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Journal of Endodontics Jun 2024Occlusal and percussion pain may manifest occasionally following endodontic treatment, influencing retreatment decisions. Two cases of periapical neuropathic pain,...
INTRODUCTION
Occlusal and percussion pain may manifest occasionally following endodontic treatment, influencing retreatment decisions. Two cases of periapical neuropathic pain, classified as post-traumatic trigeminal neuropathic pain according to the International Classification of Orofacial Pain (ICOP), are presented. Although mirogabalin is effective in managing neuropathic pain, there is a lack of clinical reports on its use for occasional post-traumatic trigeminal neuropathic pain after endodontic treatment. These cases highlight clinical symptoms and successful treatment with mirogabalin for post-traumatic trigeminal neuropathic pain after endodontic treatment, providing clinicians a "take-away" lesson for improving patient condition.
METHODS
The patients, referred by their primary dentist due to post-endodontic abnormal pain, found no relief with antibiotics or nonsteroidal anti-inflammatory drugs. Although no findings including swelling or periapical radiolucency were observed around the tooth, they experienced occlusal and percussion pain. Local anesthetic testing showed that the pain originated from the peripheral area around the tooth rather than from central sensitization. Dental radiography and cone-beam computed tomography revealed no abnormal findings. Root canal retreatment was performed by a specialist in endodontic treatment. Although endodontic retreatment drastically decreased visual analog scale (VAS) pain score, pain persisted. Based on the ICOP criteria, diseases other than post-traumatic trigeminal neuropathic pain were excluded. Mirogabalin (10 mg/day) was prescribed once daily before bedtime.
RESULTS
VAS scores gradually and drastically decreased 2 weeks after mirogabalin therapy. Several months later, no recurrence of post-endodontic pain was observed after tapering off and discontinuing mirogabalin.
CONCLUSIONS
These findings suggest the possibility of a new treatment method for post-traumatic trigeminal neuropathic pain after endodontic treatment.
PubMed: 38901645
DOI: 10.1016/j.joen.2024.06.007 -
Compendium of Continuing Education in... May 2024Dental fusion is defined as an abnormality in tooth shape caused by developmental tooth disturbances that produce an intimate union of dental tissues. This case report...
Dental fusion is defined as an abnormality in tooth shape caused by developmental tooth disturbances that produce an intimate union of dental tissues. This case report discusses treatment of a mandibular impacted "double" third molar in a 21-year-old patient that could have been related to either gemination or tooth fusion. Radiological examination allowed for careful analysis of the tooth's shape and root development, relation to the inferior alveolar nerve, and 3-dimensional position. After evaluation of therapeutic options and risks, and with the patient's consent, the authors opted to extract the tooth in question. Such favorable conditions as the incomplete development of the roots and the relatively young age of the patient, combined with the use of an antibiotic and antiseptic prophylaxis as well as a standard surgical approach, enabled a successful result to be achieved with no related complications.
Topics: Humans; Molar, Third; Tooth, Impacted; Mandible; Young Adult; Tooth Extraction; Fused Teeth; Male; Female; Radiography, Panoramic
PubMed: 38900464
DOI: No ID Found -
Compendium of Continuing Education in... May 2024Stress among dental practitioners is highly prevalent and is an issue that demands attention. Dental practice has been linked to mental, physical, chemical, and... (Review)
Review
Stress among dental practitioners is highly prevalent and is an issue that demands attention. Dental practice has been linked to mental, physical, chemical, and biological hazards that often foster high stress levels, anxiety, depression, burnout, and potential suicidal ideation. This can lead to unhealthy coping mechanisms and low quality of life, increasing the risk of chronic disease, mental issues, and lower patient care quality. This article summarizes data on stress in dentistry, highlighting its high prevalence and deleterious consequences. Five primary stress dimensions in general dental practice contribute to stress and burnout: productivity, patient-derived issues, regulations, fear of litigation, and work-related aspects. Reducing stress can decrease the risk of chronic conditions and mental health issues and potentially increase dental professionals' health span and career longevity.
Topics: Humans; Burnout, Professional; Prevalence; Dentists; Occupational Stress; Stress, Psychological; Quality of Life
PubMed: 38900461
DOI: No ID Found -
Compendium of Continuing Education in... Jun 2024Vital pulp therapy (VPT) was once a treatment modality that was only considered for immature permanent teeth to allow for the continued development of the radicular...
