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141. Comparison of anesthetic efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:80,000 epinephrine for inferior alveolar nerve block in patients with irreversible pulpitis. (Full text)

Comparison of anesthetic efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:80,000 epinephrine for inferior alveolar nerve block in patients with irreversible pulpitis. This study was done to compare the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine with that of 2% lidocaine with 1:80,000 epinephrine during pulpectomy in patients with irreversible pulpitis for inferior alveolar nerve block in mandibular posterior teeth.Patients with irreversible (...) pulpitis referred to the Department of Conservative Dentistry and Endodontics, K.D. Dental College, randomly received a conventional inferior alveolar nerve block containing 1.8 mL of either 4% articaine with 1:100,000 epinephrine or 2% lidocaine with 1:80,000 epinephrine. After the patient's subjective assessment of lip anesthesia, the absence/presence of pulpal anesthesia through electric pulp stimulation was recorded and the absence/presence of pain was recorded through visual analogue scale.The

2015 Journal of clinical and experimental dentistry Controlled trial quality: uncertain PubMed abstract

142. [The effect of dental health instruction before treatment on anxiety of patients with acute pulpitis]. (Abstract)

[The effect of dental health instruction before treatment on anxiety of patients with acute pulpitis]. To evaluate the effect of dental health instruction before treatment on dental anxiety of patients with acute pulpitis.One hundred and fifty-four patients with acute pulpitis treated in our department from July 2011 to June 2013, and aged from 19 years to 64 years, were selected. They were randomly divided into experimental group and control group. Seventy-eight patients of the experimental (...) group after dental health instruction were significantly lower than that of the control group (t=6.2784, P<0.01). The acceptability of the experimental group towards the first treatment was significantly higher than of the control group. The completion rate of the following treatment of the experimental group was also significantly higher than that of the control group.Dental health instruction to patients with acute pulpitis before treatment are helpful to reduce the pressure and relieve

2015 Shanghai kou qiang yi xue = Shanghai journal of stomatology Controlled trial quality: uncertain

143. Incidence of Missed Inferior Alveolar Nerve Blocks in Vital Asymptomatic Subjects and in Patients with Symptomatic Irreversible Pulpitis. (Abstract)

Incidence of Missed Inferior Alveolar Nerve Blocks in Vital Asymptomatic Subjects and in Patients with Symptomatic Irreversible Pulpitis. The purpose of this retrospective study was to determine the incidence of missed inferior alveolar nerve (IAN) blocks by using a 1- or 2-cartridge volume of 2% lidocaine with 1:100,000 epinephrine in vital asymptomatic teeth and in emergency patients with symptomatic irreversible pulpitis.As part of 37 studies, 3169 subjects/patients were evaluated for missed (...) IAN blocks. The study included 2450 asymptomatic subjects and 719 emergency patients presenting with symptomatic irreversible pulpitis. Each subject or patient received either a 1- or 2-cartridge volume of 2% lidocaine with 1:100,000 epinephrine. A missed block was defined as no lip numbness at 15-20 minutes after the IAN block. The effect of anesthetic volume on the incidence of missed blocks was assessed by using mixed models logistic regression with individual studies as a random effect.The

2015 Journal of Endodontics

144. Effect of Buffered 4% Lidocaine on the Success of the Inferior Alveolar Nerve Block in Patients with Symptomatic Irreversible Pulpitis: A Prospective, Randomized, Double-blind Study. (Abstract)

Effect of Buffered 4% Lidocaine on the Success of the Inferior Alveolar Nerve Block in Patients with Symptomatic Irreversible Pulpitis: A Prospective, Randomized, Double-blind Study. Medical studies have suggested that buffering local anesthetic may increase the ability to achieve anesthesia. The purpose of this study was to determine the effect of 4% buffered lidocaine on the anesthetic success of the inferior alveolar nerve (IAN) block in patients experiencing symptomatic irreversible (...) pulpitis.One hundred emergency patients diagnosed with symptomatic irreversible pulpitis of a mandibular posterior tooth randomly received a conventional IAN block using either 2.8 mL 4% lidocaine with 1:100,000 epinephrine or 2.8 mL 4% lidocaine with 1:100,000 epinephrine buffered with sodium bicarbonate in a double-blind manner. For the buffered solution, each cartridge was buffered with 8.4% sodium bicarbonate using the OnPharma (Los Gatos, CA) system to produce a final concentration of 0.18 mEq/mL

2015 Journal of Endodontics Controlled trial quality: uncertain

145. Efficacy of mepivacaine-tramadol combination on the success of inferior alveolar nerve blocks in patients with symptomatic irreversible pulpitis: a randomized clinical trial. (Abstract)

