Acupuncture for the reduction of post-operative pain in a patient with symptomatic irreversible pulpitis: a case report

2022 ◽  
pp. 096452842110733
Author(s):  
Kim Sia Sng ◽  
Yen Suan Sin ◽  
Shekhar Bhatia ◽  
Shivani Kohli ◽  
Xin Ying Lim ◽  
...  
Keyword(s):  
Case Report ◽  
Post Operative Pain ◽  
Irreversible Pulpitis

scholarly journals Comparison of Single Antibiotic Paste Nitrofurantoin and Calcium Hydroxide Paste as Intracanal Medicaments in Alleviating Post-Operative Pain in Patients with Symptomatic Irreversible Pulpitis -A Randomized Controlled Trial

2021 ◽  
pp. 484-494
Author(s):  
Hira Abbasi ◽  
Abhishek Lal ◽  
Ammara Shamim Jaffrani
Keyword(s):  
Randomized Controlled Trial ◽  
Calcium Hydroxide ◽  
Controlled Trial ◽  
Control Group ◽  
Randomized Controlled ◽  
Pain Scores ◽  
Post Operative Pain ◽  
Group 2 ◽  
Irreversible Pulpitis ◽  
Group 1

Aims: This study aims to compare the efficacy in alleviating pain between intracanal medicaments, namely Nitrofurantoin and Calcium Hydroxide Paste. Study Design:  Randomized Controlled Trial. Place and Duration of Study: Sample: Department of Operative Dentistry, Sir Syed College of Medical Sciences, Pakistan, between January 2021 and May 2021. Methodology: 60 patients were randomly divided into 3 groups, each group having 20 patients as following: Group 1: Nitrofurantoin, Group 2: Calcium Hydroxide and Group 3: Control. Preoperative pain was recorded using a numerical pain scale. After access preparation, chemomechanical preparation was performed with subsequent placement of intracanal medicaments. Pre-operative pain score was initially recorded, followed by post-operative pain at 12, 24, 48, and 72 hours, respectively. Root canal treatment was performed in single rooted teeth with patients suffering from symptomatic irreversible pulpitis Results: Majority of the patients in all 3 groups were initially presented with moderate to severe pre-operative pain. After 72 hours post-operatively, 50% patients in Group 1 reported no pain, while 5% patients in both Group 2 and 3 had no pain. Pain significantly subsided in Group 1 as compared to Group 2 and 3. Regarding age and gender, both had no significant relationship with the pain scores in all of the 3 groups Conclusion: Nitrofurantoin has been proven to be an effective intracanal medicament in alleviating immediate post-operative pain in patients with symptomatic irreversible pulpitis as compared to calcium hydroxide. While the control group with no intracanal medicament showed little reduction in pain scores. So, nitrofurantoin can be used as a substitute to currently available standard intracanal medicaments.

scholarly journals Pengambilan Lentulo Patah Pada Perawatan Saluran Akar Gigi Molar Satu Kiri Bawah Nekrosis Pulpa

2013 ◽  
Vol 20 (1) ◽  
pp. 78
Author(s):  
Muhammad Syafri ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Composite Resin ◽  
Root Canal Treatment ◽  
Root Canal Preparation ◽  
Rotary Tool ◽  
Single Cone ◽  
Successful Removal ◽  
Irreversible Pulpitis ◽  
Good Access