Vital pulp therapy (VPT) was once a treatment modality that was only considered for immature permanent teeth to allow for the continued development of the radicular system if the pulp was vital. With the advent of bioceramics and bioactive materials such as calcium silicate cements, the applications for VPT have greatly increased, giving dentists a treatment option other than nonsurgical root canal therapy (RCT) for mature teeth previously diagnosed to have an irreversible pulpitis. This approach can serve as a less invasive, simpler procedure than RCT while allowing for the preservation of natural tooth structure. It also may be a more amenable treatment alternative for patients than RCT. This article outlines and reviews the protocol for VPT with pulp exposure.
Topics: Humans; Calcium Compounds; Dental Pulp Capping; Dental Pulp Exposure; Pulpitis; Pulpotomy
PubMed: 38900418
DOI: No ID Found -
Singapore Medical Journal Jun 2024Cerebral palsy (CP) is one of the most severe childhood neurodevelopmental disabilities resulting from non-progressive insult to the developing brain. We aimed to report...
INTRODUCTION
Cerebral palsy (CP) is one of the most severe childhood neurodevelopmental disabilities resulting from non-progressive insult to the developing brain. We aimed to report our experience regarding dental visit attendance, caries prevalence and factors affecting dental access in children with CP in Singapore.
METHODS
Patients diagnosed with CP who were born in or after 1994 were included in this study. We reviewed the data of all 151 patients recruited under the CP Registry in Singapore (SingCPR) from September 2017 to May 2020. The SingCPR was launched in September 2017 to assist in future planning of services and resources for CP in Singapore.
RESULTS
The mean age of the patients was 7.8 years, with the interquartile range being 3 years and 8 months-10 years and 10 months. Only 41.7% reported a visit to the dentist ever, with 25.4% reporting presence of dental caries. Age was the only statistically significant factor influencing access to dental care. None of the children less than 2 years old ever received any dental care, and 20% of the children with CP aged 2-6 years had received dental care before. Age range with the highest percentage of dental visits was 7-12 years, with up to 44.0% having ever received dental care. We believe the prevalence of dental caries was underreported as many children did not receive any dental care and therefore may have undetected dental caries.
CONCLUSION
Dental care in children with CP should be advocated early for prevention and detection of caries.
PubMed: 38900000
DOI: 10.4103/singaporemedj.SMJ-2022-022 -
Special Care in Dentistry : Official... Jun 2024
PubMed: 38899909
DOI: 10.1111/scd.13031 -
Health Expectations : An International... Jun 2024Women and those with younger onset Parkinson's Disease (YOPD) are typically diagnosed later and face unique situations and challenges. This essay aims to raise awareness...
INTRODUCTION
Women and those with younger onset Parkinson's Disease (YOPD) are typically diagnosed later and face unique situations and challenges. This essay aims to raise awareness of the difficulties in diagnosing YOPD and the need for a personalised approach to care for women with YOPD.
METHODS
Two professional women with YOPD (academic physiotherapist and practicing dentist) and a female neurologist (clinician academic) came together to write a narrative essay on their personal experience and perspectives in relation to women and YOPD.
RESULTS
The essay outlines how the experience of diagnosis is likened to a complex puzzle box with many interlocking components that are hidden and difficult to solve. The concerns of the women about their identity, work, family and the future, with most supports targeting those that are older and retired are outlined.
CONCLUSION
It is concluded that YOPD is a complex puzzle to solve, but can be done by understanding all the intricate interlocking components of the puzzle and combined with greater awareness could lead to earlier diagnosis and the delivery of successful person-centred care.
PATIENT OR PUBLIC CONTRIBUTION
People with lived experience were involved in the essay conception and writing.
Topics: Humans; Parkinson Disease; Female; Middle Aged; Age of Onset
PubMed: 38896007
DOI: 10.1111/hex.14116 -
Cureus May 2024Over-the-counter teeth-whitening products have become popular in accordance with the increasing demands of patients. These products can also be recommended to patients...
AIM
Over-the-counter teeth-whitening products have become popular in accordance with the increasing demands of patients. These products can also be recommended to patients by dentists. The aim was to determine the rates of recommendation of over-the-counter teeth whitening products by dentists in Turkey divided into different categories for their patients and to interpret them based on a cause-and-effect relationship.
MATERIAL AND METHODS
After obtaining ethics committee approval, the survey questions were created using Google Forms (Google Inc., Mountainview, CA) and delivered to dentists via social media. Dentists who signed the informed consent form completed the survey. Within the study's scope, statistical analyses were conducted using IBM SPSS Statistics for Windows, version 26.0 (IBM Corp., Armonk, NY). Values were expressed as frequency (n) and percentage (%). A chi-square test was used to compare participants' teeth-whitening recommendations according to their demographic characteristics. The statistical significance level was accepted as p <0.05 throughout the study.
