RESUMO
Patients today expect and demand painless dentistry. Problems arise when a patient presents with a dental emergency, and the dentist is not able to meet the expectations and demands for painless dentistry because the "conventional" anesthetic blocks and infiltrations simply are not effective. This paper will examine some of the reasons for ineffective anesthesia and will explain several supplemental anesthetic injection techniques to better serve his/her patients' needs.
Assuntos
Anestesia Dentária/métodos , Emergências , Humanos , Tratamento do Canal RadicularRESUMO
A controlled study was conducted to determine the influence on disinfection of cleaning endodontic files with either dry gauze or alcohol-saturated gauze prior to placement of the files into a hot bead sterilizer. File size and length of time in the hot bead sterilizer were also investigated. Findings indicated that an alcohol wipe was more effective than a dry wipe except in the largest file tested. Using an alcohol wipe and 3 seconds in a hot bead sterilizer for No. 10 files or 5 seconds for either a No. 30 or a No. 45 file was equivalent in disinfecting ability to 8 seconds and a dry wipe using the same file sizes.
Assuntos
Instrumentos Odontológicos , Tratamento do Canal Radicular/instrumentação , Esterilização/métodos , Desinfecção/métodos , Estudos de Avaliação como Assunto , Fatores de TempoAssuntos
Assistência Odontológica , Odontólogos/psicologia , Adaptação Psicológica , Competência Clínica , Emoções , Humanos , RiscoAssuntos
Odontólogos/psicologia , Satisfação no Emprego , Adulto , Humanos , Renda , Qualidade de VidaRESUMO
A review of prognosis studies has examined success rates between samples of teeth, both with and without radiolucent lesions, treated conventionally. The presence of a lesion predisposes the endodontic case to a lower success rate. On the basis of experimental data on the use of calcium hydroxide, investigation of increasing success with placement of calcium hydroxide in the canals of teeth with periapical lesions for 3 to 10 months prior to conventional filling is proposed.
Assuntos
Processo Alveolar/patologia , Reabsorção Óssea/fisiopatologia , Doenças Periapicais/fisiopatologia , Tratamento do Canal Radicular/métodos , Animais , Hidróxido de Cálcio , Cães , Humanos , Prognóstico , Materiais Restauradores do Canal Radicular , Reabsorção da Raiz/fisiopatologiaRESUMO
In summary, we must be aware of the limitations of our instruments for determining success. A diagnosis is achieved by developing a composite picture through a keen gathering of all factors leading to the disease. Pain must surely be considered in patient management and patient-dentist rapport, but to allow our judgment to be swayed by pain alone is no more rational than to hinge our diagnosis upon a single other test. It is of paramount importance that we realize that, pulpally, periodontally, and periapically, there is no correlation between amount of destruction and reported presence or absence of pain. Pain is a poor parameter of evaluation.
