scholarly journals Buccal Injection of 2% Lidocaine With Epinephrine for the Removal of Maxillary Third Molars

2013 ◽  
Vol 60 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Sunil Yadav ◽  
Ajay Verma ◽  
Akash Sachdeva
Keyword(s):  
Visual Analog Scale ◽  
Third Molar ◽  
Pain Scale ◽  
Lidocaine Hydrochloride ◽  
Control Group ◽  
Study Group ◽  
Third Molars ◽  
Analog Scale ◽  
Maxillary Third Molar ◽  
To Receive

Abstract The aim of the study was to demonstrate if 2% lidocaine hydrochloride with 1 : 200,000 epinephrine could provide palatal anesthesia in maxillary tooth removal with a single buccal injection. The subjects included in the clinical study were those requiring extraction of the maxillary third molar of either side. For the purpose of comparison, the sample was randomly divided into 2 main groups: group 1 (study group) included 100 subjects who were to receive a single injection before extraction, and group 2 (control group) included 100 subjects who were to receive a single buccal injection and a single palatal injection before extraction. After 5 minutes the extraction was performed. All patients were observed for Faces Pain Scale during extraction and asked for the same on a 100-mm visual analog scale after extraction. According to visual analog scale and Faces Pain Scale scores, when maxillary third molar removal without palatal injection (study group) and with palatal injection (control group) were compared the difference was not statistically significant (P > .05). Removal of maxillary third molars without palatal injection is possible by depositing 2 mL of 2% lidocaine hydrochloride with 1 : 200,000 epinephrine to the buccal vestibule of the tooth.

scholarly journals The effect of local ketamine infiltration on post tonsillectomy pain scale

2020 ◽  
Vol 50 (1) ◽  
pp. 38
Author(s):  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Elniza Morina ◽  
Rimelda Aquinas ◽  
Nasman Puar ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Secondary Infection ◽  
Pain Scale ◽  
Control Group ◽  
Analog Scale ◽  
Noticeable Effect ◽  
Local Infiltration ◽  
Significant Difference ◽  
Post Test ◽  
Test Control

Background: Post tonsillectomy pain is one of the surgery side effects that most disturbing for patient’s comfort and will cause dysphagia, low intake, dehydration, secondary infection and bleeding. Ketamine is an anesthetic drug that has strong analgesic effect and easily available in any hospital at relatively cheap price. Objective: To find out the effect of local ketamine infiltration on the post tonsillectomy pain scale. Method: An experimental study during tonsillectomy with a Post Test Control Group on 12 samples without local infiltration of ketamine and 12 samples with local infiltration of ketamine in peritonsillar pillar. The pain was assessed 2 hours and 24 hours post extubation with pain Visual Analog Scale (VAS). Result: The VAS value from patients who were given local infiltration of ketamine in peritonsillar pillar were lower (5.83 ± 0.72 at 2 hours and 2.83 ± 0.58 at 24 hours post extubation) compared to patients without ketamine infiltration (7.83 ± 0.58 at 2 hours and 3.58 ± 0.51 at 24 hours post extubation). The result showed statistically significant difference (p <0.05) at 2 hours and 24 hours post extubation. Conclusion: The VAS score of the ketamine infiltration group is lower at 2 hours and 24 hours post extubation than the group without ketamine infiltration, showing there was a noticeable effect of local ketamine infiltration on the post tonsillectomy pain scale.Keywords : post tonsillectomy pain, ketamine, local infiltration, visual analog scale ABSTRAKLatar belakang: Nyeri pascatonsilektomi adalah salah satu efek samping operasi yang sangat mengganggu kenyamanan pasien, dan dapat menyebabkan gangguan menelan, kurangnya asupan nutrisi, dehidrasi, infeksi sekunder dan perdarahan. Ketamin merupakan obat anestesi yang memiliki efek analgetik yang kuat dan mudah didapatkan di semua tipe rumah sakit dengan harga yang relatif murah. Tujuan: Mengetahui efek pemberian infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi. Metode: Penelitian eksperimental dengan desain Post Test Control Group pada 12 sampel tanpa pemberian infiltrasi lokal ketamin dan 12 sampel dengan pemberian infiltrasi lokal ketamin di pilar peritonsil saat tonsilektomi. Dilakukan penilaian nyeri 2 jam dan 24 jam pascaekstubasi menggunakan skala nyeri Visual Analog Scale (VAS). Hasil: Nilai VAS pasien yang diberi infiltrasi lokal ketamin di pilar peritonsil lebih rendah (5,83±0,72 pada 2 jam dan 2,83 ± 0,58 pada 24 jam pascaekstubasi) dibanding tanpa diberi infiltrasi lokal ketamine (7,83 ± 0,58 pada 2 jam dan 3,58± 0,51 pada 24 jam pascaekstubasi), dan bermakna secara statistik (p<0,05) pada kedua penilaian. Kesimpulan: Terdapat efek nyata infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi, dimana nilai VAS kelompok yang diberi infiltrasi ketamin lebih rendah, baik pada 2 jam ataupun 24 jam pascaekstubasi dibanding kelompok yang tidak diberi infiltrasi ketamin.

