Tooth Extraction Research Articles

Successful Treatment of Nasopalatine Duct Cyst After Maxillary Anterior Implant Surgery: A Case Report.

Sporadic studies have reported the occurrence of nasopalatine duct cysts after maxillary anterior implant surgery, and the treatment methods still have clinical uncertainty. We report a potential therapy method that successfully treated a nasopalatine duct cyst that developed and expanded 1 year after maxillary anterior implant placement following periodontally hopeless teeth extraction. The nasopalatine cyst was treated surgically without removing implants. During flap surgery, the cyst was removed intact, and the exposed implant's surface was debrided thoroughly by hydrogen peroxide (H2O2) rinsing, glycine air polishing, and saline rinsing. To deal with the significant bone defect caused by the cyst, a bovine porous bone mineral injected platelet-rich fibrin (BPBM-i-PRF) complex was applied to fill the defect, following a resorbable collagen membrane to cover. Seven years after surgery, no cyst recurrence was observed, and bone regeneration in the bone graft area was stable. The implants functioned well without mobility. For nasopalatine duct cysts associated with dental implant placement, complete surgical debridement and longitudinal stable bone regeneration are possibly accessible by regenerative surgery without implant removal.

Surgical Endodontic Management Of Maxillary Incisors: A Case Report

In the root canal system, infection of the pulp tissue caused by caries or other pathways is the primary cause of apical periodontitis. The ultimate goal of the endodontic treatment is to create adequate conditions for periradicular tissue healing. Nonsurgical endodontic treatment is a highly predictable treatment option in most cases, but surgery may be indicated for teeth with persistent periradicular pathosis unresponsive to nonsurgical approaches. The aim of this article is to highlight the possibility of the successful outcome of surgical endodontic treatment following failed non-surgical treatment of right maxillary central incisor. With proper case selection and operator skill, periradicular surgery can be considered predictable, cost-effective alternative to tooth extraction and tooth replacement.

Balancing and compensating primary tooth extractions: Paediatric dentists' approaches

Balancing and compensating primary tooth extractions: Paediatric dentists' approaches

The complications of traditional uvulectomy and concurrent occurrences of cultural malpractices in Ethiopia: A systematic review and meta-analysis

IntroductionDespite the establishment of a national strategy and plan to eliminate all harmful traditional practices, traditional uvulectomy remains widely practiced in Ethiopia, and there is a lack of comprehensive summary of national data on uvulectomy complications and associated malpractices. Therefore, this study aimed to assess the pooled complications of uvulectomy and concurrent occurrences of traditional malpractices in Ethiopia. MethodsThe following databases were used to retrieve studies: PubMed, EMBASE, CINAHL, Google Scholar, Web of Science, MEDLINE, Cochrane Library, SCOPUS, and Google Search. Manual searches were also utilized to identify relevant articles. Studies reporting traditional uvulectomy complications and malpractices in Ethiopia were considered. STATA Version 17 was utilized for statistical analyses, while heterogeneity and publication bias were assessed using I2 statistics. ResultsFrom a total of 259 studies found in electronic databases, 19 studies (23,559 study participants) were incorporated in the analysis. The pooled incidence of complications following traditional uvulectomy in Ethiopia was 29 % (95 % CI: 14%–44 %). Hemorrhage, transmission of communicable infections, and sepsis are the most common complications of traditional uvulectomy. Concurrent to uvulectomy female genital cutting (23 %), milk tooth extraction (29 %), bloodletting (“mebtat” in Amharic) (11 %), eyebrow incision (10 %), and body tattooing (16 %) were found to be widely practiced in Ethiopia. ConclusionsThe overall pooled results of this study revealed that three out of ten children who underwent traditional uvulectomy experienced complications such as hemorrhage, the spread of contagious infections, and sepsis. Children underwent uvulectomy are also victim to other traditional malpractices including milk teeth extraction, bloodletting, eyebrow incision, tonsillectomy, and body tattooing. Efforts should be made to update strategies to avert malpractices through awareness-creation, social mobilization, and controlling traditional practitioners.

A Cephalometric Study Of Vertical Skeletal Changes After Extraction And Non-Extraction Fixed Orthodontic Treatment Of Class I Malocclusion In North Indian Population

