RESUMEN
Aim: During the coronavirus disease, a palliative approach was recommended for the management of endodontic emergencies. This retrospective cohort study was conducted to investigate the effectiveness of dexamethasone or ibuprofen-acetaminophen combination for pain management in endodontic emergencies. Material(s) and Method(s): One hundred and eight records of patients who presented to the emergency department with dental pain were evaluated retrospectively. Since interventional procedures were not performed during the pandemic period, Specific analgesics/antibiotics for the management of pain were preferred. A follow-up protocol with a questionnaire was developed to observe the effectiveness of palliative treatment and make changes if necessary. All participants received a questionnaire to rate the pain levels 6, 12, 18, 24, 48, and 72 hours after taking the drug. All data were collected from the patient file and assessed. After inclusion and exclusion criteria, 32 patients were included (n = 19, ibuprofen + acetaminophen;n = 13, dexamethasone). Data were analyzed using the chi-square test (P = 0.05). Result(s): In both groups, a significant decrease in pain was experienced immediately after medication and at 6, 12, and 18 hours, with no significant difference (P >.05). However, dexamethasone (Group II) resulted in lower pain levels than ibuprofen\acetaminophen (Group I) at 24 and 48 hours (P <.05) Discussion: Both dexamethasone and ibuprofen-acetaminophen can be good palliative choices in endodontic emergencies in pandemic conditions. However, at 24 and 48 hours, dexamethasone resulted in lower pain levels.Copyright © 2022, Derman Medical Publishing. All rights reserved.
RESUMEN
Objectives: This study aimed to examine the prevention measures applied by dentistry students in clinical conditions according to various variables and their perceived stress levels during the COVID-19 epidemic. Methods: The study was performed on 4th and 5th -grade students studying at RTEU Faculty of Dentistry. In the research, the whole count method was used, and data were collected from 168 students through an online questionnaire. The questionnaire consisted of demographic information, questions about prevention measures taken in clinical practice, and perceived stress scale questions. Normality test (Shapiro-Wilk) was applied to the data and T-Test and Chi-Square Analysis were used for statistical analysis. Significance was determined as p<0.05. Results: The perceived stress levels of female students were found to be significantly higher than that of male students, and the perceived stress levels of 5th-grade students were significantly higher than that of 4th-grade students. The perceived stress levels of the students who used rubber dams were found to be significantly lower than the students who did not use rubber dams and the students who paid attention to social distance in the clinic compared to those who did not pay attention to social distance. Moreover, the perceived stress levels of students who knew which institution to contact with a suspected COVID-19 patient were found to be significantly lower than those who did not know. Conclusion: It was determined that taking preventive measures in clinical practices was effective on students' perceived stress levels. Besides, it was observed that the perceived stress level of the students differed according to gender and grade level. © 2022. All Rights Reserved.
RESUMEN
Aim: During the coronavirus disease, a palliative approach was recommended for the management of endodontic emergencies. This retrospective cohort study was conducted to investigate the effectiveness of dexamethasone or ibuprofen-acetaminophen combination for pain management in endodontic emergencies. Material and Methods: One hundred and eight records of patients who presented to the emergency department with dental pain were evaluated retrospectively. Since interventional procedures were not performed during the pandemic period, Specific analgesics/antibiotics for the management of pain were preferred. A follow-up protocol with a questionnaire was developed to observe the effectiveness of palliative treatment and make changes if necessary. All participants received a questionnaire to rate the pain levels 6, 12, 18, 24, 48, and 72 hours after taking the drug. All data were collected from the patient file and assessed. After inclusion and exclusion criteria, 32 patients were included (n = 19, ibuprofen + acetaminophen;n = 13, dexamethasone). Data were analyzed using the chi-square test (P = 0.05). Results: In both groups, a significant decrease in pain was experienced immediately after medication and at 6, 12, and 18 hours, with no significant difference (P > .05). However, dexamethasone (Group II) resulted in lower pain levels than ibuprofen\acetaminophen (Group I) at 24 and 48 hours (P < .05) Discussion: Both dexamethasone and ibuprofen-acetaminophen can be good palliative choices in endodontic emergencies in pandemic conditions. However, at 24 and 48 hours, dexamethasone resulted in lower pain levels.