Efficacy of mepivacaine-tramadol combination on the success of inferior alveolar nerve blocks in patients with symptomatic irreversible pulpitis: a randomized clinical trial. To compare the success of an inferior alveolar nerve block (IANB) after injecting a combination of mepivacaine and tramadol or mepivacaine alone in patients with symptomatic irreversible pulpitis (SIP) in mandibular permanent molars.This study was a double-blind, randomized, controlled clinical trial. Two study groups were

2015 International endodontic journal Controlled trial quality: uncertain

146. A Comparison of Different Volumes of Articaine for Inferior Alveolar Nerve Block for Molar Teeth with Symptomatic Irreversible Pulpitis. (Full text)

A Comparison of Different Volumes of Articaine for Inferior Alveolar Nerve Block for Molar Teeth with Symptomatic Irreversible Pulpitis. Achieving anesthesia in mandibular molar teeth with irreversible pulpitis is very difficult. The aim of this study was to compare the efficacy of 1.8 mL and 3.6 mL articaine for an inferior alveolar nerve block (IANB) when treating molars with symptomatic irreversible pulpitis.In a randomized, double-blind clinical trial, 82 first mandibular molar teeth (...) with symptomatic irreversible pulpitis randomly received conventional IANB injection either with 1 (1.8 mL) or 2 cartridges (3.6 mL) of 4% articaine with 1:100,000 epinephrine. The patients recorded their pain before and during access cavity preparation as well as during root canal instrumentation using a Heft-Parker visual analog scale. No or mild pain was considered as successful anesthesia. Data were analyzed by t and chi-square tests.Eighty patients were eligible to participate in this study, which showed

2015 Journal of Endodontics Controlled trial quality: uncertain PubMed abstract

147. Advanced Caries Microbiota in Teeth with Irreversible Pulpitis. (Abstract)

Advanced Caries Microbiota in Teeth with Irreversible Pulpitis. Bacterial taxa in the forefront of caries biofilms are candidate pathogens for irreversible pulpitis and are possibly the first ones to invade the pulp and initiate endodontic infection. This study examined the microbiota of the most advanced layers of dentinal caries in teeth with irreversible pulpitis.DNA extracted from samples taken from deep dentinal caries associated with pulp exposures was analyzed for the presence (...) and lactobacilli were very prevalent but comprised only 0.09% and 2% of the whole bacterial population, respectively.Several bacterial taxa were found in advanced caries lesions in teeth with exposed pulps, and some of them were significantly associated with symptoms. A role for these taxa in the etiology of irreversible pulpitis is suspected.Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

2015 Journal of Endodontics

148. The Effect of Acupuncture on the Success of Inferior Alveolar Nerve Block for Teeth with Symptomatic Irreversible Pulpitis: A Triple-blind Randomized Clinical Trial. (Abstract)

The Effect of Acupuncture on the Success of Inferior Alveolar Nerve Block for Teeth with Symptomatic Irreversible Pulpitis: A Triple-blind Randomized Clinical Trial. An inferior alveolar nerve block (IANB) does not always provide satisfactory anesthesia for patients with irreversible pulpitis. The aim of this study was to assess the effect of preoperative acupuncture on the success rate of IANBs for teeth with symptomatic irreversible pulpitis.In a randomized triple-blinded clinical trial, 40 (...) patients with symptomatic irreversible pulpitis were divided into 2 groups: the acupuncture and control groups. In the acupuncture group, a disposable needle was inserted at LI4 (Hegu) acupoint, and after 15 minutes, for patients who had reported the De qi sensation, an IANB was administered. In the control group, 15 minutes before the administration of an IANB, the practitioner simply imitated the acupuncture procedure but did not actually insert the needle. Endodontic treatments were conducted

2015 Journal of Endodontics Controlled trial quality: uncertain

149. A Combination of Acetaminophen/Hydrocodone may not Affect Cold Pulpal Testing in Patients With Symptomatic Irreversible Pulpitis. (Abstract)

