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1.
J Acupunct Meridian Stud ; 12(6): 182-191, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31404683

RESUMO

The aim of this study was to assess whether the effectiveness of acupuncture is similar to the use of analgesics in the management of toothache. The research included 56 volunteers who were divided into 4 groups: Real Acupuncture group, Placebo Acupuncture group, Real Dipyrone group, and Placebo Dipyrone group. The interventions of the study were performed before the dental care. Inclusion criteria were toothache of pulpal origin with pain scale (Visual Analogue Scale) above 4, absence of medication for the pain, and aged over 18 years. The Real Acupuncture volunteers received a session of acupuncture using piercing needles, while volunteers from the Placebo Acupuncture group received an acupuncture session using non-piercing sham needles. Volunteers from the Real Dipyrone group received a dipyrone tablet and the Placebo Acupuncture group received a tablet with no active ingredient. Before any therapeutic intervention, we collected samples from the volunteers' saliva to analyze the salivary cortisol, the volunteers rated the intensity of their pain using VAS, and we measured their energy level by the Ryodoraku method. After 20 minutes of treatment, all the volunteers' analysis parameters were collected again. The Real Acupuncture group presented a greater reduction of VAS than the reduction obtained by the Real Dipyrone group (p<0.05). There was no statistically significant difference between the groups for the salivary cortisol and energy level variables. It can be concluded that acupuncture was more effective in reducing odontalgia than the dipyrone and that it can be an alternative for odontalgia management.


Assuntos
Analgesia por Acupuntura , Analgésicos/administração & dosagem , Dipirona/administração & dosagem , Manejo da Dor , Odontalgia/terapia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Agulhas , Escala Visual Analógica , Adulto Jovem
2.
Singapore Med J ; 60(5): 224-228, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31187144

RESUMO

Tooth pain is a common presentation in primary care, with 32.4% of Singaporeans experiencing pain from dental caries in their lifetime. Some systemic conditions can have oral presentations, and oral conditions may be associated with chronic disease. A good history and examination is key in delineating odontogenic from non-odontogenic causes of tooth pain. Primary care physicians should accurately diagnose and assess common dental conditions and make appropriate referrals to the dentist. Common non-odontogenic causes of orofacial pain can be mostly managed in primary care, but important diagnoses such as acute coronary syndrome, peritonsillar abscess and temporal arteritis must not be missed. Ibuprofen has been shown to be effacious, safe and cost-effective in managing odontogenic pain. Antibiotics are indicated when there is systemic or local spread of dental infection. Without evidence of spread, antibiotics have not been shown to reduce pain or prevent subsequent dental infections.


Assuntos
Dor Facial/terapia , Comunicação Interdisciplinar , Colaboração Intersetorial , Equipe de Assistência ao Paciente , Doenças Dentárias/terapia , Odontalgia/terapia , Analgésicos/uso terapêutico , Antibacterianos/uso terapêutico , Diagnóstico Diferencial , Dor Facial/etiologia , Medicina Geral , Humanos , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta , Singapura , Doenças Dentárias/diagnóstico , Doenças Dentárias/etiologia , Odontalgia/etiologia
4.
Pan Afr Med J ; 34: 198, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-32180872

RESUMO

Introduction: Self-diagnosis and pain management is a worldwide practice. The current study aims to determine the percentage of dental students and interns who self-diagnose and manage their dental pain and further establish the proportion of students who depend on various resources for diagnosing and treating their condition. Methods: A cross-sectional, self-administered questionnaire-based study was conducted among the dental students in and around Riyadh. The questionnaire consisted of three parts including: part 1-demographic data; part 2-pain and self-diagnosis; part 3-visiting the dentist and managing the pain. The data were analyzed using the Statistical Package for Social Sciences (SPSS version 22.0). Results: Fifty four percent of the participants were involved in self-diagnosis and managed the pain by themselves. Seventy three percent of the respondents experienced teeth/gum discomfort or any symptoms of an oral health problem, of which 57% searched the symptoms they faced on the internet to arrive at a diagnosis. Besides, 35% of the interns considered internet to be a helpful tool for diagnosing their pain. 16% admitted that they have never visited a dentist. Conclusion: We found that a significant proportion of the participants self-diagnosed by using their background or resorting to the internet, at times consulting a dentist to confirm their diagnosis. The students from the health sciences background should refrain from this practice. Efforts should be made to make the population mindful of the potential risks linked to self-medication and diagnosis. Further research should be done with a larger sample size by including the students and interns from different institutions.


