ABSTRACT
The purpose of this retrospective study was to investigate traumatic dental injuries to permanent incisors and the treatment provided to a group of children attending Prince Ali hospital. Sixty-one pediatric patients [48 males and 13 females, age range 7-14 years] were seen in the pediatric dental clinic at Prince Ali Hospital during a period of one year [2003-2004]. Data regarding dental trauma was collected from their records and analyzed. Causes of dental injuries were numerous. Falls were the most common cause of injury [77%], collision accounted for 11% of the injuries, sports for 8%, road traffic accidents for 2% and other causes in 2%. Most of traumas occurred at home [66%] followed by school [15%]. The most commonly involved teeth were maxillary permanent incisors which accounted for 89% of the injuries. The most common type of injury was uncomplicated crown fracture [70%]. The main reason for delayed presentation was unawareness of parents [50%]. Pain was the main cause of attendance to dental clinic and the main modality of treatment for delayed cases was pulp therapy. Most of the injuries were in males; in the age group 9-10 years with uncomplicated crown fracture as the main type of injury. Most cases were seen late, after three days of trauma, with pulp therapy as the main type of treatment. This finding raises the importance of awareness of the public, including school teachers, of the crucial of immediate treatment for traumatized teeth, which can help in the prognosis of treatment provided
ABSTRACT
The aim of this study was to evaluate the analgesic efficacy of preoperative versus postoperative administration of diclofenac sodium in the prevention of the postoperative pain following a lower third molar surgery. A prospective randomized clinical trial was conducted on 73 patients who underwent surgical extraction of bilateral fully impacted lower third molars. Patients were randomised into two groups: group I were started on diclofenac sodium postoperatively, and group II were started on diclofenac sodium preoperatively, both groups were then prescribed a diclofenac sodium regimen for three days postoperatively and were advised to resort to an additional analgesic [paracetamol/codeine tablets] as a rescue medication when adequate relief from pain was not achieved. The analgesic efficacy of both regimens was tested. Results showed a significant difference between the two groups in terms of the analgesic efficacy in the first postoperative day. Significantly less pain and less need for additional analgesia was recorded in group II [<0.05]. Preoperative treatment with diclofenac sodium provides effective relief from acute mild to moderate pain following third molar surgery compared to its postoperative administration