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1.
Carolina Almeida Rodrigues DDS MS PhD Melissa de Oliveira Melchior SLPs MS Laís Valencise Magri DDS MS PhD Marcelo Oliveira Mazzetto DDS MS PhD 《Cranio : the journal of craniomandibular practice》2020,38(4):240-247
ABSTRACT
Objective
To analyze the influence of orofacial myofunctional condition (OMC) on pain perception, temporomandibular disorders (TMD) severity, and the response to low-level laser therapy (LLLT) in women with painful TMD. 相似文献2.
Jonathan Albilia DMD MSc Carlos Herrera-Vizcaíno DDS Hillary Weisleder BSc Joseph Choukroun MD 《Cranio : the journal of craniomandibular practice》2020,38(5):292-304
ABSTRACT
Objective
To evaluate the clinical benefits of liquid platelet-rich fibrin (PRF) in patients with temporomandibular joint (TMJ) pain and dysfunction. 相似文献3.
Mehmet Cem Özden PhD Ali Veysel Özden DDS PhD Abdülkadir Çankaya DDS PhD Erdinç Kolay PhD Sami Yıldırım DDS PhD 《Cranio : the journal of craniomandibular practice》2020,38(5):305-311
ABSTRACT
Objective
This randomized, single-center clinical trial aimed to compare the efficacy of superficial dry needling (SDN) and deep dry needling (DDN) in patients with myofascial temporomandibular disorder (MTMD) related to the masseter muscle.Methods: Forty patients showing MTMD with trigger points in the masseter muscle were randomly assigned to groups. Dry needling of the masseter muscle was performed once per week for three weeks. Pressure pain threshold (PPT) measurements, visual analog scale scores, and maximal jaw opening were assessed.Results: Both patient groups showed significant pain reduction, but the SDN group showed significantly better pain reduction. The PPT measurements obtained in the follow-up examinations at three and six weeks were significantly better than the values in SDN and DDN groups.Discussion: SDN showed better pain-reduction efficacy in patients with MTMD. Further research with a larger size sample and a longer follow-up period will help elucidate the benefits of SDN. 相似文献4.
Hamid Reza Yavari Farnaz Jafari Helen Jamloo Somayeh Hallaj-Nezhadi Sanaz Jafari 《Journal of endodontics》2019,45(5):477-482
Introduction
The aim of the present investigation was to study the effect of local infiltration of corticosteroids on postoperative pain and quality of life (QOL) in teeth with irreversible pulpitis after 1-visit endodontic treatment.Methods
In this double-blind randomized clinical trial, 242 healthy patients with irreversible pulpitis undergoing 1-visit endodontic treatment were included. Forty-five patients were lost during the follow-up, and the remaining 197 patients were followed for 7 days (67 patients in the placebo group, 66 in the long-acting betamethasone group, and 64 in the dexamethasone group). The patients marked their level of pain and QOL before treatment and at 6-, 12-, 24-, 48-, and 72-hour and 7-day postoperative intervals using a questionnaire. Freidman and Kruskal-Wallis tests were used for statistical analysis. P ≤ .05 was considered significant.Results
The pain was more severe in the placebo group compared with the other groups at all time intervals. A significant increase was observed in pain severity after 12 hours in all 3 groups. In general, the pain was less severe in the dexamethasone group compared with the betamethasone group at 6-, 12-, and 24-hour intervals. The pain severity was similar in both groups at 48 hours, and it was less severe in the long-acting betamethasone group compared with the dexamethasone group after 72 hours and 7 days. There were no significant differences in the betamethasone and dexamethasone groups in pain intensity between males and females. Moreover, overall pain perception was higher in the mandible than in the maxilla. There was an inverse and significant relationship between pain severity and QOL.Conclusions
Infiltration of long-acting betamethasone and dexamethasone resulted in decreased postoperative pain experience. Dexamethasone was more effective in alleviating pain within the first 24-hour period after treatment. Infiltration of long-acting betamethasone and dexamethasone exhibited the same efficacy in 48 hours. The efficacy of long-acting betamethasone in pain relief lasted for 7 days. The QOL in the 2 groups receiving corticosteroids was higher than that in the placebo group. 相似文献5.
