Dentistry Commons^™

Effects Of Full-Time Versus Part-Time Clear Aligner Wear On Periodontal Health, Pain And Compliance In Orthodontic Patients, Mohamed Adel Afify, Ahmed Medhat Eltimamy, Fouad A. El Sharaby, Hala Monir Abdelmajeed

Future Dental Journal

INTRODUCTION: Clear aligner treatment's main drawback is that the patient decides how long to wear them each day. For clear aligner therapy to be successful, compliance is essential. A poor treatment outcome would arise from noncompliant patients.

METHODS: The study was a randomized clinical trial of 2 parallel groups (7 patients per group) who underwent clear aligner orthodontic treatment having an age range of 17-24 years. A part-time group wore the aligners for 16 hours per day and a full-time group wore the aligners for 22 hours per day. The study investigated the first eight aligners of the treatment. Compliance …

Effect Of Using Intracanal Cryotherapy Versus Ultrasonic Activated Irrigation On Post-Operative Pain In Single Visit Endodontic Treatment Of Teeth With Symptomatic Irreversible Pulpitis “Randomized Clinical Trial”, Marwa M. Hassan Elsherbeny, Essam Abdel Hafez Naguib E A Naguib, Reem Ahmed Lutfy Reem A. Lutfy, El Saeed Abdel Hafiz

Future Dental Journal

Aim : This study was designated to evaluate the effect of using intracanal cryotherapy versus ultrasonic activated irrigation on postoperative pain in single visit endodontic treatment of mandibular first molar with symptomatic, irreversible pulpitis using numerical rate scale (NRS) at 6, 12, 24, 48,72 hr and 1 week postoperatively.

Materials and Methods: seventy-eight patients diagnosed with symptomatic irreversible pulpitis in mandibular first molar with no periapical involvement. The cases were randomly divided into three groups according to final irrigation protocol after root canal preparation using Pro Taper Next; Groups A, B and C, twenty-six patients each group (n=26). Group A: …

Evaluation Of Pain Perception Associated With Maxillary First Molars Distalization In The Presence Of Maxillary Third Molars Versus Extracted Third Molars Using Infra-Zygomatic Mini-Screws: A Randomized Clinical Trial, Nadeen H. Hafez, Yehya A. Mostafa, Amr E. El-Dakroury, Mostafa M. El-Dawlatly

Future Dental Journal

Aim: The purpose of this randomized clinical trial was to compare the pain associated with distalizing maxillary first molars with the presence versus extraction of unerupted third molars using infra-zygomaic mini -screws in a group of adolescent female patients.

Study design: This randomized clinical trial (parallel group design) was approved by the Research Ethics Committee of the Faculty of Dentistry, Future University in Egypt

Materials and methods: 30 patients requiring bilateral maxillary molar distalization using infra-zygomatic mini-implant were randomly allocated to third molar extraction (TME) or third Molar presence (TMP) groups

All patients were asked to assess their pain levels …

Emergency Department And Dental Clinic Perceptions Of Appropriate, And Preventable, Use Of The Ed For Non-Traumatic Dental Conditions In Hot-Spot Counties: A Mixed Methods Study, Shawnda Schroeder, Judy Beck, Nick Medalen, Anastasia Stepanov

Indigenous Health Faculty Publications

Objectives:Frequency of emergency department (ED) use for nontraumatic dental conditions (NTDC) is a well-researched community health concern. However, research predominately relies on ambulatory ED discharge records. This explanatory sequential mixed methods study reviewed NTDC ED use in hot-spot counties and assessed perceptions around preventable and appropriate use among EDs and dental clinics.

Methods:Tooth pain data (2015-2021) were drawn from State Medicaid, and the Early Notification of Community-Based Epidemics (ESSENCE). NTDC data were compiled using International Classification of Disease, Ninth and Tenth Revisions. Employing extreme case sampling, providers in counties with the highest per-capita NTDC ED use were interviewed.

