Intracanal Cryotherapy and its Effects on the Postoperative Pain in Root Canal Therapy: Systematic Review & Meta-analysis Protocol
Background: There are many research studies directing in lowering postoperative pain in root canal therapy. The use of intracanal cryotherapy in root canal treatment is recently introduced, and many researchers are inclined towards this techniques. This systematic review will give an insight into its application in endodontic therapy and its effects on postoperative pain. The aim of this systematic review is to evaluate the effect of intracanal cryotherapy on the postoperative pain in patients with pulp diseases and with or without peri-radicular infection during root canal therapy. This systematic review will include randomized controlled trials only. The studies should encompass patients with pulpal diseases, i.e. irreversible pulpitis and pulp necrosis in teeth. Previously root treated teeth, immature, and teeth with root resorption will not be included. Methods: We will conduct a comprehensive search strategy using electronic databases PubMed, EMBASE (Ovid), Scopus, and Cochrane library. A predefined inclusion and exclusion criteria will be utilized for the selection of studies. The reference list of selected studies will be manually searched. We will extract data from studies on a structured data collection form. At the same time, the risk of bias assessment of studies using the Cochrane risk of bias assessment tools will be performed by two reviewers independently. Furthermore, qualitative and quantitative data synthesis will be accomplished. The data will be presented in the form of table of summary of findings. Discussion: This systematic review will assess the role of intracanal cryotherapy in the form of cold saline irrigation as a final irrigant during root canal therapy. The quality of evidence will ranked as high, moderate low or very low using GRADE approach. Comprehensive search strategy, risk of bias assessment using Cochrane risk of bias assessment tool by two reviewers are the strength of this systematic review. Systematic review registration number: The…
Hospital Dentist Practice in Perception of the Multiprofessional Health Team of a Reference Center in Oncology – Recife, Pernambuco, Brazil
Introduction: The hospital dentist practice is necessary for the integral attention to the hospitalized patient, contributes to the infection control and quality of care. Objective: to verify the perception of the multiprofessional health team of a Reference Center in Pediatric and Adult Hospital Oncology, about the dental practice in the care of hospitalized patients. Methodology: Prospective cross-sectional study conducted at the Reference Center for Pediatric and Adult Hospital Oncology, from May to September 2019, through the application of a semi-structured questionnaire, Recife, Pernambuco, Brazil. Used Excel 2010 and statistical analysis, Pearson’s chi-square and Fisher’s exact tests were used, considering p ≤ 0.05. Results: a sample of 152 health professionals, of which 88.8% are female, 51.3% nursing, predominant age group between 40 and 69 years (60.6%) and 57.2% of professionals work in the Adult Hospital Oncology Center. In this study, 99.3% of the samples report being important or a dentist following and treating patients’ oral problems and 98% reported as oral diseases that can affect the patient’s overall health. Still 64.4% claim to be important or follow up before, during and after as antineoplastic therapies. In turn, 48% of the sample studied integration with a dental team as good, revealing the best members of the pediatric sector (p = 0.020). Conclusion: It is important for the dentist to be part of a team, providing assistance before, during and after antineoplastic therapies; It is necessary the performance of the dentist for the maintenance of oral health, because it is understood that oral health impacts on the restoration of general health. Further studies should be conducted with the importance of the theme addressed.
Late Diagnosis of Cancer in the Head and Neck Region: Case Report
Introduction: Head and neck cancer, especially lesions in oral cavity and oropharynx, is a public health problem in the world, and is usually associated with low rates of cure and survival due to the small number of cases diagnosed in the early stages. Objectives: This article proposes to report a case of a patient diagnosed with cancer late, exemplifying the Brazilian reality, in the State of Pernambuco. Results: The delay in the diagnostic process is influenced by the lack of initial pain symptomatology, the reduced knowledge about the disease among patients and professionals, the fear of diagnosis and the difficulties of access to the specialized service. Conclusion: Late diagnosis is still a reality, leading to a worse prognosis and a reduction in the survival rate.
RADIOGRAPHIC ASSESSMENT OF ALVEOLAR BONE GRAFT IN PATIENTS WITH CLEFT LIP AND PALATE: A REVIEW
The prevalence of cleft lip and palate is 1.09 per thousand in India; secondary alveolar grafting is an integral part of treatment planning for patients with cleft lip and palate. Post operative assessment of the outcome of the grafting procedure is required to be evaluated early as the age for secondary alveolar grafting is limited. Although there are various methods documented in the literature to evaluate the success/failure of graft, commonly employed method is radiographic assessment. Present article summarize the various scales/methods used for assessing the outcome of grafting procedure using different radiographs.