Background: Orthodontic treatments frequently involve tooth extractions to address crowding and protrusion, but the effects of these extractions on vertical skeletal changes are still debated. Research has extensively covered aspects like soft tissue response and smile aesthetics, yet there is no consensus on their impact on vertical dimensions. This issue is particularly pertinent for hyperdivergent individuals, who make up about 22% of orthodontic patients. A proposed technique for such cases includes counterclockwise rotation of the lower jaw and advancement of posterior teeth to manage open bites or excessive vertical facial height. This study aims to compare vertical skeletal changes in Class I malocclusion patients undergoing extraction versus non-extraction fixed orthodontic treatments. Material and Methods: We analysed pre- and post-treatment lateral cephalometric radiographs from 60 Class I crowding patients, evenly split into extraction and non-extraction groups. Eight vertical skeletal parameters were assessed and compared statistically between the two groups. Superimposition analysis of radiograph tracings was used to explore vertical changes related to molar mesialization, particularly in the extraction group. Results: The extraction group demonstrated significant reductions in vertical skeletal dimensions compared to the non-extraction group. Measurements including FMA, SN-GoGn, Y-axis, SN-PP, and PP-MP showed significant differences, with reductions in the extraction group (P = 0.001). Procrustes superimposition indicated effective molar mesialization in the extraction group, which was not observed in the non-extraction group. Conclusion: Extraction of first premolars in fixed orthodontic treatment leads to a notable decrease in vertical skeletal dimensions, in contrast to the slight increase seen with non-extraction treatments. This reduction is largely due to molar mesialization, which enhances vertical skeletal dimensions and treatment stability in Class I crowding cases.

Classification and comparison of impacted tooth extraction costs with OECD countries: Running title : Cost of impacted tooth extraction in OECD countries

Purpose: The purpose of this study is to compare the cost of impacted tooth extraction in Korea and some OECD countries and ultimately use it as basic data for the future revision of the relative value of national health insurance.Materials and Methods: Costs of tooth extraction in Korea, Japan, the United States, Australia, the United Kingdom, Germany, France, and Canada were investigated. The costs were investigated through the dental association or association of oral and maxillofacial surgery in each country with literature review. In countries such as Korea, Japan, and Germany, which have a universal health insurance system at the national level, a survey was conducted based on a data collection listing standard tooth extraction cost. The costs were compared using the price level of each country and Big Mac Index.Results: The classification and cost system for impacted tooth extraction were different in each country. Nevertheless, when comparing them by grouping them as similar as possible, the cost of impacted tooth extraction of Korea is lowest compared to some OECD countries. In addition, the cost is lowest even considering comparative price levels and the Big Mac index.Conclusion: In conclusion, we believe that the fees for impacted tooth extraction need to be appropriately adjusted to a level similar to that of OECD countries, reflecting various factors. It is also believed that changes and approvals for a new the tooth extraction cost system are needed.

Detection The Effect Of Low Level Laser Therapy On The Management Of Alveolar Osteitis

alveolar osteitis is a common complication occurs after tooth extraction, this complication can affected healthy people although it is cause is unknown. Therefore, alveolar osteitis management has always based on empirical treatment rather than scientific knowledge. The present study detect the efficacy of low levellaser therapy (LLLT) the healing of alveolar osteitis. Materials and methods: Patients who diagnosed with alveolar osteitis at the Al Ameeed dental clinic in AL Ameed University / College of Dentistry were enrolled in a randomized controlled clinical trial. Sixty patients has been divided equally into two groups for received different treatments: the first group received traditional therapy which include socket curettage and irrigation with saline, while the second group received low-level laser therapy. All the dry sockets were assessments on day 0 before intervention and then on day 4th and 7th of follow up. the pain, depth, piresocket inflammation and perisocket tenderness of dry socket were evaluated in each visit. Results: Two therapy groups were established using 60 dry socket patients. The median of pain score, granulation tissue formation, tenderness, inflammation of the socket show there are significant improvement of group II LLLT compared to the conventional treatment. Conclusion: The low-level laser therapy has a superior effect on the reduction period of the healing process of alveolar osteitis. On the other hand the conventional therapy may improve the sign and symptoms of the alveolar osteitis but don’t reduce the time of healing process.

A Retrospective Evaluation of Patients Who Had Den¬tal Treatments Under General Anesthesia

Aim: This retrospective study aimed to evaluate the demographic and operational data of uncooperative healthy individuals and individuals with special needs who underwent dental treatments under sedation and general anesthesia. Methods: Data of 458 patients with special needs and 77 healthy noncooperative patients who were examined at XXX University Faculty of Dentistry between January 2022 and May 2023 and underwent dental treatments under general anesthesia were examined retrospectively. Demographic data of the patients, American Society of Anesthesiologists (ASA) scores, mallampati (MP) scores, disability status, if they have systemic diseases, type of anesthesia (sedation/general anesthesia), anesthetic agents and analgesia used, operation duration and dental treatments, were evaluated. Results: The average age of 535 patients who received dental treatment was 13.5±9.9 years and 58.1% (n=311) of the patients were male and 41.9% (n=224) were female. According to ASA scores, the distribution was 15.7% ASA I, 77.6% ASA II, and 6.7% ASA III. While 14.4% of the patients were systemically healthy, 16.7% had epilepsy, 12.9% had cerebral palsy, 12.1% had mental retardation, and 7.1% had Down syndrome. Of 7.1% had various comorbidities such as cardiological problems. Sedation was applied to 7.3% (n=39) of the patients, and general anesthesia was applied to 92.7% (n=496). The average anesthesia duration was 74.5±34.6 minutes. While the average restorative treatment applied to the patients was calculated as 6.45±3.9, tooth extraction 5.25±4.3, fissure sealant 2.44±2.5, pulp treatment 1.62±0.9; Trauma splint was applied to 3 patients. Conclusions: While pre-anesthesia evaluation is very important in determining the risks in dental general anesthesia and sedation applications, the operating conditions and the general and oral health of the patients are effective in the dental treatment decision.