Results:North Dakota …

The Effect Of 980 Nm Diode Laser In Relieving The Periodontal Pocket Symptoms: A Clinical Study, Hareth A. Alrikabi, Lamyaa A. Saeed

Al-Ameed Journal for Medical Research and Health Sciences

Introduction: Periodontal Pockets are pathological spaces located between the teeth and the adjacent soft tissue. Some Periodontal pockets asymptomatic, while others My have significant symptoms. Patients with active periodontal pockets may feel pain, bleeding and swollen gingiva (adjacent to pocket). These symptoms appear because of a microbial invasion to this space and the accumulation of food debris. Objective: This study aims to explore the effect of diode lasers in relieving the symptoms of active periodontal pockets. Materials and methods: The method is based on irradiating the active periodontal pocket by using 980 nanometer diode laser and recording the condition of …

Questionnaire Survey On Pain & Mini-Implant Failure In Class Ii Female Patients After Extraction Of Maxillary Second Molars Using Infra Zygomatic Mini Implants, Hosam Abdullah Zaza, Nagwa El Mangoury, Amr El Dakrory, Mostafa El Dawlatly

Future Dental Journal

Background: Skeletal anchorage devices have been developed for case requiring absolute anchorage during orthodontic treatment. One of these anchorage devices is the Infra-zygomatic mini-implant type. However, the pain associated with this type of appliance have not been sufficiently evaluated from the patient’s point of view. Aim: The aim of this study was to survey patients for one week after insertion of the infra-zygomatic mini-implants and 1 week following every reactivation in order to evaluate their pain and discomfort as well as the percentage of mini-screw failure. Materials and methods: 10 patients requiring infra-zygomatic mini-implants were selected. All participants completed questionnaires …

Efficacy Of Preemptive Dexamethasone And Diclofenac On Pain Control During Maxillary Alveolar Ridge Horizontal Augmentation Using Cortical Shell Augmentation Technique: A Randomized Clinical Trial, Dina Ayman Fayek D.Ayman, Mohamed Mounir M.Mounir, Lobna Abdrlaziz Aly, Ahmed Abozekry

Future Dental Journal

Background: Despite the popularity and success of autogenous cortical shell augmentation, it is a painful procedure, limiting its acceptance by patients specifically if general anesthesia is not a viable option. Aim: This study assessed the analgesic efficacy of co-administration of intramuscular diclofenac sodium and dexamethasone preoperatively. Material and Methods: Patients selected according to the inclusion criteria were randomly divided into 2 equal groups. A similar surgical augmentation technique was performed in both groups using autogenous cortical shell technique. The study group received an intramuscular injection of dexamethasone and diclofenac sodium before surgery, and pain level was measured using VAS (visual …

Evaluation Of Postoperative Pain Following Sonic And Ultrasonic Root Canal Irrigation Activation Protocols In Patients With Non-Vital Teeth Associated With Apical Periodontitis (Randomized Clinical Trial), Esraa Ashraf Ibrahim, Wael Ahmed Hessein, Nehal Nabil Roshdy, Adel Abdelwahed

Future Dental Journal

Objectives Evaluate the degree of postoperative pain in patients with necrotic teeth with symptomatic apical periodontitis in mandibular first molar teeth at 6, 12, 24, 48 and 72 hrs time interval after using different irrigation activation techniques in single-visit endodontic treatment.

Methods Seventy-eight patients diagnosed with necrotic mandibular first molar with symptomatic apical periodontitis were randomly allocated into 1 of 3 separate groups (n=26); Navitip group (control), EndoUltra group, or Eddy group. After a single visit root canal treatment and a specific method of agitation, depending on each group, the patients were given a questionnaire on which the patient would …

Low-Level Laser Effects On Orthodontic Tooth Movement Of Periodontally Compromised Patients, Enas H. Abd El-Aziz, Ahmed E. Salama, Osama S. El-Shall, Mohsena A. Abdarazikk