scholarly journals Prevalence of dental hypersensitivity after applying immediate dentinary sealing in the fixed partial prosthesis

2020 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
Jonathan Salguero Cárdenas ◽  
Norka Altamirano Vergara
Keyword(s):  
Visual Analog Scale ◽  
Pain Scale ◽  
Control Group ◽  
Dental Clinic ◽  
Analog Scale ◽  
Chi Square ◽  
Catholic University ◽  
Significant Difference ◽  
Chi Square Test

Objective: Evaluate the effect of inmediate dentinary sealing, as treatment of hypersensitivity in patients attending the fixed prosthetic clinic at the Catholic University of Santiago de Guayaquil dental clinic. Materials and methods: This study was designed as clinic, prospective and correlational. 25 patients were selected, they were divided into 2 groups, one group included 14 patients in which teeth were prepared with SDI (29 teeth) and a second control group of 11 patients in which teeth were not prepared with SDI (19 teeth), giving a total of 48 teeth. Surveys were made 1, 2 and 3 weeks after preparations and the presence of hipersensitivity was registered with the visual analog scale. Results: A chi-square test was made and in the analysis of the pain scale (EVA), the study sample exhibited a significant difference in a range above 3 for the group in which SDI was not applied. Conclusion: This study demostrates that the application of SDI helps diminish significantly dental hipersensitivity.

scholarly journals PENGARUH TERAPI MUROTAL TERHADAP SKALA NYERI KEPALA PADA KLIEN CEDERA KEPALA DI RSU PROF. DR. MARGONO SOEKARJO DAN RSUD BANYUMAS

2019 ◽  
Vol 1 (2) ◽  
pp. 119
Author(s):  
Arif Hendra Kusuma ◽  
Agus Setiawan ◽  
Rohman Azzam
Keyword(s):  
Head Injury ◽  
Visual Analog Scale ◽  
Head Injuries ◽  
Nursing Intervention ◽  
Pain Scale ◽  
T Test ◽  
Control Group ◽  
Analog Scale ◽  
Head Pain ◽  
Significant Difference

AbstrakCedera kepala merupakan suatu trauma yang menimpa struktur kepala sehingga dapat menimbulkan kelainan struktural dan atau gangguan fungsional jaringan otak. Cedera kepala dapat menyisakan tanda ataupun gejala somatik yang nyeri kepala. Penatalaksanaan terhadap nyeri dapat berupa tindakan non farmakologis salah satunya dengan terapi murotal. Penelitian ini bertujuan untuk menganalisis pengaruh terapi murotal terhadap skala nyeri kepala pada klien dengan cedera kepala Di RSU Prof. Dr. Margono Soekarjo dan RSUD Banyumas. Desain penelitian menggunakan metode Quasi-eksperimental melalui pendekatan pretest-posttest control grup design. Jumlah sampel sebanyak 22 responden (11 responden kelompok kontrol dan 11 responden kelompok intervensi). Skala nyeri diukur menggunakan Visual Analog Scale (VAS). Uji statistik menggunakan uji independent t-test. Hasil penelitian ada pengaruh yang signifikan terapi murotal terhadap penurunan skala nyeri kepala pasien cedera kepala ringan (P value = <0,001; α<0,05). Saran: penelitian ini merekomendasikan terapi murotal dijadikan sebagai intervensi mandiri keperawatan untuk mengurangi skala nyeri pasien cedera kepala dan menjadi salah satu SOP dalam perawatan pasien cedera kepala khususnya yang beragama Islam.Kata kunci      : Terapi murotal, nyeri kepala, cedera kepala  AbstractHead injury is a trauma that befell the structure so that the head can cause abnormalities of the structural and functional disorders or brain tissue. Head injuries can leave scars or somatic symptoms such as headaches. This research aimed to analyze the effect of murotal therapy on head pain scale among the client with head injuries In Prof. Dr. Margono Soekarjo Hospital and District Banyumas Hospital. The design of the research was quasi-experimental through a pretest-posttest approach with control group. The number of samples was 22 respondents (11 respondents in control group and 11 respondents in intervention group). The pain scale was measured using the Visual Analog Scale (VAS). Statistical tests using independent t-test show a significant difference of head pain scale before and after murotal therapy among head injury patients (p= 0.001 ; α < 0.05). This research recommends murotal therapy as an independent nursing intervention to reduce head injury patients pain scale and become one of the SOP in the treatment of head injury among Muslim patients. Keywords: murotal therapy, head pain, head injury 

