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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A survey instrument was administered to recent alumni to evaluate self-perceived competency in twenty-one selected areas at the time of graduation. The questionnaire was completed by 439 (62.8 percent) alumni who graduated between the years 1985 and 1994, inclusive. Graduates generally felt most competent in their ability to treat dental caries and its sequelae and least competent in their ability to recognize myofascial pain and temporomandibular joint disorders. Very little association was demonstrated between demographic characteristics of the respondents and their competency self-ratings. The survey identified areas of strengths and weakness within the present comprehensive care curriculum as perceived by the graduating dentists.
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PMID:Alumni self-perception of competence at time of dental school graduation. 920 55

Arteriovenous malformations are extremely rare conditions that can result from congenital or acquired abnormalities in the structure of blood vessels; they are potentially fatal. Arteriovenous malformations may be asymptomatic or may show various signs and symptoms including soft tissue swelling, pain, changes in skin and mucosal color, erythematous and bleeding gingiva, bruit, and paresthesia. Radiographically, there are no pathognomonic features. The present case illustrates an arteriovenous malformation in a 16-year-old Hispanic female. The case report is unique because the malformation was previously interpreted as a pathosis of pulpal origin and was initially treated as such, although the tooth showed no gross or radiographic dental caries. A broad view of the diagnostic imaging, radiographic differential diagnosis, treatment, and histopathologic description is also presented.
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PMID:Arteriovenous malformation of the mandible: report of a case with a note on the differential diagnosis. 937 92

While most applications of low level laser therapy (LLLT) in dentistry are directed toward soft tissues, in recent years there has been increasing interest in tooth-related or hard tissue applications of LLLT. This report provides an overview of applications of LLLT in the treatment of dentine hypersensitivity and pain arising from the periodontal ligament, and describes the phenomenon of lethal laser photosensitization and its applications in the treatment of dental caries. Technical aspects of LLLT equipment and safety concerns are also discussed.
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PMID:The current status of low level laser therapy in dentistry. Part 2. Hard tissue applications. 940 45

Following the development of the ruby laser by Maiman in 1960, the Nd:YAG laser, the CO2 laser, the semiconductor laser, the He-Ne laser, excimer lasers, the argon laser, and finally the Er:YAG laser capable of cutting hard tissue easily were developed and have come to be applied clinically. In the present study, the Er:YAG laser emitting at a wavelength of 2.94 microns developed by Luxar was used for the clinical preparation of class V cavities. Parameters of 8 Hz and approx. 250 mJ/pulse maximum output were used for irradiation. Sixty teeth of 40 patients were used in this clinical study. The Er:YAG laser used in this study was found to be a system suitable for clinical application. No adverse reaction was observed in any of the cases. Class V cavity preparation was performed without inducing any pain in 48/60 cases (80%). All of the 12 cases that complained of mild or severe intraoperative pain had previously complained of cervical dentin hypersensibility during the preoperative examination. Cavity preparation was completed with this laser system in 58/60 cases (91.7%). No treatment-related clinical problems were observed during the follow-up period of approx. 30 days after cavity preparation and resin filling. Cavity preparation took between approx. 10 sec and 3 min and was related more or less to cavity size and depth. Overall clinical evaluation showed no safety problem with very good rating in 49 cases (81.7%).
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PMID:Clinical dental application of Er:YAG laser for Class V cavity preparation. 948 88

Hyposalivation is related to decreased salivary flow, with xerostomia as an ultimate degree. Prolonged severe hyposalivation or xerostomia may induce oral pain, poor tolerance to dentures, loss in taste acuity and increased incidence of oral infections: gingivitis, periodontitis, oral candidosis, infectious sialadenitis and multiple dental caries. Most of the time hyposalivation is a reversible drug-induced side-effect. Hyposalivation is frequent, particularly in elderly people with numerous drugs prescribed on a long-term continuous basis, and in psychiatric patients. It remains a neglected clinical problem. Besides the well-known antimuscarinics, antihistaminics, imipraminic antidepressants and phenothiazic neuroleptics, many drugs may induce hyposalivation. This work aims to review drug-induced xerostomia in 1997 (French pharmacopeae), and high-risk associations.
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PMID:[Drug-induced xerostomia]. 953 16