Selama prosedur preparasi saluran akar, kemungkinan patahnya instrumen selalu ada. Saat ini instrumen yang patah dapat dikeluarkan dengan menggunakan alat ultrasonik seperti jarum Miller yang dihubungkan dengan tip ultrasonik endo, selain itu diperlukan juga akses dan visibilitas yang baik sehingga memudahkan operator untuk mengeluarkan instrumen yang patah tersebut. Tujuan laporan kasus ini adalah untuk melaporkan keberhasilan pengambilan  lentulo patah di dalam saluran akar menggunakan jarum miller yang dihubungkan dengan tip ultrasonik endo dikombinasikan dengan hedstroem no 25. Dalam makalah ini dilaporkan satu kasus perawatan saluran akar gigi molar satu kiri bawah pulpitis irreversibel pada pasien wanita 20 tahun, namun terjadi patah lentulo saat pengaplikasian bahan sterilisasi saluran akar. Pengambilan lentulo berhasil dilakukan pada kunjungan kedua dengan menggunakan jarum miller yang dihubungkan dengan tip ultrasonik endo serta hedstroem file no 25. Visibilitas didapatkan dengan melakukan coronal flaring menggunakan heroshaper dari mikro mega yang dihubungkan dengan alat rotary. Setelah 1 minggu, gigi diobturasi dengan teknik single cone pada saluran akar distal dan teknik kondensasi lateral pada saluran akar mesiobukal dan mesiolingual. Pada kunjungan berikutnya, gigi direstorasi dengan resin komposit disertai pasak dentatus screw. Setelah 2 bulan diamati secara radiografis dan klinis, tidak ada keluhan dari pasien.Broken Lentulo Removal During Root Canal Treatment On The First Molar Mandible Sinistra With Pulp Necrosis. During root canal preparation procedure, there is always potential for instrument breakage. Nowadays, broken instruments can be removed using ultrasonic instruments such as a needle miller connected to endo ultrasonic tip, but it needs good access and visibility in order to make it easier for the operator to remove the broken instruments. The aim of this case report is to present the successful removal of a broken lentulo left in a root canal by using smooth broach connected to a ultrasonic endo tip combined with an hedstroem file no 25. This paper reports a case of molar root canal treatment of the lower left irreversible pulpitis in 20 year-old female patient, but the incident of broken lentulo occured while applying root canal medicament. The effort to remove lentulo was successful on the second visits using a needle miller connected to endo ultrasonic tip and headstrom file no 25. Visibility was obtained by using a coronal flaring of micro mega hero shaper associated with the rotary tool. In the following week, the teeth was obturated with single cone technique on the distal root canal applying the lateral condensation technique on mesiolingual and mesiobuccal root canal. In the next visit, the teeth were restored with composite resin with dowel dentatus screw. After 2 months of being observed radiographically and clinically, there is no more complaint from the patient

ENDODONTIC MANAGEMENT OF A PERMANENT MANDIBULAR FIRST MOLAR WITH 4 ROOTS: A CASE REPORT

2021 ◽  
pp. 48-50
Author(s):  
Aparna Aarathi Sreekumar ◽  
A. Devadathan ◽  
Jose Jacob ◽  
Minimol K Johny ◽  
Renjini T R ◽  
...  
Keyword(s):  
Case Report ◽  
Ethnic Group ◽  
Inferior Alveolar Nerve ◽  
Asian Population ◽  
Inferior Alveolar Nerve Block ◽  
Rubber Dam ◽  
Working Length ◽  
Length Determination ◽  
Mandibular First Molar ◽  
Irreversible Pulpitis

Introduction: Supernumerary roots in mandibular rst molars can be noted in about 24% of Asian population. But, the 4-rooted variant, described as Radix entoparamolaris is extremely rare, noted in only 0.04% of Asians. Case Report: A 27-year-old male patient was diagnosed with symptomatic irreversible pulpitis with apical periodontitis on the mandibular right rst molar. After anesthetizing the tooth using inferior alveolar nerve block, rubber dam isolation was done. The access cavity was prepared and the canal orices were located. Angled radiograph taken during working length determination revealed the presence of 4 roots (2 mesial and 2 distal). The cleaning and shaping procedures were performed using rotary les followed by obturation. Conclusion: This case report describes the successful endodontic management of Radix entoparamolaris, the 4-rooted variant of mandibular rst molar, which is extremely rare in our ethnic group.

scholarly journals Perawatan saluran akar pada gigi molar pertama kanan mandibula dengan pulpitis ireversibel simtomatikRoot canal treatment of mandibular right first molar with symptomatic irreversible pulpitis

2021 ◽  
Vol 32 (3) ◽  
pp. 127
Author(s):  
Lydiawati Wibisono ◽  
Hendra Dian Adhita Dharsono
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Spontaneous Pain ◽  
Root Canal Filling ◽  
Root Canals ◽  
Pulp Inflammation ◽  
Indirect Composite ◽  
Irreversible Pulpitis

