British dental journal
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British dental journal · Sep 2001
Randomized Controlled Trial Multicenter Study Clinical TrialPain control with paracetamol from a sustained release formulation and a standard release formulation after third molar surgery: a randomised controlled trial.
To compare the analgesic efficacy and safety of a sustained release (SR) paracetamol formulation (Panadol Extend) with a standard immediate release (IR) formulation (Panadol) after third molar surgery. ⋯ SR paracetamol and IR paracetamol are clinically and statistically equivalent. While SR paracetamol and IR paracetamol were similar in terms of both onset of analgesia and peak analgesic effect, SR paracetamol had a longer duration of activity than IR paracetamol. The safety profiles of SR paracetamol and IR paracetamol were found to be very similar.
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Conscious sedation has become an integral part of the undergraduate dental curriculum. The attributes of the competent graduate in sedation are defined and all providers of sedation education should be aiming towards this standard. It is important that students receive appropriate theoretical and practical training which must include hands-on clinical experience in sedation techniques.
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British dental journal · Jun 2001
Case ReportsIngested foreign bodies associated with orthodontic treatment: report of three cases and review of ingestion/aspiration incident management.
Foreign body ingestion/aspiration episodes are potential complications in all branches of dentistry. The handling of small orthodontic components requires particular care, especially where the patient is supine or semi-recumbent. Three cases of foreign body ingestion are presented, involving patients undergoing orthodontic treatment. ⋯ All patients remained asymptomatic during this period, although none of the foreign bodies were retrieved. No active intervention was deemed necessary, and the patients were able to resume their orthodontic treatment. The potential complications of ingestion/aspiration episodes are discussed and a management regime suggested.
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British dental journal · May 2001
Randomized Controlled Trial Clinical TrialThe influence of two different dental local anaesthetic solutions on the haemodynamic responses of children undergoing restorative dentistry: a randomised, single-blind, split-mouth study.
This investigation was designed to study the haemodynamic effects of two different local anaesthetic solutions during restorative dental treatment in children. ⋯ The choice of local anaesthetic solution influences the haemodynamic response during restorative treatment in children.
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British dental journal · Apr 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomised, double-blind, placebo-controlled, comparative study of topical skin analgesics and the anxiety and discomfort associated with venous cannulation.
To compare the effect of topical skin anaesthetic agents on the discomfort and anxiety associated with venous cannulation. ⋯ Ametop and EMLA topical anaesthetic agents produce effective skin analgesia for venous cannulation. The use of topical analgesia can reduce perceived anxiety about future cannulation procedures. This has application in the management of anxious patients undergoing intravenous sedation, suggesting that topical analgesia prior to venous cannulation may significantly aid anxiolysis.