Introduction
The aim of this study was to evaluate the effect of 2 different concentrations of sodium hypochlorite on healing and postoperative pain after primary endodontic treatment.Methods
One hundred mandibular molars with pulp necrosis and chronic apical periodontitis were randomly assigned to 2 treatment groups: high-concentration (HC) 5% sodium hypochlorite and low-concentration (LC) 1% sodium hypochlorite. Root canal treatment was performed using a standardized protocol. Canals were prepared using equal volumes of respective irrigants after each instrument change. After chemomechanical preparation, the final flush was performed with 5 mL 17% EDTA solution followed by 5 mL 5% or 1% sodium hypochlorite depending on the group. All patients were asked to record the degree of pain on a visual analog scale every 24 hours for 1 week. At the second visit, canals were obturated, and the teeth were restored permanently. Clinical and radiographic evaluations were performed every 3 months for 12 months. The data collected were statistically analyzed.Results
Eighty-six teeth were available for evaluation at the 1-year follow-up. The overall healing rate observed was 76.7%. Greater healing was observed in the HC (81.4%) group compared with the LC group (72.1%), but the difference was not statistically significant (P > .05). No significant differences in pain incidence and pain scores were found between the 2 groups (P >.05), with lower values reported in the LC group.Conclusions
The use of LC or HC sodium hypochlorite did not result in a significant difference in the clinical outcome. 相似文献6.
ABSTRACT
Objective
The aim of this study was to investigate possible relationships among hematologic factors, psychological dimensions, the presence of self-reported sleep problems, and clinical characteristics in patients with burning mouth syndrome (BMS). 相似文献7.
Edmundo Marques do Nascimento-Júnior Gustavo Marques Sobral dos Santos Mário Luis Tavares Mendes Maximiliano Cenci Marcos Britto Correa Tatiana Pereira-Cenci Paulo Ricardo Saquete Martins-Filho 《Journal of the American Dental Association (1939)》2019,150(4):269-277.e1
Background
The aim of this systematic review and meta-analysis was to evaluate the efficacy of cryotherapy in reducing pain, trismus, and facial swelling in patients undergoing third-molar surgery.Types of Studies Reviewed
The authors searched for randomized clinical trials in PubMed, Web of Science, SCOPUS, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, Google Scholar, and OpenThesis. Eligibility criteria were population: patients submitted to removal of impacted third molars; intervention and comparison: postoperative cryotherapy versus no cold therapy; and outcomes: primary outcome was postoperative pain, and secondary outcomes were facial swelling and trismus. Eligible studies must have reported at least 1 of the outcomes of interest. After extracting data and assessing quality, the authors performed the meta-analyses.Results
The authors included 6 studies in the quantitative synthesis analysis. Differences in pain intensity were found on postoperative day 2 (weighted mean difference, ?0.72; 95% confidence interval, ?1.45 to 0.01; P = .05) and postoperative day 3 (weighted mean difference, ?0.36; 95% confidence interval, ?0.59 to ?0.13; P = .002). No evidence was found that cryotherapy was effective in reducing trismus and facial swelling. The quality of evidence was graded as low.Conclusions and Practical Implications
Evidence suggests that cryotherapy may have a small benefit in reducing pain after third-molar surgery, but it is not effective on facial swelling and trismus. Owing to the lack of standardization of cold application, effective evidence-based treatment protocols for cryotherapy after third-molar surgery still need to be established. 相似文献8.
Daniel A. Decurcio Giampiero Rossi-Fedele Carlos Estrela Shaju J. Pulikkotil Venkateshbabu Nagendrababu 《Journal of endodontics》2019,45(4):387-393.e2
Introduction
This systematic review and meta-analysis aimed to assess whether machine-assisted agitation resulted in less postoperative pain (PP) compared with syringe irrigation with needle alone in adult patients undergoing root canal treatment.Methods
A literature search was performed in 3 electronic databases for articles published before August 2018. Randomized clinical trials published in English that compared PP between machine-assisted agitation and syringe irrigation with needles as part of nonsurgical root canal treatment were included. Two authors were independently involved in the article selection process, data extraction, and assessment of the quality of included studies using the revised Cochrane risk of bias tool. The pooled effect estimates of the standardized mean difference (SMD) between machine-assisted agitation and syringe irrigation with needle was calculated by a random effects–modeled meta-analysis. A subgroup meta-analysis was performed. The quality of evidence was evaluated by the Grading of Recommendations, Assessment, Development and Evaluations approach.Results
Six studies were included for systematic review. Meta-analysis was performed using 3 studies and showed that machine-assisted agitation resulted in less PP compared with syringe irrigation with needle at 24 hours (SMD = ?0.73; 95% confidence interval, ?1.04 to ?0.42; I2 = 30.6%) and 48 hours (SMD = ?0.60; 95% CI, ?0.85 to ?0.35; I2 = 0%). The quality of evidence by Grading of Recommendations, Assessment, Development and Evaluations for the PP outcomes (24 hours and 48 hours) was graded as “moderate” quality.Conclusions
Machine-assisted agitation reduced PP compared with syringe irrigation with needles in nonsurgical root canal treatment. Future clinical trials are needed to support the result of this review. 相似文献9.
