ABSTRACT
Introduction: This study sought to evaluate the success rate of inferior alveolar nerve block (IANB) during the endodontic management of mandibular molars with symptomatic irreversible pulpitis in women taking selective serotonin reuptake inhibitor (SSRI) antidepressants. Materials and Methods: Ninety adult female patients over 18 years of age who were diagnosed with symptomatic irreversible pulpitis of a mandibular molar were recruited in this study. The patients were equally assigned to SSRI user group (including citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline), who had taken an SSRI, and non-SSRI user group, who had not taken any SSRIs at all. All patients in both groups received 3.6 mL of 2% lidocaine with 1:80,000 epinephrine using conventional IANB injection. Access cavity was prepared 15 min after the injection. Lip numbness was necessary for all patients. Success was determined as no or mild pain upon access cavity preparation and/or instrumentation based on the Heft-Parker visual analog scale recordings. Data were analyzed using the chi-square test Mann-Whitney U test, and t-test. Results: The success rate was 55.6% for SSRI users and 44.4% for non-SSRI users, and no statistically significant difference was observed between the two groups (x 2=1.1, P=0.292). Conclusions: Based on the results of this study, taking SSRI antidepressants could not affect the anesthetic success rate of IANB for mandibular molars with symptomatic irreversible pulpitis in women.
ABSTRACT
BACKGROUND: Instrument fracture is one of major challenges during root canal treatment. In order to reduce such errors, it seems necessary to investigate the effects of potentially impactful factors. One of such factors could be the temperature of an agitator. OBJECTIVES: This study examined the effects of different temperature of the sodium hypochlorite solution on the cyclic fatigue resistance of ProTaper Gold (PTG) rotary files. MATERIAL AND METHODS: Forty-five PTG S1 rotary files were tested in a metal block that simulated a canal curvature angle of 60° and a curvature radius of 5 mm. They were randomly divided into 3 groups of 15 according to sodium hypochlorite temperatures of 22°C (group 1), 4°C (group 2) and 37°C (group 3). Files from each group were rotated at 300 rpm in the block at each temperature. The number of cycles to fracture was calculated and the fragment length was measured. The fractured surfaces were examined by means of scanning electron microscopy (SEM). The statistical analysis was completed using the Kolmogorov-Smirnov and Kruskal-Wallis tests, and the IBM SPSS Statistics for Windows software, v. 22.0, at a significance level of 5%. RESULTS: The cyclic fatigue resistance of the PTG rotary files was not significantly affected by the temperature of sodium hypochlorite (p > 0.05). CONCLUSIONS: Increasing the temperature of sodium hypochlorite to 37°C or decreasing it to 4°C did not significantly affect the cyclic fatigue resistance of PTG rotary files.
Subject(s)
Root Canal Preparation , Sodium Hypochlorite , Equipment Failure , Gold , Humans , Nickel , Temperature , TitaniumABSTRACT
INTRODUCTION: The purpose of this prospective, randomized clinical trial was to evaluate the anesthetic efficacy of the Gow-Gates nerve block (GGNB), the inferior alveolar nerve block (IANB), and their combination for mandibular molars in patients with symptomatic irreversible pulpitis. METHODS: One hundred fifty patients diagnosed with symptomatic irreversible pulpitis of a mandibular molar were selected. The patients randomly received 2 GGNB injections, 2 IANB injections, or 1 GGNB injection plus 1 IANB injection of 1.8 mL 2% lidocaine with 1:80,000 epinephrine. Access cavity preparation was initiated 15 minutes after injections. Lip numbness was a requisite for all of the patients. Success was specified as no or mild pain on the basis of Heft-Parker visual analog scale recordings during access cavity preparation or initial instrumentation. Data were analyzed with the chi-square, Kruskal-Wallis, and analysis of variance tests. RESULTS: The success rates of anesthesia were 40%, 44%, and 70% for the GGNB, IANB, and GGNB + IANB groups, respectively. There was no statistically significant difference in the success rate of anesthesia between the GGNB and IANB groups (P > .05). The anesthesia success rate for the GGNB + IANB group was significantly different from those of the GGNB and IANB groups (P < .05). CONCLUSIONS: A combination of GGNB and IANB could improve the efficacy of anesthesia in mandibular molars with symptomatic irreversible pulpitis, but it would still require supplemental anesthesia. Further research may be needed to confirm the results of this study.