A Combination of Acetaminophen/Hydrocodone may not Affect Cold Pulpal Testing in Patients With Symptomatic Irreversible Pulpitis. 25987386 2016 08 24 2018 12 02 1532-3390 15 2 2015 Jun The journal of evidence-based dental practice J Evid Based Dent Pract A Combination of Acetaminophen/Hydrocodone may not Affect Cold Pulpal Testing in Patients With Symptomatic Irreversible Pulpitis. 66-7 10.1016/j.jebdp.2015.03.004 S1532-3382(15)00036-6 Williamson Anne E AE Diplomate, American Board (...) of Endodontics, Associate Professor, Department of Endodontics, Director, Advanced Education in Endodontics, W 341 DSB, University of Iowa, Iowa City, IA 52242, USA, Tel.: +1 319 335 7471. eng Journal Article Comment 2015 03 28 United States J Evid Based Dent Pract 101083101 1532-3382 362O9ITL9D Acetaminophen 6YKS4Y3WQ7 Hydrocodone D IM J Endod. 2014 Dec;40(12):1958-60 25442725 Acetaminophen Double-Blind Method Humans Hydrocodone Mandibular Nerve Pulpitis 2015 5 20 6 0 2015 5 20 6 0 2016 8 25 6 0 ppublish

2015 Journal of Evidence Based Dental Practice

150. Does Articaine Provide an Advantage over Lidocaine in Patients with Symptomatic Irreversible Pulpitis? A Systematic Review and Meta-analysis. (Abstract)

Does Articaine Provide an Advantage over Lidocaine in Patients with Symptomatic Irreversible Pulpitis? A Systematic Review and Meta-analysis. Achieving profound pulpal anesthesia can be difficult in patients with symptomatic irreversible pulpitis. This study provides a systematic review and meta-analysis to address the population, intervention, comparison, outcome (PICO) question: in adults with symptomatic irreversible pulpitis who are undergoing endodontic treatment, what is the comparative (...) , randomized clinical trials provides level 1 evidence to support the use of articaine for patients with symptomatic irreversible pulpitis. There is a significant advantage to using articaine over lidocaine for supplementary infiltration after mandibular block anesthesia but no advantage when used for mandibular block anesthesia alone or for maxillary infiltration.Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

2015 Journal of Endodontics

151. Anesthetic success of supplemental infiltration in mandibular molars with irreversible pulpitis: A systematic review. (Full text)

Anesthetic success of supplemental infiltration in mandibular molars with irreversible pulpitis: A systematic review. To systematically review the anesthetic success rates of inferior alveolar nerve block (IANB) injection technique alone with that of combination of IANB and supplemental infiltration (SI) technique when used for pulpal anesthesia of mandibular posterior teeth with irreversible pulpitis during endodontic treatment.The study follows a longitudinal study design involving original

2015 Journal of conservative dentistry : JCD PubMed abstract

152. Anesthetic efficacy of meperidine in teeth with symptomatic irreversible pulpitis. (Full text)

Anesthetic efficacy of meperidine in teeth with symptomatic irreversible pulpitis. Achieving adequate pulpal anesthesia in mandibular teeth is always a challenge. Supplementary injections and using drugs in combination are some methods implemented to overcome this hurdle. In this randomized clinical trial, use of meperidine in conjunction with lidocaine in intraligamentary injection did not exhibit significant improvement in anesthesia.

2015 Anesthesia progress Controlled trial quality: uncertain PubMed abstract

153. Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpitis

Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpitis Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpiti Search National Elf Service Search National Elf Service » » » » Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpitis Jan 20 2014 Posted by Irreversible pulpitis often presents as an acute and intense pain and is a frequent reason (...) for emergency dental visits. Treatment involves accessing the root canal of the tooth to remove the inflamed pulp (nerve) and cleaning the root canal. The aim of this review was to assess the effects of systemic antibiotics for irreversible pulpitis. The usual Cochrane approaches were taken with Searches being conducted in the Cochrane Oral Health Group’s Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Medline; Embase and the US National Institutes of Health Trials Register

2014 The Dental Elf

154. [Clinical trail on the effect of nitrous oxide/oxygen inhalation sedation on the treatment of acute pulpitis]. (Abstract)

[Clinical trail on the effect of nitrous oxide/oxygen inhalation sedation on the treatment of acute pulpitis]. To evaluate the effectiveness and safety of nitrous oxide/oxygen inhalation sedation in the treatment of acute pulpitis.The study population comprised 72 patients of acute pulpitis treated from September 2012 to March 2013. They were randomly divided into 2 groups, which included experimental group (37 cases) and control group (35 cases). Venham clinical anxiety, cooperative behavior (...) ).The technique of nitrous oxide/oxygen inhalation sedation provides a safe and effective way to release pain and anxiety during treatment of acute pulpitis, while the long-term clinical result still needs further investigation.

