Journal of endodontics
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Journal of endodontics · Apr 1999
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of ketorolac tromethamine and acetaminophen codeine in the management of acute apical periodontitis.
Effective management of severe endodontic pain is often a major problem. The analgesic effect of ketorolac tromethamine (Toradol, 10 mg p.o.) was compared with acetaminophen codeine (325 mg/15 mg p.o.) in patients with severe pain due to acute apical periodontitis in a double-blind clinical study. A total of 66 patients presenting with severe pain (defined as 7 cm and more using a visual analog scale) were randomly assigned to receive either ketorolac tromethamine or acetaminophen codeine (33 patients in each group), and recorded their pain score once every 10 min for 90 min after administration. Results indicate that patients in the ketorolac group had significantly less pain than those who received acetaminophen codeine (p = 0.005).
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Journal of endodontics · Dec 1996
Case ReportsBurkitt's lymphoma mimicking an acute dentoalveolar abscess.
Burkitt's lymphoma is a monoclonal proliferation of B lymphocytes classified histologically as a poorly differentiated lymphocytic lymphoma. The jaw and retroperitoneal structures are the most commonly involved sites. ⋯ Dental radiographs can play an important role in the diagnosis. A case of a peculiar Burkitt's lymphoma involving the mandible that was misdiagnosed as an acute dentoalveolar abscess is presented.
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Journal of endodontics · Feb 1996
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of periapical injection of Ketorolac for management of endodontic pain.
Effective pain management of the endodontic emergency patient is often a problem. Ketorolac tromethamine is the first nonsteroidal anti-inflammatory drug available for intramuscular injection in the United States. Although its analgesic efficacy is comparable with opiates after intramuscular injection, to date no study has evaluated its efficacy after intraoral periapical injection. ⋯ Infiltration injection of ketorolac at on oral site produced significant analgesic effects, particularly in treating pain of mandibular origin. These results suggest that intraoral injection of ketorolac may prove to be a useful adjunct in the management of endodontic pain patients. Further studies are required to replicate these findings and to develop optimal treatment combinations.
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An in vitro, flow-through optical system was designed to measure hemoglobin (Hb) concentrations in the pulp space. The system included light-emitting diodes and a silicon photodetector positioned on opposing surfaces of human teeth. A syringe pump allowed a controlled flow of blood through the pulp chamber. ⋯ The mean percentage error was 5.8%, and the standard error of prediction was 0.77 g/dl for Hb concentrations ranging from 4 to 20 g/dl. Deoxygenated blood exhibited up to 31% lower transmitted intensity. Light transmission through teeth may be useful in the assessment of total Hb and blood oxygenation within the pulp chamber.
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The program presented at the Section on Endodontics of the American Association of Dental Schools Annual Meeting in March 1990 in Cincinnati focused on the issue of identity loss of endodontics in dental schools. Program participants, comprising representatives from various institutions with different educational backgrounds and experiences, were posed a series of questions on the topic. Key issues were discussed and perspectives on the future of the specialty were presented relative to dental school reorganizations and restructuring.