scholarly journals Preoperative lidocaine infusion for the pain management in laparotomy procedures: a randomized control trial

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Hamid Raza ◽  
Ahmed Uddin Soomro ◽  
Maqsood Ahmed Siddiqui ◽  
Kamlaish ◽  
Muhammad Sheraz Raza Naqvi
Keyword(s):  
Pain Management ◽  
Visual Analog Scale ◽  
Randomized Control Trial ◽  
Control Group ◽  
P Value ◽  
Study Group ◽  
Care Hospital ◽  
Analog Scale ◽  
Significant Difference ◽  
Randomized Control

Objectives: To evaluate the role of pre-operative lidocaine infusion for pain management in laparotomy procedures. Study Design: Prospective double blind randomized control trial. Period: 8 months duration from April 2017 to November 2017. Setting: Tertiary care hospital in Karachi, Pakistan. Method: N= 50 patients belonging to ASA Classification types I and II were selected to be part of this study. All the patients underwent major abdominal surgeries (laparotomy). The study group received lidocaine 2%, 1.5mg/kg IV bolus half an hour before induction, followed by an infusion of 1.5mg/kg/hour. The anesthesia was induced with fentanyl 3ug/kg, propofol 2mg/kg, followed by rocuronium 1mg/kg to intubate the patient. Maintenance was done with using 33% nitrous oxide in oxygen along with 0.8% of isoflurane. Fentanyl was administered as an infusion initiating prior to the procedure with a maximum dose of 1ug/kg/hour and ceasing the infusion half an hour prior to end of procedure. Visual analog scale was used to measure the pain intensity at an interval of twenty minutes during the first hour of the procedure, and at 2,4,8,12,24 and 48 hours after the end of the procedure. If the visual analog scale score was found to be more than 3, 1 to 3mg of Morphine was administered every ten minutes up to a dose of 0.1mg/kg intravenously. A proforma was used to collect data, data was analyzed using IBM SPSS version 21.0. Results: The study was conducted on n=50 patients, with a mean age of 38.35 years in the study group and 36.48 years in the control group. The intensity of pain was found to be significantly less in the case group as compared to the control group having a p value of <0.001 during the first 48 hours of the procedure. Decreased consumption of morphine was observed in patients in the study group, as compared to the control group with a statistically significant difference, having a p value of less than <0.05. In our study we did not observe any side effects related to toxicity levels of lidocaine or morphine. Conclusion: Our study confirms the results of previously done studies, and we found that in our patient population Perioperative lidocaine infusion decreased the post-operative pain experienced by the patient and decreased the need for consumption of analgesics. Thus we conclude that lidocaine infusion perioperatively is an effective pain management modality.

scholarly journals Does Rapid Maxillary Expansion Affect the Eruption of Upper Third Molars?

2008 ◽  
Vol 78 (2) ◽  
pp. 195-200
Author(s):  
Oral Sökücü ◽  
Fırat Öztürk ◽  
Hasan Babacan ◽  
Ali Altuğ Bıçakçı
Keyword(s):  
Third Molar ◽  
Normal Growth ◽  
Rapid Maxillary Expansion ◽  
Control Group ◽  
Study Group ◽  
Third Molars ◽  
Maxillary Expansion ◽  
Retention Period ◽  
Upper Third ◽  
Plaster Models