RESULTS
A total of 57.9% of dentists working in Turkey did not recommend over-the-counter teeth-whitening products to their patients. When the answers to the question "Which whitening products sold on the market do you recommend to your patients?" were compared according to the participants' place of work, there was a statistically significant difference between the place of work and the recommended whitening product (p <0.05). Participants working in the private sector answered "I do not recommend" at a higher rate than participants working in the public sector. Among those who recommended toothpaste, more dentists with five or fewer years of experience recommended toothpaste to their patients than dentists with greater than five years of experience. Additionally, more dentists working in the public sector recommended toothpaste to their patients than dentists working in the private sector, and more specialist dentists recommended toothpaste to their patients than general practitioner dentists.
CONCLUSION
Most dentists in Turkey do not recommend over-the-counter teeth-whitening products to their patients. Among those who recommend such products, toothpaste has been determined to be the first choice. The results of this study may raise awareness among dentists about over-the-counter teeth-whitening products and encourage new studies.
PubMed: 38894768
DOI: 10.7759/cureus.60602 -
Journal of Clinical Medicine May 2024The World Health Organization's (WHO) 2022 update on the classification of odontogenic and maxillofacial bone tumors has revolutionized diagnostic and treatment...
The World Health Organization's (WHO) 2022 update on the classification of odontogenic and maxillofacial bone tumors has revolutionized diagnostic and treatment paradigms by integrating novel molecular insights. Fibro-osseous lesions of the maxillo-facial bones constitute a heterogeneous group encompassing fibrous dysplasia, Psammomatoid Ossifying Fibroma (PSOF), Juvenile Trabecular Ossifying Fibroma (JTOF), and other variants. Despite histological similarities, their distinct clinical manifestations and prognostic implications mandate precise differentiation. The intricacies of diagnosing fibro-osseous lesions pose challenges for pathologists, maxillofacial surgeons, dentists and oral surgeons, underscoring the importance of a systematic approach to ensure optimal patient management. Herein, we present two cases, fibrous dysplasia and Cemento-Ossifying Fibroma, detailing their clinical encounters and management strategies. Both patients provided informed consent for publishing their data and images, adhering to ethical guidelines.
PubMed: 38892944
DOI: 10.3390/jcm13113233 -
Journal of Clinical Medicine May 2024: This study aimed to identify the salivary levels of six hormones (progesterone, estradiol, testosterone, cortisol, thyroxine T3, and triiodothyronine T4) in pregnant...
: This study aimed to identify the salivary levels of six hormones (progesterone, estradiol, testosterone, cortisol, thyroxine T3, and triiodothyronine T4) in pregnant women, and to assess the association between salivary hormones, dental caries, and cariogenic microorganisms. : This cross-sectional study included 181 low-income US pregnant women who were in their third trimester. Demographic details, oral hygiene practices, and medical backgrounds were obtained via questionnaires and medical records. Calibrated dentists obtained data on plaque index and caries status through comprehensive oral examinations. Unstimulated saliva was collected 2 h before eating and brushing. Salivary hormones were measured with a multiplex assay. Oral () and () were quantified via colony-forming unit (CFU) counts. A latent model was used to generate clusters of pregnant women based on salivary hormone levels, followed by post-clustering analysis. Factors associated with salivary cariogenic microorganisms were further evaluated via multiple regression analyses. : Estradiol, progesterone, testosterone, cortisol, T3, and T4 in saliva were detectable at rates of 92%, 97%, 77%, 99%, 71%, and 50%, respectively. Three distinct participant clusters (high, intermediate, and low) were identified based on salivary hormone levels. Intermediate-level and high-level clusters had increased numbers of decayed teeth, decayed surfaces, ICDAS scores, and salivary and , compared to the low-level cluster ( < 0.05). Covariate analysis demonstrated that the high-level cluster was positively associated with salivary carriage of (CFU/mL) ( < 0.05). Participants with higher levels of progesterone, estradiol, testosterone, and cortisol were associated with a high carriage status of in saliva (>10 CFU/mL) ( < 0.05). : This study demonstrated the feasibility of detecting salivary hormones during pregnancy and revealed the positive association between salivary steroid hormones and cariogenic pathogens.
PubMed: 38892893
DOI: 10.3390/jcm13113183