Pendahuluan: Pulpitis ireversibel simtomatik ditandai dengan hipersensitivitas terhadap stimulus termal, yang menyebabkan nyeri spontan atau rasa sakit yang bertahan 30 detik atau lebih setelah stimulus dihilangkan, nyeri yang parah, persisten, dan sulit dilokalisir, dapat menjalar ke telinga, pelipis, mata atau leher. Kondisi pulpa yang terinflamasi tidak dapat kembali pulih dan perawatan saluran akar merupakan pilihan perawatan. Tujuan laporan kasus ini membahas mengenai perawatan saluran akar dengan pulpitis ireversibel simtomatik untuk menghentikan inflamasi pulpa dan mempertahan gigi. Laporan kasus: Pasien laki-laki berusia 35 tahun datang ke klinik dengan keluhan gigi belakang kanan bawah terasa sakit berdenyut sejak 1 minggu yang lalu. Gigi tersebut pernah dilakukan penambalan sementara 4 bulan sebelumnya dan tambalan tersebut patah serta nyeri spontan. Pemeriksaan radiologis gigi 46 menunjukkan gambaran radiolusen pada bagian mahkota hingga mencapai tanduk pulpa, terdapat 2 akar, dengan akar mesial dilaserasi ke arah distal dan akar distal lurus, serta saluran akar yang menghilang pada 2/3 dan 1/3 saluran akar distal dan mesial, tidak terdapat pelebaran membran periodontal, lamina dura normal dan tidak terdapat kelainan periapikal. Gigi 46 dilakukan anestesi lokal, dilanjutkan pembukaan akses dan ekstirpasi pulpa, kemudian preparasi saluran akar menggunakan nikel titanium rotary ProTaper Next® (Maillefer, Switzerland) dengan teknik crown down dan pengisian saluran akar. Restorasi follow up overlay komposit indirek pada gigi 46. Simpulan: Pulpitis ireversibel simtomatik pada gigi molar dengan akar dilaserasi terbukti dapat ditangani dengan perawatan saluran akar yang adekuat, ditandai dengan hilangnya keluhan pada pasien dalam kasus ini.Kata kunci: Pulpitis ireversibel simtomatik, perawatan saluran akar, teknik crown down. ABSTRACTIntroduction: Symptomatic irreversible pulpitis is characterised by hypersensitivity to the thermal stimuli, which causes spontaneous pain that lasts 30 seconds or more after the stimulus removed, severe, persistent and difficult to localise, can radiate to the ears, temples, eyes, or neck. The inflamed pulp does not recover; thus, root canal treatment is the treatment option. This case report was aimed to discuss the root canal treatment for symptomatic irreversible pulpitis to stop the pulp inflammation and preserve the teeth. Case report: A 35-year-old male patient came to the clinic with complaints of pulsating pain in the mandibular right molar since one week prior. The tooth had a temporary filling four months earlier, and the filling was fractured, and the pain was spontaneous. Radiological examination of tooth 46 showed radiolucent images on the crown until the pulp horn, there were found two roots, with mesial roots dilated distally and straight distal roots, and root canals that disappeared in the two-third and one-third of the distal and mesial root canals, no dilation of the periodontal membrane, normal lamina dura and no periapical abnormalities. Tooth 46 was subjected to local anaesthesia, followed by access opening and pulp extirpation, then the root canal preparation was performed using the ProTaper Next® rotary nickel-titanium (Maillefer, Switzerland) with the crown-down technique and root canal filling. Indirect composite overlay follow-up restoration was conducted of tooth 46. Conclusion: Symptomatic irreversible pulpitis in molars with dilacerated roots proved to be manageable with adequate root canal treatment, marked by the loss of the patients’ complaints.Keywords: Symptomatic irreversible pulpitis, root canal treatment, crown-down technique.

scholarly journals LASER VESTIBULOPLASTY WITH PERIOSTEUM FENESTRARTION –A CASE REPORT.

2020 ◽  
pp. 22-23
Author(s):  
Shahnaaz Sultana ◽  
Shrikar Desai ◽  
Veena Patil ◽  
Priyanka Agarwal ◽  
Sobia T. Ansari
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Gingival Recession ◽  
Complete Healing ◽  
Gingival Margin ◽  
Innovative Technique ◽  
Post Operative Pain ◽  
Attached Gingiva

The most common mucoginigival problems includes inadequate width of attached gingiva, abnormal frenal attachment, gingival recession, and decreased vestibular depth, pockets extending upto mucogingival junction, gingival excess , inconsistent gingival margin, excessive gingival display and abnormal colour of gingival. Many periodontal plastic surgeries has been employed in the treatment of these problems. But all the procedures are technique sensitive and comes with their own disadvantage. Hence, the case report represents an innovative technique of using 980 nm diode laser instead of convention scalpel to increase the width of attached gingiva and deepening of shallow vestibule with periosteum fenestration. Post operative pain and discomfort was minimal and complete healing of tissues at the end of 3 weeks was reported.

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