pain management

Pain Management in Pediatric Dentistry

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An interesting article titled “Provider perspectives on pain management practices and needs in pediatric dentistry,” written by Melissa Pielech and Caroline Sawicki appears in the Journal of the American Dental Association (published October 25, 2023). The article sought to assess the pediatric dentists use of and attitudes toward evidence-based pain management strategies. To better understand dental pain management in children, the authors surveyed 625 pediatric dentists and residents. The dentists and residents were sent a 27-item online survey to assess attitudes about evidence-based pain management, tools, and practices and opinions regarding areas for improving pain management. Among the respondents, 89% were dentists and 11% were residents. The majority of respondents thought that pain management is an important aspect of clinical care in pediatric dentistry and believe it is necessary to improve pain management practices. Dentists and residents said that they … Read more

Ibuprofen-Arginine and Dexamethasone: A Promising Combo for Lower Wisdom Teeth Molar Pain

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A interesting study published in Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology (Edson Luiz Cetira-Filho and et. al. Preemptive vs. Preventive Coadministration of Ibuprofen L-Arginine and Dexamethasone in Lower Third Molar Surgeries: A Randomized Controlled Trial, 2024) suggests that a combination of ibuprofen-arginine (Ib-Ar) and dexamethasone (DX) could be a more effective pain management strategy for patients undergoing lower wisdom teeth surgery. Researchers from the Federal University of Ceará in Brazil conducted a randomized controlled trial involving 48 adult patients who were having lower widomt teeth extracted. Participants were divided into four groups, each receiving a different combination of Ib-Ar and DX or a placebo. The study evaluated various outcomes, including pain intensity, trismus (jaw stiffness), quality of life, pain catastrophizing, and sleep quality. Pain intensity was measured using a 10-cm visual analog scale and quality of life … Read more

Comparing the effectiveness of diclofenac, celecoxib and ibuprofen for wisdom teeth removal.

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An interesting study titled “Comparative Effect of Celecoxib, Diclofenac, and Ibuprofen in Controlling Postoperative Pain, Edema, and Trismus After Third Molar Extraction: A Double-Blinded Randomized Controlled Trial” written by L. Bassyoni on February 06, 2024 appears in Cureus 16, no. 2, e53687. The study sought to compare celecoxib, diclofenac, and ibuprofen for managing postoperative pain, swelling, and mouth opening ability (trismus) after wisdom teeth surgery. The study included participants recruited from the oral and maxillofacial surgery specialty clinics at King Abdul-Aziz University Dental Hospital in Jeddah, Saudi Arabia. Only one impacted lower wisdom tooth was extracted at the time of surgery. The study was a double-blinded randomized controlled trial which meant that study participants were randomly assigned to one of the three medication groups and neither they nor the researchers the medications received. The study was rather small and only had … Read more

Using Low Dose Naltrexone for Treating Burning Mouth Syndrome

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An interesting article titled “Low Dose Naltrexone for Treatment of Burning Mouth Syndrome” appears in Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology written by L. Sangalli and C. S. Miller (Published April 30, 2022). The article discusses using a low dosage of naltrexone to treat burning mouth syndrome (BMS) that started after a woman had a tooth extraction. In the article discussion is made of a 62 year old woman who had been experiencing BMS the the last three years. She had had a tooth extracted three years earlier and the pain she was experiencing was at the site of the extraction. After some time pain went away but then a year or so after the extraction the woman began experiencing BMS at the dorsum of her tongue. She reported tingling and burning sensations and the pain flucated between … Read more

Visualization of Facial Pain Sensory Signaling

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An interesting article titled “Visualization of trigeminal ganglion sensory neuronal signaling regulated by Cdk5,” written by M. Hu and et al. appears in the 2022 editon of Cell Reports (Mar 8, vol. 38, no. 10, pp. 110458). The article seeks to explore some of the mechanisms underlying facial pain and used intravital imaging to compare trigeminal neuronal activities after mechanical, thermal, and chemical stimulation. The work was carried out by researchers for the NIH’s National Institute of Dental and Craniofacial Research. Orofacial pain that occurs in the oral and facial region affects 5% to 12% of the U.S. population. This pain can affect daily activities and causes many to seek medications like opioids for releif, but opioids can be addicting. Thus researchers are interested in learning more about how facial nerves process pain signals to help lead to more efficeitn … Read more