Al-Azhar Journal of Dentistry

Purpose: This study aimed to analyze the Low-Level Laser Therapy (LLLT) effect on periodontal parameters and the pain reduction during canine retraction in patients with compromised periodontium. Subjects and methods: Fourteen patients seeking orthodontic treatment, age ranging from 25-35 years old with compromised periodontium, were selected to participate in the present study. Patients were allocated randomly into two groups, Group I: control group. Group II: test group (LLL application). Bilateral extractions of the mandibular first premolars for all patients were done, then canine retraction was indicated. In laser group, application of LLLT was done on the mandibular anterior segment at …

A Six-Month Comparison Of Orthodontic Pain Associated With Fixed Edgewise Appliances And Clear Aligners, Victor Chan

Theses and Dissertations

Title: A Six-Month Comparison of Orthodontic Pain Associated with Clear Aligners and Fixed Edgewise Appliances

Objective: To document and compare pain perception, intensity, and analgesic use over a sixmonth period between patients treated with fixed appliances (FA) and clear aligners (CA).

Methods: A prospective, parallel, two-arm, multi-center, longitudinal cohort study was conducted with 87 adults treated with CA (n=59) or FA (n=28). Subjects were selected according to inclusion and exclusion criteria. A seven-item, digital survey was sent at three timepoints (preappointment, 2-days post-appointment, and 7-days post-appointment) at each adjustment over a six-month period. The variables measured included pain experience, pain …

Assessment Of Association Between Pain And Root Resorption During Canine Retraction: An Exploratory Study, Hend S. Elsayed

Future Dental Journal

Background: Pain and root resorption are common adverse events reported in the orthodontic literature. Both are side effects of the sterile inflammatory tissue reaction related to the application of orthodontic force. Aim: The aim of this exploratory study was to assess the association between pain and root resorption during canine retraction. Materials and Methods: Twenty-four patients indicated for first premolar extraction and canine retraction were recruited. All patients were treated with 0.022” X 0.028” Roth prescription brackets. After leveling and alignment, canines were retracted over 0.017” X 0.025” stainless steel arch wires. Canines were retracted with elastomeric chains applying 150g …

Photobiostimulatory Effect Of A Single Dose Of Low-Level Laser On Orthodontic Tooth Movement And Pain, Irfan Qamruddin, Mohammad Khursheed Alam, Verda Mahroof, Mubassar Fida, Mohd Fadhli Khamis, Adam Husein

Section of Dental-Oral Maxillofacial Surgery

Objective: To assess the effect of low-level laser applied at 3 weeks intervals on orthodontic tooth movement (OTM) and pain using conventional brackets (CB).
Materials and methods: Twenty patients with Angle's class II div 1 (10 males and 10 females; aged 20.25 ± 3.88 years) needing bilateral extractions of maxillary first bicuspids were recruited. Conventional brackets MBT of 0.022 in slot (McLaughlin Bennett Trevisi) prescription braces (Ortho Organizers, Carlsbad, Calif) were bonded. After alignment and levelling phase, cuspid retraction began with nitinol closed coil spring on 19 × 25 stainless steel archwire, wielding 150 gram force. 7.5 J/cm² energy …

Biostimulatory Effects Of Low-Intensity Pulsed Ultrasound On Rate Of Orthodontic Tooth Movement And Associated Pain, Applied At 3-Week Intervals: A Split-Mouth Study, Irfan Qamruddin, Mohammad Khursheed Alam, Verda Mahroof, Meenaz Karim, Mubassar Fida, Mohd Fadhli Khamis, Adam Husein

Section of Dental-Oral Maxillofacial Surgery

Objective: Low-intensity pulsed ultrasound (LIPUS) is a noninvasive modality to stimulate bone remodeling (BR) and the healing of hard and soft tissues. This research evaluates the biostimulatory effect of LIPUS on the rate of orthodontic tooth movement (OTM) and associated pain, when applied at 3-week intervals.
Methods: Twenty-two patients (11 males and 11 females; mean age 19.18 ± 2.00 years) having Angle's Class II division 1 malocclusion needing bilateral extractions of maxillary first bicuspids were recruited for this split-mouth randomized clinical trial. After the initial stage of alignment and leveling with contemporary edgewise MBT (McLaughlin-Bennett-Trevisi) prescription brackets (Ortho Organizers, Carlsbad, …

