Frequency of post obturation pain by using ibuprofen and ibuprofen/dexamethasone infiltration in single visit root canal treatment cases

Background: Pain after root canal treatment is a challenging problem for the operative dentists over the last few years. The development of pain is dependent on the intensity of tissue damage. Inflammation is characterized by a series of vascular events in response to tissue injury. The release of mediators is responsible for much of the pain. The rationale of this study is to use NSAIDs alone or in combination with dexamethasone to reduce post treatment swelling and pain following endodontic therapy. The objective of the study was to compare the frequency of post obturation pain by using ibuprofen or ibuprofen/ dexamethasone infiltration in single visit endodontic cases.Methods: This study was carried out in the Operative Dentistry, Department (AFID), Rawalpindi, Pakistan from December 2015 to May 2016 after approval from the Institutional Ethical Review Board. After an informed consent, 128 patients fulfilling inclusion criteria were divided in to two equal groups. In Group A, after root canal treatment, an additional single shot local infiltration of 0.5 mg dexamethasone was given in periapical area. Both the patient groups were prescribed ibuprofen 400 mg three times a day. Patient’s pain response was recorded after 24 hours of treatment, using visual analogue scale. Data was analyzed using SPSS version 17.Results: After 24 hours, 6 (9.4%) patients showed the pain in group A while 16 (25.0%) patients complained of pain in group B.Conclusions: The results of this study showed, group A showed less postoperative pain as compared to group B where only ibuprofen was given.

Local dexamethasone infiltration after dental implant placement - a comparative study

Objective of this study was to evaluate the efficacy of the co-administered dexamethasone and diclofinac potassium in controlling pain and swelling after dental implant surgery. The study was done in the PN Dental Centre [PNDC], PNS Shifa hospital Karachi from Aug 2009 to Dec 2010. It was a cross sectional comparative study. One hundred patients were selected in this study and divided into two equal groups, A and B of 50 patients each. In group A only Diclofinac potassium was given and in group B patients intraoral infusion of Dexamethasone was given along with Diclofinac potassium. In Group B patients reported good control over pain and swelling in first 24hours as compared to the group A

Frequency of dens evaginatus of permanent anterior teeth

To calculate the frequency of dens evaginatus in permanent teeth. Design: A descriptive study. Place and Duration of Study: The study was conducted at Armed Forces Institute of Dentistry [AFID], Rawalpindi from April 2002 to April 2003. Subjects and A clinical and radiographic analysis of 5400 permanent anterior teeth was conducted to determine the occurrence of this developmental malformation. Dens evaginatus was found in about 2.4% of the permanent anterior dentition and was more frequent in the maxilla, particularly in the lateral incisor. This anomaly was less frequent in the mandible. This study shows that dens evaginatus of anterior teeth is more common in the permanent dentition particularly, the maxillary incisors. Furthermore, the frequency of dens evaginatus is high in males than females

Comparison of vertical with lateral condensation technique in obturation of root canal system

To compare vertical condensation with laterally condensed gutta-percha technique in obturation of root canal system. Design: A comparative study. Place and Duration of Study: The Armed Forces Institute of Dentistry [Operative Deptt], Rawalpindi. Subjects and Fifty six human permanent extracted teeth were collected from central incisor to second molar from the both arches and in vitro root canal procedure was carried out. Warm vertical technique resulted in a uniform smooth surface and least observable space between gutta percha and canal wall, especially in middle and apical region. Root canal obturation by warm vertical condensation is better than cold lateral condensation

Autotransplantation of endodontically treated third molars

To determine the success rate in autotransplantation of endodontically treated third molars. Design: A descriptive study. Place and Duration of Study: This study was carried out at Armed Forces Institute of Dentistry [AFID], Rawalpindi [Pakistan] from January 2002 to December 2002. Patients and A total of 50 patients meeting the inclusion criteria were selected who had their first or second molars in unrestorable condition with intact third molars. The donor teeth were extracted after the preparation of recipient site. After endodontically treated in vitro the donor teeth were carried to the recipient site and immobilized. Postoperative variables were recorded and analyzed on SPSS version 10. The overall success rate after six months of the transplantation of third molars was 88% with complete root formation after endodontic treatment. All the patients[12%] who had complaints were more than 35 years of age. Third molars are good substitute for the unrestorable first or second molars and would be as effective as endosseous implants. The procedure is likely to have complications in the advanced age group