Abstract Objective: To test the hypothesis that there is no difference in the movement of the upper third molars between rapid maxillary expansion (RME) and non-RME patients. Materials and Methods: This study was performed on 30 patients divided into two groups. The study group included 20 patients who had maxillary narrowness and bilateral maxillary third molars and who had undergone RME application. The control group of 10 patients had a bilateral crossbite, had bilateral maxillary third molars, and did not receive orthodontic treatment. The records included lateral and frontal cephalometric films and maxillary plaster models. In the study group, records were taken before expansion (T1), after expansion (T2), and at the retention period (T3). T2 records were not taken in the control group because this period was too short to observe any changes. Friedman tests were used to observe within groups, and the Mann-Whitney U-test was used to see the differences between groups on films and casts. Results: Frontal films showed that vertical eruption occurred after the retention period in the RME cases. Cephalometric films revealed that the angular eruption occurred immediately after expansion. However, the results were not significant with respect to the control group. Conclusion: The hypothesis was rejected. Rapid maxillary expansion affects maxillary third molar movement during and after the RME procedure. RME may indicate upper third molar eruption, but the final position of third molar was not different compared to the normal growth pattern.

scholarly journals Spinal cord stimulation for chronic intractable trunk or limb pain: study protocol for a Chinese multicenter randomized withdrawal trial (CITRIP study)

2020 ◽  
Author(s):  
Yang Lu ◽  
Peng Mao ◽  
Guihuai Wang ◽  
Wei Tao ◽  
Donglin Xiong ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Visual Analog Scale ◽  
Spinal Cord Stimulation ◽  
Pulse Generator ◽  
Short Form ◽  
Control Group ◽  
Withdrawal Period ◽  
Analog Scale ◽  
Limb Pain ◽  
Vas Score

Abstract Background: Although effective results of many studies support the use of spinal cord stimulation in the chronic pain patients, no randomized controlled trial has been undertaken in China to date. CITRIP is a multicenter, prospective, randomized, withdrawal study designed to evaluate the clinical effectiveness and safety of spinal cord stimulation plus remote programming management in patients with intractable trunk or limb pain.Method：Participants will be recruited in approximately 10 centers across China. Eligible participants with intractable trunk or limb and an average Visual Analog Scale (VAS) score ≥ 5 will undergo spinal cord stimulation test. Participants with VAS score reduction ≥ 50% could move forward to receive implantation of an implanted pulse generator. In the withdrawal period at 3-months follow-up visit, participants randomized to the experimental group (EG) will undergo continuous stimulation while ceasing the stimulation in the control group (CG). The outcome assessment will occur at baseline and at 1, 3 (pre and post randomization) and 6 months. The primary outcome is the difference of maximal visual analog scale (VAS) score between EG and CG in the withdrawal period compared with baseline before the withdrawal period. Additional outcomes include VAS score change at 1, 3 and 6-month follow-ups, responder rate (VAS score improving by 50%), achievement rate of a desirable pain state (VAS score ≤ 4), awake times during sleep, Beck Depression Inventory for depression evaluation, short-form 36 for quality of life evaluation, drug usage, satisfaction rating of the device. Adverse events will be collected. The primary analysis will follow the intention-to-treat principle. Discussion：The CITRIP study seeks to evaluate the effectiveness and safety of a randomized withdrawal trial of spinal cord stimulation for patients with intractable trunk or limb pain.Trial registration: NCT03858790, clinicaltrials.gov, registered on March 1st, 2019, retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03858790

scholarly journals PENGARUH INTRADYALITIC EXERCISE TERHADAP PENURUNAN NYERI PASIEN HEMODIALISA RUTIN DI UNIT HEMODIALISA RSUD Dr. TJITROWARDOJO PURWOREJO

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Wiwit Sugiarti ◽  
Sri Nabawiyati Nurul Makiyah ◽  
Azizah Khoiriyati
Keyword(s):  
Visual Analog Scale ◽  
Control Group ◽  
P Value ◽  
Analog Scale ◽  
Intradialytic Exercise

Latar belakang; Nyeri muskuloskeletal merupakan gejala yang dialami pasien gagal ginjal kronik yang menjalani hemodialisa.Manajemen nyeri dapat menggunakan distraksi relaksasi konvensional dan intradialytic exercise. Penelitian ini bertujuan untuk mengetahui efektivitas Intradialytic exercise dalam menurunkan nyeri pada pasien hemodialisa rutin di Unit Hemodialisa Rumah Sakit Umum Daerah Dr. Tjitrowardojo Purworejo.Metode; Rancangan penelitian yang digunakan eksperimen semu dengan desain pretest-posttest with control group. Respondennya 36 orang, terdiri dari 18 pasien yang diberi Intradialytic exercise sebagai kelompok intervensi dan 18 pasien lainnya hanya diberikan distraksi-relaksasi konvensional sebagai kelompok kontrol.  Pengukuran nyeri menggunakan Visual Analog Scale. Analisis datanya menggunakanPaired t Testdan  Independent Sample t Test.Hasil;  Hasil penelitian didapatkan perbedaan penurunan yang signifikan terhadap skor nyeri pre dan postes pada kelompok baik intervensi dan kelompok kontrol dengan p value 0,000 (p< 0,005 dan metode Intradialytic exercise lebih efektif dalam menurunkan skor nyeri dibandingkan metode distraksi-relaksasi konvensional pada pasien HD rutin  dengan p value 0,000 (p< 0,005). Kata kunci: Intradialytic Exercise, Nyeri