Antonino Lo Giudice Riccardo Nucera Letizia Perillo Alessio Paiusco Gianluigi Caccianiga 《Journal of Evidence》2019,19(1):71-78
Objective
The aim of this study is to assess if low-level laser therapy (LLLT) alleviates pain after the placement of orthodontic alignment archwire and if there could be a specific indication for the usage of LLLT according to the amount of dental crowding.Materials and Methods
Ninety subjects were included and randomly assigned to the tested group (orthodontic treatment and LLLT), placebo group (orthodontic treatment and simulated LLLT), and control group (orthodontic treatment only). Inclusion criteria are age between 13 and 30 years, completely erupted mandibular teeth, and lower crowding of ≥3 mm. Exclusion criteria are spaces or diastema in the lower arch, ectopic teeth, treatment plan including extractions or the use of auxiliary devices, and previous orthodontic treatment. Patients reported the pain experienced by using a numeric rating scale, ranging from 0 to 10, at specific time intervals, that is, 2 hours, 6 hours, 24 hours, and from day 2 to 7. Kruskal–Wallis H Test was used to assess differences in the maximum pain and pain experienced at each time interval among the three groups and in the maximum pain reported among subjects with different degree of crowding.Results
The final sample consisted of 84 patients, 41 male and 43 female patients, with a mean age of 16.5 ± 2.8 years. The pain experienced at each time interval and the maximum pain score were significantly lower in the tested group, whereas no differences were found between control and placebo groups. Moreover, no differences were found in the pain experienced among subjects with mild, moderate, and severe incisor crowding in all groups.Conclusions
LLLT is effective in alleviating the intensity and duration of pain experienced by patients after the engagement of alignment archwire. However, there is no specific indication for the usage of LLLT according to the amount of crowding. 相似文献10.
Primo Guilherme Vargas Pasqual DDS Rodrigo Lorenzi Poluha DDS MSc Ênio Tadashi Setogutti MD 《Cranio : the journal of craniomandibular practice》2020,38(4):256-263
ABSTRACT
Objective
To evaluate joint effusion and positioning of the articular disc through magnetic resonance imaging (MRI) before and after two different arthrocentesis techniques. 相似文献11.
Duygu Goller Bulut Fatma Avci Gözde Özcan 《Cranio : the journal of craniomandibular practice》2020,38(4):248-255
ABSTRACT
Objective
This pilot study was planned to analyze masticatory activation in bruxism patients with and without attrition by ultrasonographic evaluation of mandibular adductor muscles. 相似文献12.
Sevgi Özdinç PhD Hilal Ata MSc Halit Selçuk MSc Hilal Başak Can MSc Nimet Sermenli MSc Fatma Nesrin Turan PhD 《Cranio : the journal of craniomandibular practice》2020,38(5):327-332
ABSTRACT
Objective
The aim of this study was to investigate temporomandibular disorder (TMD) and associated risk factors. 相似文献13.
Maria Grazia Piancino MD DDS PhD Francesco Cavarra DDS MSc Ennio Bramanti DDS PhD Giuseppina Laganà DDS MSc PhD Claudio Chimenti MD DDS MSc 《Cranio : the journal of craniomandibular practice》2020,38(5):342-350
ABSTRACT
Objective
To compare morphologic findings in MRI and skeletal divergence of a group of patients with temporomandibular joint disorders (TMD) subdivided into condylar symmetric and asymmetric. 相似文献14.
Alessandro Nota Silvia Caruso Shideh Ehsani Alberto Baldini 《Cranio : the journal of craniomandibular practice》2020,38(5):320-326
ABSTRACT
Objective
The purpose of this study is to analyze the mandibular condylar volumein a sample of subjects 11–26 years old. 相似文献15.