Assessment The Propolis Effect Versus Calcium Hydroxide Effect As Intracanal Medications On Post-Operative Pain In Necrotic Teeth, Engy M. Kataia

Dentistry

Aim: to evaluate the postoperative pain of using Propolis versus Calcium hydrox- ide as intracanal medications on post-operative pain in necrotic teeth. Subjects and Methods: 40 patients requiring endodontic treatment for single rooted teeth were en- rolled in this analysis. The selected patients were separated into two groups with 20 pa- tients each; Group І: Propolis paste. Group II: Ca (OH)2 paste. The local anesthesia was administrated, and the working length determined by Root ZX apex locator, and then confirmed radiographically. The root canals were mechanically prepared in a crown- down approach using the “TF Adaptive” setting on Elements Motor. …

The Pattern Of Odontogenic Referred Pain, James J. Poulos

Graduate Theses, Dissertations, and Problem Reports

Background: Referred odontogenic pain (RP) is a phenomenon that is seen regularly in dentistry and it is not extensively understood. It can make formulating a proper diagnosis difficult and its presence can lead to inappropriate treatment.

Methods: 250 patients experiencing odontogenic pain within the dental clinics of West Virginia University were surveyed. The survey inquired about the patient’s biographical information, medical history, characteristics of the pain, the presence and location of RP, and the psychosocial effects of the pain. Additionally, the endodontic diagnosis of the offending tooth was determined by a member of the endodontic department. The collected …

Use Of Emoji In Pain Level Assessment In Pediatric Dental Patients, Manpreet K. Dhillon

Theses and Dissertations

USE OF EMOJI IN PAIN LEVEL ASSESSMENT IN PEDIATRIC DENTAL PATIENTS

Purpose: The purpose of this study is to determine the efficacy of a pain scale with Emoji images in comparison to the commonly used Wong-Baker FACES® pain scale. Methods: Healthy, English-speaking patients aged 4-17 presenting to the VCU Pediatric Dental clinic and the operating room and presenting to the MCV Pediatric Emergency Room were asked to rate their pain using the Wong-Baker FACES® and Emoji scales. These patients were then asked to select which pain scale they preferred. Results: A total of 151 children were enrolled in the study. …

Basics Of Musculoskeletal Health In Dentistry: An Overview, Drashti Shah, Ankit Arora, Padmaja Arora

Book Collection

This book is an overview of the basics of musculoskeletal health amongst dentists which is the most commonly targeted profession of musculoskeletal pain and its consequences. This book also covers the common areas of pain, aeitiolgy, the study stating specialty specific areas of pain due to repetitive work of dental specialties andalso mentions the measures of prevention and consequences if being neglected, i.e. in general stating importance of musculoskeletal health amongst dentists.

The Effect Of Mechanical Vibration On Pain And Rate Of Tooth Movement During Initial Orthodontic Alignment, Leslie Ellingson

Theses & Dissertations

Purpose: The purpose of this investigation was to evaluate the effect of mechanical vibration on pain experienced and rate of tooth movement (OTM) during the initial alignment phase of orthodontic treatment.