In Prehistoric and Mediaeval times few dentitions in this country remained intact much after the age of 40-45 years. The point is made that dental caries and periodontal disease played little part in this early disintegration and it is unlikely that the population of this time suffered severely with their teeth. A change in dietary habits in the late seventeenth and early eighteenth century measurably increased the lifespan of the dentition, but also radically altered the prevalence of caries. This change is likely to have been responsible for a vast increase in dentally-related pain and suffering which was only capable of being tackled as a social problem by the advent of modern dentistry.
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PMID:Dental pain and suffering prior to the advent of modern dentistry. 978 26

An 18-year-old male presented with a 2-day history of left-side anterior chest pain. The pain was intermittent, crampy, and worsened with exertion. Associated symptoms were cough with sputum, night sweats, fever, decreased appetite, and 4.5-kg weight loss; cavitary lesions were seen on chest radiograph. The patient also had significant dental caries. Nasal biopsy revealed findings consistent with Wegener's granulomatosis. Combined treatment with cyclophosphamide and prednisone significantly improved his symptoms over the long term.
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PMID:Chest Pain, Cough, and Hemoptysis. 1035 79

Dental caries remain one of the most common disorders of childhood in the United States. Often nurse practitioners (NPs) will see children who are suffering from the complications of a dental carie, such as a dental abscess and/or cellulitis. This article describes the case of a 5-year-old girl who presented at an evening clinic with tooth pain, fever, and facial swelling. Three treatment choices are discussed: (1) 400 mg of amoxicillin (Augmentin), by mouth, with comfort measures, and return to the clinic in the morning; (2) 2 g of ceftriaxone by injection, with comfort measures, and return to the clinic in the morning; (3) or hospitalize via emergency department for intravenous fluids and antibiotics. The treatment that was chosen not only takes into account the disease process, but also the impact of this choice on the family. A model for the progression of dental caries in low-income groups with recommendations for prevention is also presented.
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PMID:A five-year-old with a dental abscess: a case study. 1045 62

Due to the changed treatment approach of proximal caries and the amalgam controversy, clinicians are in search for new materials. The aim of the present study was to compare amalgam with an adhesive material in deciduous molars in a clinical, split-mouth design study. At baseline 30 polyacid modified composite (Dyract) and 30 amalgam (Tytin) restorations were placed in primary molars, of which 24 and 17 could be evaluated after 24 and 36 months, respectively. Modified USPHS criteria were used for clinical evaluation every 6 months. Annual bite-wing radiographs were taken for evaluation of recurrent caries and cervical gap formation. In the present study, for Dyract as well as for Tytin restorations, low rates of recurrent caries were found, while Dyract restorations showed a better marginal adaptation and surface texture compared to Tytin restorations. In the Dyract group more radiolucencies were found at baseline. In both groups no patient complaint or pain was reported related to the radiolucencies. After 3 years the colour of Dyract was not comparable to the original. For Dyract no excessive wear was noticed compared to enamel. During the study one Dyract (recurrent caries: 18 months) and two Tytin (pulpal aetiology: 6 months, recurrent caries: 36 months) restorations had to be replaced. Even though the restorations were placed in caries risk children, at the 36 months' evaluation of this clinical study, the results indicate that Dyract can be an alternative for Tytin in the primary dentition.
Caries Res
PMID:Dyract versus Tytin Class II restorations in primary molars: 36 months evaluation. 1046 Sep 63

Dental pain is extremely common in the UK and can severely reduce the quality of life when it is associated with eating, drinking or speech. Patients often present complaining of a short, sharp, stabbing pain from hot or cold air, foods or drinks: while this may be caused by tooth decay, failing fillings or cracks in teeth, a major cause is sensitivity from exposed dentine. Treatment varies from dietary control, desensitising toothpastes to protection with dentine-bonding agents and glass ionomers. In extreme cases elective devitalisation is necessary.
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PMID:Dealing with sensitive teeth. 1075 61


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