Effect of Preoperative Single Dose Dexamethasone Injection in Masseter Muscle on Postoperative Sequelae Following Lower Impacted Third Molar Surgery

2021 ◽  
Author(s):  
Mehrzad Moghadasi ◽  
Arash Golestaneh ◽  
Arash Ghodosi ◽  
Shayan Golestani
Keyword(s):  
Masseter Muscle ◽  
Third Molar ◽  
Control Group ◽  
P Value ◽  
Surgical Removal ◽  
Third Molars ◽  
Bony Tissue ◽  
Oral Aperture ◽  
Significant Difference ◽  
Facial Swelling

Introduction: The surgical removal of impacted lower third molars involves trauma to soft and bony tissue and can result in pain, swelling and trismus. The purpose of this study was to evaluate the efficacy of dexamethasone, as a single 4 mg dose injected into the masseter muscle prior to extraction of impacted lower third molars on theses postoperative sequelae.   Materials & Methods: This prospective, randomized clinical research consisted of 43 healthy patients. The study group received 4 mg dexamethasone into the masseter muscle via intrabuccal approach immediately before starting the procedure while the control group received no corticoid. 7 days after surgery. Data were analyzed using t-test (α = 0.05).   Results: The patients administered dexamethasone showed superior results after surgery in terms of oral aperture, pain and all the facial swelling parameters, with statistically significant differences versus the controls (p value<0.001). Also there was statistically significant difference in terms of patients trismus between case and controlgroups (p value<0.001).   Conclusion: The results obtained showed that 4 mg of dexamethasone injected into the masseter muscle in the immediately before starting the procedure significantly reduces swelling, trism us and pain.  

scholarly journals The role of oral mifepristone in pre-induction cervical ripening at term

2019 ◽  
Vol 8 (11) ◽  
pp. 4337
Author(s):  
Uma H. Chourasia ◽  
Mudita Kamlesh Jain ◽  
Juzar I. Fidvi
Keyword(s):  
Placebo Group ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Bishop Score ◽  
The Difference ◽  
Pg E2 ◽  
To Receive

Background: Planned induction of labor is an established part of modern obstetrics and is used as a definite form of treatment where continuation of pregnancy would be detrimental to the health of mother or fetus. The objective of this study was to evaluate the effect of mifepristone in pre-induction cervical ripening and labor induction.Methods: A total of 200 pregnant women at term with Bishop Score 4 or less were selected for this prospective randomized placebo-controlled study. The sample was equally divided into study group to receive 200 mg of mifepristone and control group to receive placebo orally for 2 days. Bishop score was assessed at every 24 hours interval till patient entered in spontaneous labor or 72 hours after 1st dose. Women who did not enter labor spontaneously, labor induction was planned with per vaginal insertion of prostaglandin (PG) E2 analogue, Dinoprostone gel 2.5 mg or PGE1 analogue Tab. Misoprostol 25 µg.Results: Ninety-six subjects in the study group and eighty-one in the control achieved successful ripening of cervix and the difference was statistically significant. Sixty-eight of study group and thirty-nine of placebo group entered in spontaneous active labor within 72 hours. Requirement of oxytocin as adjuvant treatment was significantly lower in the study group. Nineteen women of study group and fifteen of control group delivered within 24 hours, and eighty-one of study group and sixty-two of placebo delivered in 48 hours. The mean induction delivery interval was 35.53±13.67 hours in the study group, whereas it was significantly prolonged in the placebo group 50.49±20.92 hours. Eighty-two subjects of study group and seventy-eight of the control group delivered vaginally, the differences were statistically not significant.Conclusions: Mifepristone was found to be an effective agent for cervical priming prior to labor induction in women at term and significantly reduces the induction delivery interval compared with placebo.

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