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

Based on characteristic case-reports the mostly occurring patterns of maxillo-facial pain are discussed. A description is given of pain in case of pulpitis, dento-alveolar abcess, dry socket, deep local periodonitis, temporomandibular joint arthrosis, dehiscence of the mandibular canal, maxillary sinusitis, malignant neoplasm. Trigeminal neuralgia, atypical facial neuralgia and psychogenic pains are discussed. The article concludes with a survey of the most important symptoms of these pain-syndromes in order to facilitate a correct diagnosis.
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PMID:[Pain in the maxillofacial area: diagnosis and treatment]. 27 56

A double-blind, randomized trial was carried out in 90 patients to compare the analgesic and anti-inflammatory efficacy of 500 mg diflunisal twice daily with that of 25 mg codeine phosphate 4-times daily and placebo in relieving pain and swelling after surgical removal of impacted third molars. Diflunisal was found to be superior to codeine and placebo on the first post-operative day, but the difference in efficacy of the drugs had diminished by the third post-operative day. In the diflunisal group of 30 patients, 10 (33%) developed 'dry socket' or alveolitis sicca dolorosa. Only 2 patients in the codeine group and 1 patient in the placebo group developed this very painful condition. The possible explanation of 'dry socket' is discussed.
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PMID:The analgesic and anti-inflammatory efficacy of diflunisal and codeine after removal of impacted third molars. 35 45

The aim of the investigation is to evaluate the dependence of the most frequent postextraction complications (pain, hemorrhage, hematoma, swelling and dry socket) in relation to the choice of anesthesia. The total of 447 teeth was extracted in 319 male and female persons between 11 and 80 years of age. The most important conclusion of the investigations is that vasoconstrictor in local anesthetic solutions does not influence the incidence of postextraction complications. Clot disturbance, higher incidence of dry socket and unpredicted time of pain appearance were found in the local anesthetic group with lower concentration of vasoconstrictor. Statistically significant difference between local and general anesthesia does not exist in relation to blood clot disturbances, although a great number of clot fails is evident in local anesthetic group. The pain intensity is lower when teeth extraction were performed under general anesthesia.
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PMID:[Postextraction complications and the choice of anesthesia]. 213 53

Alveolitis sicca dolorosa (ASD) following removal of 145 mandibular third molars from 109 healthy university students was studied. The operations were all performed under local anaesthesia by the same oral surgeon under similar conditions, using similar postoperative procedures. True ASD was considered to have occurred if a patient returned to the surgeon seeking relief of the typical symptoms of ASD before the scheduled check-up date. Non-specific ASD was considered to have occurred in a patient who recorded an increase in pain intensity on a Visual Analogue Scale (VAS) from the third or fourth postoperative day onwards but did not return to the surgeon. True ASD was diagnosed in 5% of cases and non-specific ASD in 15% of cases.
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PMID:True and nonspecific alveolitis sicca dolorosa related to operative removal of mandibular third molars. 263 5

Treatment of dry socket using a specially formulated collagen paste was found to be more effective than a treaditional method (zinc oxide/oil of cloves). Collagen-treated patients were less likely to return for review, experienced less pain, showed less tissue reaction and required fewer treatments than zinc oxide-treated controls.
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PMID:Treatment of fibrinolytic alveolitis by a collagen paste (Formula K). A preliminary report. 308 16

A prospective study of mandibular third molar wisdom teeth including the type, age groups, presurgical and post surgical problem of the 175 Thai patients (184 teeth) was analysed. The patients were male 54.86% female 45.17%. The youngest patient was 16 years old and the oldest patient was 56 years old. The age group 16-24 years was found largest (48.57%). The mesioangular impaction was found 62.5%, vertical impaction 18.47, horizontal impaction 17.39% disto-angular impaction 1.09%, buccolingual impaction 0.54% respectively. The presurgical symptoms were pain, headache, joint pain, mastoid pain, infection, food impaction and orthodontic need. The postsurgical complication rate overall 6.86% that include dry socket 2.86%, bleeding 2.29% and infection 1.14%, dysesthesia 0.57%.
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PMID:[Incidence of impacted wisdom teeth and complication in Thai community]. 327 Jun 45

Fifteen extraction sockets packed with a new drug combination, including a local anesthetic (cincain chloride), a local antiseptic (tri-iodomethane) and two drugs with a potent antifibrinolytic activity (tranexamic acid and propyl-hydroxybenzoic acid) in Gelfoam as a vehicle, were assessed clinically with special reference to the development of the postextraction symptoms, dry socket included. As a control series, 15 extraction sockets allowed to undergo a spontaneous healing were similarly evaluated. All the sockets in both series were found to heal according to the normal sequence. There were, however, statistically highly significant differences between the two series with regard to the clotting time, postextraction pain and the need for adjunct analgesics, in favor of the sockets packed with the compound in test. The observed beneficial effects of the test compound are discussed in the light of the recently elucidated etiologic and pathogenetic mechanisms leading to the development of dry socket, and a conclusion is drawn that the present results, although preliminary due to the limited number of patients, advocate further evaluation of the new drug combination and its applicability in the prevention of the troublesome postextraction complications, including dry socket.
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PMID:A new combination of drugs intended to be used as a preventive measure for the postextraction complications. A preliminary report. 679 91

A total of 1274 extractions carried out by the author resulted in a dry socket incidence of 2.6%. There was no sex predilection in the occurrence of dry socket. Incidence of dry socket formation was highest in the first and second molar region. Forceful infiltration of an extra 2 ml of local anesthetic into the tissues resulted in a higher incidence of dry socket; however this difference was not statistically significant. Dry sockets occurred more frequently in difficult extraction cases as compared to routine extractions; this difference was statistically significant. However, when 20 teeth in difficult extraction cases were removed by the open surgical method there were no cases of dry socket formation. Teeth removed principally due to a periodontal involvement did not give rise to a single case of dry socket. Treatment of dry socket with intra-alveolar dressings did reduce the pain; however, the healing time was invariably prolonged. The best results, in the form of reduction of pain and rapid healing, were obtained with the surgical method of reflection of a flap and debridement of the socket.
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PMID:A clinical study of "dry socket". 681 11

Disturbed healing of a dental extraction wound can cause severe pain and can jeopardize attempts at dental implants or other treatments. The pathogenesis of disturbed healing was studied by histological examination of 221 postoperative biopsies taken for diagnostic purposes from human extraction wounds at different stages of healing. A relationship was observed between the healing stages and different disturbances such as dry socket, suppurative osteitis, necrotizing osteitis, and fibrous healing.
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PMID:Disturbed healing of extraction wounds. 1055 Nov 48

Following extraction of a maxillary left first molar tooth in an eight year-old retriever, the dog re-presented five days later because of oral pain, which did not respond to analgesic therapy. The extraction site contained a foul-smelling fluid, but did not contain a clot or granulation tissue. Alveolar osteitis (dry socket) was diagnosed. The alveolus was curetted and flushed, and the dog was given cefalexine and prednisolone. The alveolus was filling with healthy granulation tissue one week later and the dog was no longer in pain.
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PMID:Alveolar osteitis (dry socket) in a dog: a case report. 1059 56


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