2014 Shanghai kou qiang yi xue = Shanghai journal of stomatology Controlled trial quality: uncertain

155. Does acetaminophen/hydrocodone affect cold pulpal testing in patients with symptomatic irreversible pulpitis? A prospective, randomized, double-blind, placebo-controlled study. (Abstract)

Does acetaminophen/hydrocodone affect cold pulpal testing in patients with symptomatic irreversible pulpitis? A prospective, randomized, double-blind, placebo-controlled study. The purpose of this prospective randomized, double-blind, placebo-controlled study was to determine the effects of a combination dose of 1000 mg acetaminophen/10 mg hydrocodone on cold pulpal testing in patients experiencing symptomatic irreversible pulpitis.One hundred emergency patients in moderate to severe pain (...) diagnosed with symptomatic irreversible pulpitis of a mandibular posterior tooth randomly received, in a double-blind manner, identical capsules of either a combination of 1000 mg acetaminophen/10 hydrocodone or placebo. Cold testing with Endo-Ice (1,1,1,2 tetrafluoroethane; Hygenic Corp, Akron, OH) was performed at baseline and every 10 minutes for 60 minutes. Pain to cold testing was recorded by the patient using a Heft-Parker visual analog scale. Patients' reaction to the cold application was also

2014 Journal of Endodontics Controlled trial quality: uncertain

156. The effect of adding fentanyl to epinephrine-containing lidocaine on the anesthesia of maxillary teeth with irreversible pulpitis: a randomized clinical trial. (Full text)

The effect of adding fentanyl to epinephrine-containing lidocaine on the anesthesia of maxillary teeth with irreversible pulpitis: a randomized clinical trial. Deep and long-lasting anesthesia is essential throughout endodontic treatment. This study was conducted to compare the effect of adding fentanyl to epinephrine-containing lidocaine on depth and duration of local anesthesia in painful maxillary molars with irreversible pulpitis (IRP).This randomized double-blind, clinical trial

2014 Iranian endodontic journal Controlled trial quality: uncertain PubMed abstract

157. Insufficient evidence to assess the effectiveness of antibiotics for irreversible pulpitis. (Abstract)

Insufficient evidence to assess the effectiveness of antibiotics for irreversible pulpitis. The Cochrane Oral Health Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase and the US National Institutes of Health Trials Register.Randomised controlled trials (RCTs) which compared pain relief with systemic antibiotics and analgesics, against placebo and analgesics in the acute preoperative phase of irreversible pulpitis.Study selection, risk of bias (...) trials that can provide additional evidence as to whether antibiotics, prescribed in the preoperative phase, can affect treatment outcomes for irreversible pulpitis.

2014 Evidence Based Dentistry

158. Down-regulation of Inflammatory Mediator Synthesis and Infiltration of Inflammatory Cells by MMP-3 in Experimentally Induced Rat Pulpitis. (Abstract)

Down-regulation of Inflammatory Mediator Synthesis and Infiltration of Inflammatory Cells by MMP-3 in Experimentally Induced Rat Pulpitis. Matrix metalloproteinase (MMP)-3 is a member of the MMP family that degrades the extracellular matrix. Application of MMP-3 to injured pulp tissue induces angiogenesis and wound healing, but its anti-inflammatory effects are still unclear. Here, we evaluated the anti-inflammatory functions of MMP-3 in vitro and in vivo.Nitric oxide and inflammatory mediator (...) pulpitis induced by the application of LPS for 9 hours in the presence or absence of MMP-3.NO and pro-inflammatory mediator synthesis promoted by LPS was significantly down-regulated by MMP-3 in vitro. The full length of mMmp3 down-regulated the LPS-induced NO synthesis and chemical mediator mRNA expression, however the mMmp3 missing the signal peptide failed to block the NO synthesis induced by LPS. The numbers of major histocompatibility complex class II+ and CD68+ cells, which infiltrated

2014 Journal of Endodontics

159. Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Symptomatic Irreversible Pulpitis

Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Symptomatic Irreversible Pulpitis Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Symptomatic Irreversible Pulpitis - 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. Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Symptomatic Irreversible Pulpitis 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: NCT02110966 Recruitment Status : Completed First Posted : April 10, 2014 Last Update Posted

2014 Clinical Trials

160. Effect of Sodium Bicarbonate Buffered Lidocaine on the Success of IAN Block of Teeth With Irreversible Pulpitis

Effect of Sodium Bicarbonate Buffered Lidocaine on the Success of IAN Block of Teeth With Irreversible Pulpitis Effect of Sodium Bicarbonate Buffered Lidocaine on the Success of IAN Block of Teeth With Irreversible Pulpitis - 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 Sodium Bicarbonate Buffered Lidocaine on the Success of IAN Block of Teeth With Irreversible Pulpitis 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: NCT02226913 Recruitment Status : Completed First Posted : August 27, 2014

2014 Clinical Trials

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