Materials and Methods: Participants were randomly allocated to control, low frequency or high frequency. An electric toothbrush was modified to provide high frequency vibration. A low frequency vibration device was acquired from a commercial vendor. Experimental groups applied vibration to the dentition for 20 minutes daily. All participants completed questionnaires using visual analog scales at five time points. Pain experience was measured in millimeters (mm) with the scale measuring …

Pro And Anti-Inflammatory Cytokine Levels (Tnf- , Il-1 , Il-6 Andil-10) In Rat Model Of Neuroma, Junad Khan, Noboru Noma, Andrew L. Young, Davis Thomas

Andrew L. Young

Traumatic neuroma is neuronal tissue proliferation developed in a nerve injury site, often associatedwith increased sensitivity and spontaneous or evoked neuropathic pain. The mechanisms leading to the disorganized nerve proliferation are not completely understood, though inflammation in the injured nerve vicinity most likely has a role in the process. Inflammatory cytokines are also known to be involvedin the maintenance and development of post-traumatic and neuropathic pain. The goal of this study wasto quantify and compare pro and anti-inflammatory cytokines (TNF- , IL-1 , IL-6 and IL-10) levels innerves that formed neuromas and nerves that did not, following sciatic nerve transection. …

Pro And Anti-Inflammatory Cytokine Levels (Tnf- , Il-1 , Il-6 Andil-10) In Rat Model Of Neuroma, Junad Khan, Noboru Noma, Andrew L. Young, Davis Thomas

All Dugoni School of Dentistry Faculty Articles

Traumatic neuroma is neuronal tissue proliferation developed in a nerve injury site, often associatedwith increased sensitivity and spontaneous or evoked neuropathic pain. The mechanisms leading to the disorganized nerve proliferation are not completely understood, though inflammation in the injured nerve vicinity most likely has a role in the process. Inflammatory cytokines are also known to be involvedin the maintenance and development of post-traumatic and neuropathic pain. The goal of this study wasto quantify and compare pro and anti-inflammatory cytokines (TNF- , IL-1 , IL-6 and IL-10) levels innerves that formed neuromas and nerves that did not, following sciatic nerve transection. …

An Instrument To Measure Dental Students' Communication Skills With Patients In Six Specific Circumstances: An Exploratory Factor Analysis, Joanna Alice Aalboe, Mitzi M. Schumacher

Center for Oral Health Research Faculty Publications

The aim of this study was to explore the internal structure of an instrument assessing dental students' confidence in their ability to communicate with patients in six specific circumstances (anxious, in pain, etc.) using exploratory factor analysis. In a Communication in the Dental Health Care Setting course at a U.S. dental school, second-year dental students in two years (2013 and 2014) responded to the six items on a survey instrument. Of the total 123 students, 122 fully completed the instrument, for a response rate of 99%. Analysis of the results identified a unidimensional scale with regards to patient-specific communication self-efficacy …

The Use Of Immersive Visualization For The Control Of Dental Anxiety During Oral Debridement, Carmelo Padrino-Barrios, Gayle B. Mccombs, Norou Diawara, Gianluca De Leo

Dental Hygiene Faculty Publications

Purpose: The purpose of this study was to evaluate the effects of Immersive Visualization (IV) eyewear on anxious, adult patients during oral debridement.

Methods: Thirty adult volunteers (n=23 females n=7 males) were enrolled in the study. Participants were required to be 18 years or older, exhibit at least moderate anxiety (score 9 or higher) on the Corah's Dental Anxiety Scale-Revised (DAS-R), and be generally healthy. Individuals were excluded from participation if they presented with severe dental calculus, periodontal disease, or dental caries, were taking psychotropic drugs, had a history of convulsive disorders, vertigo, or equilibrium disorders, or required antibiotic premedication. …

Comparison Of Injection Discomfort And Anesthetic Duration Of Plain Polocaine Versus Epinephrine Containing Articaine And Lidocaine, Dana Doan

Theses and Dissertations

Purpose: To determine possible differences in the pain level and soft tissue anesthesia duration of plain polocaine versus epinephrine-containing articaine and lidocaine during intraoral injections. Methods: Forty-eight subjects received plain polocaine and one epinephrine-containing anesthetic. Injections were randomized according to the first injection a)left or right buccal sulcus and b)epinephrine or not. The second injections were the opposite conditions. Subjects then recorded discomfort on a VAS and the time anesthesia wore off. Result: The second injection’s pain rating was influenced by the first. This carry-over effect makes it impossible to analyze all of the data. An analysis of the first …