Enamel Matrix Derivative with CAF: A Promising Root Coverage Therapy
Gingival recession is multifactorial, including periodontal disease, faulty tooth brushing, iatrogenic factors like orthodontic movement, poor restorations and anatomical factors such as tooth malposition and frenum pull. Various techniques have been proposed for successful coverage of exposed root. In recent literature combination of EMD with a CAF has been investigated for recession coverage. This case report evaluates the usefulness of CAF + EMD as a root coverage procedure in Miller’s Class I or II gingival recession and showed successful root coverage at 6 months.
SURGERY FIRST ORTHOGNATHIC APPROACH: AN ALTERNATE TO CONVENTIONAL ORTHOGNATHIC APPROACH
The Conventional Orthognathic Approach (COA) for correction of skeletal malocclusion in adult patients consist of a variable length of pre-surgical orthodontic preparation accomplishing a majority of orthodontic tooth movements to reveal the true skeletal discrepancy and obtain a precise and stable occlusion post-surgically. This is followed by orthognathic surgery. Minor tooth movements like settling of occlusion are carried out during post-surgical orthodontics. This lead to development of a new approach for ortho-surgical correction; Surgery First Orthognathic Approach popularly known as SFOA in which aesthetics is restored first (by immediate surgery and eliminating the phase of pre-surgical orthodontics) followed by occlusal corrections by routine orthodontic treatment utilising Regional Acceleratory Phenomenon (RAP). This review paper highlights various aspects of SFOA to augment our existing understanding in this aspect of ortho-surgical correction.
MOEBIUS SYNDROME AND ITS IMPLICATIONS FOR DENTAL TREATMENT
Introduction: Moebius syndrome is a rare congenital neurological disease of unknown etiology, that involves several cranial nerves. The main clinical characteristic of this syndrome is the “mask-like face”, that is, the absence of facial expression in situations of sorrow or joy. Objective: This study aims to describe the characteristics of Moebius syndrome and its main implications for dentistry. Methodology: In this study, a literature review was carried out, with searches in the following databases: scholar.google.com, pubmed and medline. Furthermore, eight articles were selected, among which three were literature reviews and five were reports of clinical cases. Results: In addition to the genetic relation of the syndrome, there are factors that lead to this disorder, such as the use of misoprostol during pregnancy, for example. Conclusion: Early care for patients with Moebius syndrome by a multidisciplinary team is extremely important, since it will attenuate the effects of this pathology.
RETT SYNDROME AND ITS IMPLICATIONS FOR DENTAL TREATAMENTS
Introduction: Rett syndrome (RS) consists in a neurological severe disorder caused by a mutation in the X chromosome, mainly on the MECP2 gene, affecting the neuropsychomotor development. It is known too that the disease manifests, with higher indices in the female gender. Objective: This work is designed to present, through a review of the literature, the general aspects about the Rett syndrome and their principal implications in the dentistry. Methodology: In the present study was conducted a review of the literature with the clearance of information on the following database: Scielo, Periódicos CAPES and Google Acadêmico. There were selected eleven articles, six of these articles were review of literature and the others five were cases report. Results: Besides the genetic linkage of the syndrome, there are factors which aggravate demonstrations on individual’s overall health, mainly lack of adequate dental care’s monitoring. Conclusion: It is very important the frequency of dentistry ambulatory and clinical care to the patient with the syndrome, with the objective of promoting an oral health and prevent grievances to the general health, providing a better quality of life to this patients.
Management Of Mandibular First Molar With three roots and five canals (Radix Entomolaris)
As we know a successful endodontic treatment requires a thorough knowledge of internal and external tooth morphology, correct interpretation of radiographs, and adequate access to and exploration of the tooth’s interior. This case report presents the endodontic therapy of rare case of Radix Entomolaris in mandibular first molar with three roots( mesial, distal and distolingual) and five canals namely mesiobuccal, mesiolingual, distobuccal, first and second distolingual.
TOOTH FRAGMENT REATTACHMENT: An Aesthetic Alternative – A Case Report
Maxillary anterior teeth are the most affected teeth from dental trauma. The immediate reattachment of natural tooth fragment is a good alternative option as an emergency treatment for remaining aesthetical and functional problem. This treatment offers a conservative, aesthetic, and cost effective restorative option that has been shown to be an acceptable alternative to the restoration of the fractured area with composite resin or crown. In this case report we presents a clinical technique of reattachment of coronal fragment of maxillary central & lateral incisor after trauma using glass fibre – reinforced composite post systems.