantly better than cone beam CT in detecting peri-implant bone defects due to its better resolution, contrast, and detail on bone quality. In comparison, additional

2016 UTHSCSA Dental School CAT Library

19. Vital pulp treatments in mature molars

], direct pulp capping [DPC], miniature pulpotomy [MP] or full pulpotomy [FP]) using calcium-enriched mixture cement. Random allocation was disregarded when visible pulp exposures did not happen after complete caries removal and the tooth was transferred to the IPC arm. Pre-and intraoperative data recorded included vitality test results, pulpal/periapical status, and exposure type/location. The primary outcome of the study was clinical/radiographic success. Clinical failure was determined by signs (...) /symptoms of inflammation/infection (ie. swelling, abscess, sinus tract, and pain that could not be controlled by medication). Radiographic success was assessed using the following criteria: teeth with a normal contour/width of the periodontal ligament were judged as ‘‘healed’’; teeth with a clearly decreased size of the periapical lesion were judged as ‘‘healing’’; and teeth with an unchanged, increased, or new periapical lesion were judged as ‘‘failed’’. The secondary outcome was pain. Pain

2018 The Dental Elf

20. Pulp capping carious exposures in adults: calcium hydroxide or MTA?

with radiographic evidence of caries involving at least the inner 1/3 rd of dentine with no periapical pathology were included. Patients were block randomised to receive direct pulp capping using either MTA or CH. Teeth were treated under local anaesthesia and rubber dam with initial cavity preparation carried out using high and low speed handpieces. Only hand instruments were used on the pulpal wall. When exposed pulpal bleeding was controlled with cotton pellets soaked in buffered 0.5% NaOCl. Pulp exposures (...) were treated with MTA or CH and temporary glass ionomer restoration placed for 1 week, after which permanently restored with composite resin. Six different dentists performed the treatments with follow up at six, 12, 24 and 36 months. The primary outcome was the survival of capped pulps, defined as a non-symptomatic tooth that responded to sensibility testing and did not exhibit any periapical changes radiographically. Post-operative pain at 1 week was a secondary outcome. Kaplan–Meier survival

2017 The Dental Elf

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