Assuntos
Autoavaliação Diagnóstica , Dor Facial/diagnóstico , Estudantes de Odontologia/estatística & dados numéricos , Odontalgia/diagnóstico , Estudos Transversais , Dor Facial/terapia , Feminino , Humanos , Masculino , Arábia Saudita , Inquéritos e Questionários , Odontalgia/terapia
5.
J Oral Rehabil ; 46(2): 200-207, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30326154

RESUMO

Ancillary factors, not directly related to treatment, often play a significant role by affecting therapeutic outcome. A search of the literature was conducted including words related to the placebo phenomenon and orofacial diseases. Therefore, critical factors have been grouped into three major categories: (a) the natural course of the diseases; (b) the regression of the symptoms to their mean intensity; and (c) placebo response. This topical narrative review describes the elements mentioned above, provides an up-to-date overview of the hot topics and gaps in the field and indicates developing and future research direction of the orofacial pain field. Such a knowledge might be positively used during daily clinical practice to optimise the management of orofacial pain diseases, as well as in conducting future clinical trials for validating new interventions.


Assuntos
Analgesia/métodos , Dor Facial/terapia , Transtornos da Articulação Temporomandibular/terapia , Odontalgia/terapia , Dor Facial/etiologia , Dor Facial/fisiopatologia , Humanos , Medição da Dor , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/fisiopatologia , Odontalgia/complicações , Odontalgia/fisiopatologia , Escala Visual Analógica
6.
J. oral res. (Impresa) ; 7(8): 363-371, nov. 30, 2018. ilus, tab
Artigo em Inglês | LILACS | ID: biblio-1121076

RESUMO

Objective: to describe and classify the main cultural practices used to relieve orodental pain in people who seek emergency dental care in vulnerable urban and rural areas of central Chile. methodology: a sample of 88 adults residing in urban and rural sectors, who received treatment at primary care emergency dental services in three districts of the central area of Chile was studied using a qualitative descriptive approach of sociocultural epidemiological orientation based on grounded theory. interviews were conducted in the waiting room of the emergency service or at the patient's home. empirical saturation and triangulation of temporal data were protected. results: practices of biomedical origin (self-medication and care received at dental emergency services) and socio-cultural practices were documented. they include the use of chemical products (iodine, phosphorus, battery acid, hydrogen peroxide, gasoline, and alcoholic drinks, among others), herbal infusions (buddleja globosa, aloe vera), mechanical-physical techniques (use of cold or heat, massage); subjects also perform the mechanical manipulation of the area with sharp objects, occasionally extracting the tooth itself. practices occur more frequently at home when the person feels the pain in the affected area, and end on the dental chair with the tooth extraction. conclusions: the coexistence of biomedical practices and alternative cultural strategies was observed. these practices complement each other and make people postpone seeking professional dental care, which may worsen their health condition.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Odontalgia/tratamento farmacológico , Manejo da Dor/métodos , Odontalgia/terapia , Chile , Epidemiologia Descritiva , Inquéritos e Questionários , Políticas Públicas de Saúde
7.
J Hist Dent ; 66(6): 14-24, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30184384

RESUMO

During the late nineteenth and early twentieth centuries, toothache must have been a common complaint in Ireland, to judge from the number of toothache 'cures' reported as part of The Schools' Collection (SC) or 'Bailiúchán na Scol', a folklore-collecting scheme that was undertaken in the Irish Republic in 1937 and 1938, and upon which this article is based. These cures range from quasi-medical treatments, such as packing the affected tooth with tobacco, to more folkloric, or magico-religious cures, such as licking a frog or pulling out a tooth from a corpse, as well as herbal and mineral remedies.