Simona Maria Iacob PhD Andrea Maria Chisnoiu PhD Liana Maria Lascu PhD Antonela Marcela Berar PhD Daniela Studnicska MD Mirela Ioana Fluerasu PhD 《Cranio : the journal of craniomandibular practice》2020,38(4):233-239
ABSTRACT
Objective
To determine whether PostureScreen® Mobile app is a useful, simple tool that is accessible for dentists to evaluate the correlation between malocclusion and posture. 相似文献16.
Ilaria De Giorgi DDS Tommaso Castroflorio DDS PhD Giovanni Cugliari MSc Andrea Deregibus MD DDS PhD 《Cranio : the journal of craniomandibular practice》2020,38(4):264-272
ABSTRACT
Objective
The aim of this study was to evaluate the effect of an occlusal splint on body posture of intra-articular temporomandibular joint (TMJ) disorders patients. 相似文献17.
Venkateshbabu Nagendrababu Shaju Jacob Pulikkotil Peerawat Jinatongthai Sajesh K. Veettil Nattawat Teerawattanapong James L. Gutmann 《Journal of endodontics》2019,45(4):364-371
Introduction
This review aimed to find the most effective oral premedication in reducing pain in adults after nonsurgical root canal therapy (NSRCT) using network meta-analysis.Methods
The review protocol was registered in the PROSPERO database (CRD42017071899). A literature search was performed in the MEDLINE and EBSCOhost databases until June 2017 with no language restriction. Randomized controlled trials evaluating the efficacy of oral premedications, whether given alone or in combination, compared with other agents, placebo, or no treatment in adult patients before NSRCT for postoperative pain were included. Nonintervention studies, nonendodontic studies, animal studies, and reviews were excluded. The quality of the studies was assessed using the revised Cochrane risk of bias tool. Pair-wise meta-analysis, network meta-analysis, and quality of evidence assessment using the Grading of Recommendations Assessment, Development and Evaluation criteria was performed.Results
Eleven studies comparing pharmacologic groups of medications were included in the primary analysis. Compared with placebo, corticosteroids (prednisolone 30–40 mg) was ranked best for reducing postoperative pain (median difference [MD] = ?18.14 [95% confidence interval (CI), ?32.90 to ?3.37] for the pain score at 6 hours; MD = ?22.17 [95% CI, ?36.03 to ?8.32] for the pain score at 12 hours; and MD = ?21.50 [95% CI, ?37.95 to ?5.06] for the pain score at 24 hours). However, the evidence was very low (6 and 24 hours) to moderate quality (12 hours). Nonsteroidal anti-inflammatory drugs were ranked least among the medications, and the quality of this evidence was very low. Additional analysis based on the chemical name showed that sulindac, ketorolac, and ibuprofen significantly reduced pain at 6 hours, whereas piroxicam and prednisolone significantly reduced the pain at 12 and 24 hours. Etodolac was found to be least effective in reducing pain. Overall, the evidence was of moderate to very low quality.Conclusions
Based on the limited and low-quality evidence, oral premedication with piroxicam or prednisolone could be recommended for controlling postoperative pain after NSRCT. However, more trials are warranted to confirm the results with a higher quality of evidence. 相似文献18.
Yasemin Nur Korkmaz DDS Suleyman Kutalmış Buyuk DDS PhD 《Cranio : the journal of craniomandibular practice》2020,38(5):286-291
ABSTRACT
Objective
Increased body mass index (BMI) is a growing problem worldwide and can affect medical conditions through morphological structures. The purpose of this study was to examine the hyoid bone position and pharyngeal airway dimensions on the sagittal section in different BMI percentile adolescent subjects. 相似文献19.
Inae C. Gadotti PT PhD Alixandra Lakow DPT Jocelyn Cheung DPT Michael Tang DPT 《Cranio : the journal of craniomandibular practice》2020,38(5):312-319
ABSTRACT
Objective
Physical therapy (PT) has been shown to be one of the most effective conservative treatments for temporomandibular disorders (TMD). The objectives of this pilot study are to determine the self-perceived knowledge, adequacy of entry-level education, and the current confidence levels of PTs in Florida regarding TMD treatment. 相似文献20.
Shaista Afroz BDS MDS Mio Naritani DDS Hidehiko Hosoki DDS PhD 《Cranio : the journal of craniomandibular practice》2020,38(4):273-278
ABSTRACT