Abstract
Aims: To identify the clinical picture and the association between dry socket and severe postoperative development with one of the systemic risk factors (typhoid fever). Materials and Methods: Twenty adult (both sexes) patients attended dental clinic searching for different dental treatments were studied. The clinical picture of 6 months period study was evaluated by completing two case sheet forms. They were diagnosed having dry sockets and severe postoperative pain. Blood samples were taken for bacteriological, serological and hematological study to diagnose typhoid fever. These tests included WAT, WFT, WBCs and blood culture. Results: Significant correlation existed between postoperative pain and typhoid fever examined by BC and the highest percentage was with dry socket (61.5%) followed by WFT (57.1%(, WAT (44.4%) using two tests for diagnosis showed that WFT and BC gave 97.9% positive for dry socket and Kappa test was 88%, while WAT and WBCs or WFT and WAT gave the least non significant correlation. Conclusion: There was a strong correlation between dry socket and typhoid fever and the most sensitive tests for diagnosis was BC followed by WFT, WBCs and WAT
Highlights
When children are in need of dental treatment as a result of trauma or caries, the dentist has not usually had any opportunity to instill confidence in the patient [1]and normally fear of the dentist is fairly common in children. [2]When behavioral management methods such as tell-show-do, positive reinforcement, controlled expectations, distraction, modeling and suggestion have failed to achieve treatment acceptance in uncooperative children, an addition of appropriate and targeted use of pharmacological agents have proved to be very helpful.[3]Sedation was indicated in order to minimize motion artifact, facilitate www.rafidaindentj.netAl-Sandook TA, Delemi ZH, Al-Rawi BA successful completion of the procedure and potentially minimize risk to the patient
Diazepam has been used to manage an uncooperative child in a dental setting
Sedation with diazepam was recommended for uncooperative children or children with dental fear when they were in need to acute dental treatment because of pain
Summary
When children are in need of dental treatment as a result of trauma or caries, the dentist has not usually had any opportunity to instill confidence in the patient [1]and normally fear of the dentist is fairly common in children. [2]When behavioral management methods such as tell-show-do, positive reinforcement, controlled expectations, distraction, modeling and suggestion have failed to achieve treatment acceptance in uncooperative children, an addition of appropriate and targeted use of pharmacological agents have proved to be very helpful.[3]Sedation was indicated in order to minimize motion artifact, facilitate www.rafidaindentj.netAl-Sandook TA, Delemi ZH, Al-Rawi BA successful completion of the procedure and potentially minimize risk to the patient. Diazepam has been used to manage an uncooperative child in a dental setting It is a water insoluble benzodiazepine and requires the organic solvent propylene glycol to dissolve it. Diazepam is very popular sedating agents due to its wide margin of safety and it has wide therapeutic index. It has many pharmacological effects which include: sedation, hypnosis, anesthesia, anticonvulsant effects, muscle relaxation and effects on respiration and cardiovascular function. It is indicated as hypnotic, in anxiety, tension, muscle spasm, psychosomatic and behaviour disorders, dysmenorrhoea, cerebral palsy, upper motor neuron spasticity, sedative for surgical procedures, labour, tetanus, eclampsia and epilepsy. It may be advantageous to administer a drug rectally, for example if a patient is unconscious or vomiting, or uncooperative in some way, but generally, it is considered an unpleasant method. [17]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