Assuntos
Folclore , Odontalgia , História do Século XIX , História do Século XX , Humanos , Irlanda , Odontalgia/história , Odontalgia/terapia
8.
Quintessence Int ; 49(10): 849-854, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30264060

RESUMO

BACKGROUND: Numerous publications have reported on migraines misdiagnosed as endodontic pathologies. However, reports on the effect that concurrent migraine and endodontic pathology can have on each other and how their respective treatments can also affect each other are limited. CLINICAL PRESENTATION: Two cases are reported that presented with both migraine and periapical pathology. Patient 1 underwent root canal treatment, which partially alleviated both the migraine and odontalgia. Subsequent treatment with sumatriptan provided additional relief. Patient 2 underwent sumatriptan treatment, with no effect. Subsequent root canal treatment provided significant relief. Patients in both cases have shown continued improvement. CONCLUSION: Further research is necessary, but the two cases presented suggest that endodontic pathology and migraine symptoms may be associated and endodontic therapy may have an effect on migraine pain.


Assuntos
Transtornos de Enxaqueca/terapia , Tratamento do Canal Radicular , Sumatriptana/uso terapêutico , Odontalgia/terapia , Vasoconstritores/uso terapêutico , Adulto , Terapia Combinada , Feminino , Humanos , Pessoa de Meia-Idade
9.
Eur Arch Paediatr Dent ; 19(4): 245-253, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29949083

RESUMO

AIM: This was primarily to perform a retrospective analysis of 1000 emergency dental visits in order to characterize the nature of the dental emergency and the treatment provided and secondly to define a guideline for dental emergency treatment in children including pain management. MATERIALS AND METHODS: A retrospective review was conducted of 1000 patients (aged 0-16 years) who visited the dental emergency service of the paediatric dental clinic at the Ghent University Hospital, Belgium over a period of 3 years. Data regarding age, gender, reason for visit, year of visit, consequent appointments and treatment provided were collected. Statistical analysis was carried out using descriptive statistics (frequency distribution) and Chi-square test, with significance level set as P < 0.05. RESULTS: The number of patients visiting with a dental emergency increased annually. Approximately half (50.2%) of all paediatric dental emergency consultations were based on pain due to caries and its consequences. More than a quartile (26.7%) of emergency patients suffered from dental trauma of either primar or permanent teeth. The majority (96.7%) of the patients reported pain, 16.3% of the patients did not necessarily need immediate attention. CONCLUSION: Dental emergencies in a university hospital based setting were predominantly related to caries and trauma. A precise definition of dental emergencies is recommended in order to prevent abuse of paediatric emergency services.


Assuntos
Cárie Dentária/epidemiologia , Emergências/epidemiologia , Manejo da Dor , Traumatismos Dentários/epidemiologia , Adolescente , Distribuição por Idade , Bélgica , Criança , Pré-Escolar , Assistência Odontológica para Crianças , Cárie Dentária/complicações , Cárie Dentária/terapia , Unidade Hospitalar de Odontologia , Tratamento de Emergência , Feminino , Hospitais Universitários , Humanos , Lactente , Masculino , Manejo da Dor/estatística & dados numéricos , Guias de Prática Clínica como Assunto , Estudos Retrospectivos , Traumatismos Dentários/terapia , Odontalgia/epidemiologia , Odontalgia/etiologia , Odontalgia/terapia
10.
Diving Hyperb Med ; 48(2): 79-83, 2018 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-29888379

RESUMO

Rhinologic and oral maxillofacial complications from scuba diving are common, representing approximately 35% of head and neck pathology related to diving. We performed a systematic and comprehensive literature review on the pathophysiology, diagnosis, and treatment of rhinologic and oral maxillofacial pathology related to diving. This included complications due to sinus barotrauma, barodontalgia, odontocrexis, temporomandibular joint dysfunction, partially dentulous patients, and considerations for patients following major head and neck surgery. Of 113 papers accessed, 32 were included in the final synthesis. We created a succinct summary on each topic that should inform clinical decision making by otolaryngologists, dive medicine specialists and primary care providers when faced with pathology of these anatomic sub-sites.