Effect Of Local Anesthesia On Postoperative Pain With General Anesthesia, Belinda Campbell

Theses and Dissertations

Purpose: The aim of this study was to determine if the use of local anesthesia with general anesthesia results in less postoperative pain. The alternative hypothesis is that children will experience less postoperative discomfort when utilizing intraligamental local anesthetic during the intra-operative time period. Methods: Patients were recruited for this single blind, randomized, prospective cohort study with the following inclusion criteria: English speaking children age 3-6 years, ASA I/II requiring general anesthesia for dental treatment. Randomization was done to place patients in groups of no local anesthetic vs. local anesthetic administration. A Wong-Baker Faces Pain Scale was utilized to evaluate …

Postoperative Pain After The Use Of A Dexamethasone Rinse As An Irrigant Prior To Obturation, Sushant Mahajan

Master's Theses (2009 -)

Purpose: This randomized, single-blind pilot study was to determine the effect of dexamethasone on post-operative pain when used as an intracanal rinse prior to obturation.

Materials and Methods: Ten adult volunteers were enrolled. They presented to the Marquette University School of Dentistry for endodontic treatment and experienced pain from irreversible pulpitis. The patients were randomly assigned to either the control group that received standard of care treatment or the experimental group that received the rinse with 4 mg/mL dexamethasone solution prior to obturation. Before and after treatment, the patients recorded their pain level on the numeric rating scale (NRS). Recordings …

Comparative Efficacy Of 2 Topical Anesthetics For The Placement Of Orthodontic Temporary Anchorage Devices, Derek S Reznik, Arthur H Jeske, Jung-Wei Chen, Jeryl English

Journal Articles

This study compared the effectiveness of topical benzocaine 20% versus a combination of lidocaine, tetracaine, and phenylephrine in providing sufficient analgesia for the placement of orthodontic temporary anchorage devices (TADs). The 2 topical anesthetics were tested against each other bilaterally using a randomized, double-blind, crossover design. The agents were left in place for the amount of time prescribed by the manufacturer. The TAD was then placed, and each subject rated the degree of pain on a Heft-Parker visual analogue scale. A pulse oximeter was used to record the preoperative and postoperative pulse rates. Statistically significant differences in perceived pain (P …

The Predictive Ability Of Specific Questions Related To Symptoms In The Diagnosis Of Endodontic Disease, Boyd Aaron Vaughn

Theses and Dissertations

The purpose of this study was to test the predictive ability of specific questions in diagnosis of pulpal and periradicular disease in a dental school population. 210 patients were recruited to fill out a questionnaire, and undergo a clinical examination for pulpal and/or periradicular disease.The Questionnaire asked if the patient had in the last 6 months: 1. a toothache that kept them up at night 2. a toothache that required pain killers 3. facial swelling caused by a tooth 4. injury to any teeth 5. a broken tooth 6. a tooth darker in color than the surrounding teeth 7. a …

Differential Diagnosis Of Orofacial Pain I: Associated With Intracranial And Extracranial Structures And Psychogenic Disorders, Rodolfo Acosta-Ortiz

HPD Articles

Orofacial Pain (OFP) is a common problem among the general population and represents a condition that is potentially debilitating and deteriorating. The correct diagnosis is the principal base for an adequate management; in patients with DOF this may be a simple task or a very complex and frustrating experience for both, clinician, and patient. However, the clinician's knowledge of all possible pain condition that can affect the orofacial region can facilitate the diagnostic process. It is important to emphasize that is very difficult to diagnose something unknown for the clinician and even though "common things occur commonly", it is not …

Do It! (1970), American Dental Association

Patient Dental Health Education Brochures

No abstract provided.

¡Hagalo! [Spanish Language Version: Do It!] (1970), American Dental Association

Patient Dental Health Education Brochures

No abstract provided.