Assuntos
Barotrauma , Mergulho , Otopatias/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Mergulho/efeitos adversos , Mergulho/lesões , Otopatias/terapia , Humanos , Doenças dos Seios Paranasais/terapia , Odontalgia/diagnóstico , Odontalgia/terapia
11.
A A Pract ; 11(3): 73-75, 2018 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-29634557

RESUMO

A 37-year-old gravida 5 para 4 with gestational hypertension underwent uneventful repeat cesarean delivery and tubal ligation under combined spinal-epidural anesthesia. On postoperative day 3, she developed a postural headache, unrelieved by caffeine, ibuprofen, and hydration. On postoperative day 8, she returned to the hospital for treatment. An epidural blood patch was administered, providing immediate and complete relief of her headache and bilateral upper and lower dental pain, which she noted arising concomitantly with her headache. We suspect bilateral traction on cranial nerve V2 and V3, secondary to intracranial hypotension after dural puncture, as the cause of her pain.


Assuntos
Placa de Sangue Epidural , Cefaleia Pós-Punção Dural/terapia , Odontalgia/terapia , Adulto , Anestesia Epidural/efeitos adversos , Feminino , Humanos , Hipotensão Intracraniana/complicações , Gravidez , Odontalgia/etiologia
12.
Pediatr Dent ; 39(6): 99-101, 2017 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-29179334
13.
Trials ; 18(1): 141, 2017 03 28.
Artigo em Inglês | MEDLINE | ID: mdl-28351379

RESUMO

BACKGROUND: Irreversible pulpitis is a highly painful inflammatory condition of the dental pulp which represents a common dental emergency. Recommended care is partial endodontic treatment. The dental literature reports major difficulties in achieving adequate analgesia to perform this emergency treatment, especially in the case of mandibular molars. In current practice, short-course, orally administered corticotherapy is used for the management of oral pain of inflammatory origin. The efficacy of intraosseous local steroid injections for irreversible pulpitis in mandibular molars has already been demonstrated but resulted in local comorbidities. Oral administration of short-course prednisolone is simple and safe but its efficacy to manage pain caused by irreversible pulpitis has not yet been demonstrated. This trial aims to evaluate the noninferiority of short-course, orally administered corticotherapy versus partial endodontic treatment for the emergency care of irreversible pulpitis in mandibular molars. METHODS/DESIGN: This study is a noninferiority, open-label, randomized controlled clinical trial conducted at the Bordeaux University Hospital. One hundred and twenty subjects will be randomized in two 1:1 parallel arms: the intervention arm will receive one oral dose of prednisolone (1 mg/kg) during the emergency visit, followed by one morning dose each day for 3 days and the reference arm will receive partial endodontic treatment. Both groups will receive planned complete endodontic treatment 72 h after enrollment. The primary outcome is the proportion of patients with pain intensity below 5 on a Numeric Scale 24 h after the emergency visit. Secondary outcomes include comfort during care, the number of injected anesthetic cartridges when performing complete endodontic treatment, the number of antalgic drugs and the number of patients coming back for consultation after 72 h. DISCUSSION: This randomized trial will assess the ability of short-term corticotherapy to reduce pain in irreversible pulpitis as a simple and rapid alternative to partial endodontic treatment and to enable planning of endodontic treatment in optimal analgesic conditions. TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02629042 . Registered on 7 December 2015. (Version n°1.1 28 July 2015).


Assuntos
Anti-Inflamatórios/administração & dosagem , Unidade Hospitalar de Odontologia , Serviços Médicos de Emergência , Dente Molar/inervação , Prednisolona/administração & dosagem , Pulpite/terapia , Pulpotomia , Odontalgia/terapia , Administração Oral , Adolescente , Adulto , Idoso , Anti-Inflamatórios/efeitos adversos , Protocolos Clínicos , Esquema de Medicação , Feminino , França , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Prednisolona/efeitos adversos , Pulpite/diagnóstico , Pulpite/fisiopatologia , Pulpotomia/efeitos adversos , Projetos de Pesquisa , Fatores de Tempo , Odontalgia/diagnóstico , Odontalgia/fisiopatologia , Resultado do Tratamento , Adulto Jovem
20.
Br Dent J ; 221(10): 595, 2016 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-27857109
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