The Role of X-ray in Diagnoses of Probably Risks Before and After Tooth Removed

X-rays play an important role in diagnosing the various pathological conditions that the patient suffers from with a defect that has occurred in the teeth for any reason. In our current research the radiographic images referred to different types of cases represented by (the pain generated because of the severe punch in the place of the tooth when it is removed, complication pain in mandibular due to inflammation arising before the removal of the tooth, increased tooth pain due to its breaking into small pieces, and not completely removing it from its place, pain arising from a wound in the place of the removed tooth, and in the gums, pain that occurs because the patient does not follow the necessary preventive instructions, the emerging pain when the tooth next to the tooth to be removed (wrongly) was removed), as the numerous (25, 75, 28, 12, 82, 32) respectively, documented through the periodic time between (march\2020 and march\2021). There were no significant differences between these cases represented by dental and gum problems whose diagnosed, and there risks were detected by using X-rays before and after tooth extraction, and thus it is clear to determine the appropriate treatment to get rid of the seriousness of the condition that was photographed by X-rays.

Custom‐made surgical guide with mucoperiosteal flap elevation function for the removal of multiple impacted supernumerary teeth: A case report

AbstractBackgroundSurgical guides manufactured with computer‐aided design/computer‐aided manufacturing (CAD/CAM) technology are effective tools for oral surgeries.Case presentationA new type of surgical guide with mucoperiosteal flap elevation function was custom designed, printed, and applied for the safe and accurate removal of six impacted supernumerary teeth in a 12‐year‐old male patient. The surgical guides were designed with access holes corresponding to the positions of the impacted teeth and the elevation structures of the mucoperiosteal flap.ConclusionThe novel custom‐made surgical guide system introduced in the present report was successfully utilized for minimally invasive teeth removal procedures.

Wisdom Tooth Extraction Training for Dental Students: Step-by-Step or All-in-One?

Aims/Background For inexperienced dental students, impacted wisdom tooth extraction is a complex procedure involving a series of intricate steps. This study compared the effectiveness of step-by-step and all-in-one teaching methods for dental students learning impacted wisdom tooth extraction, by evaluating their practical abilities, understanding, and learning satisfaction. Methods Fifty dental students were randomly assigned to either a step-by-step teaching group (Group S) or an all-in-one teaching group (Group A) for impacted wisdom tooth extraction training. Their skills were assessed using the Assessment of Competency in Exodontia Skills (ACES) scoring system, and their theoretical knowledge was tested in a test. The students also completed a questionnaire to gauge their satisfaction regarding the teaching method received. Results The students in Group S demonstrated superior performance in clinical procedures compared to Group A, evidenced by the significantly higher ACES scores (p < 0.05). There was no significant difference in theoretical exam scores between the two groups (p > 0.05). The students in Group S reported higher general satisfaction (p < 0.05), suggesting a preference for the step-by-step approach. The results also showed that satisfaction toward hands-on practice and teaching sessions significantly contributed to general satisfaction, while satisfaction with mastery of clinical skills did not. Conclusion The step-by-step teaching method was more effective in improving students' clinical skills and augmenting their satisfaction during impacted wisdom tooth extraction training. Our findings support the use of incremental learning approaches in dental education to enhance both clinical competencies and students' learning experiences.

Frequency of Dry Socket among Patients Undergoing Dental Extractions Presenting to A Teaching Hospital, Rawalpindi

A dry socket, a painful post-extraction complication, occurs when the blood clot at the extraction site is dislodged or fails to form. Understanding its prevalence is crucial for improving outcomes in dental practices. Objective: To determine the frequency of dry sockets in patients undergoing dental extraction. Methods: A cross-sectional descriptive study was carried out and two customized questionnaires were filled out over three months. One questionnaire was for patients undergoing extractions and the other was filled for patients returning with dry sockets. The study included Pakistani individuals with permanent dentition while excluding non-Pakistani individuals, children with deciduous/mixed dentition, and severely immunocompromised patients. Chi-square and Fischer's exact tests were used to compare the frequency of dry sockets between gender and age groups. p-value of less than or equal to 0.05 was considered statistically significant. Results: Out of the 188 patients, 85 (45.2%) were males and 103 (54.8%) were females. Medically compromised patients comprised 24.5% of the study population. The overall incidence of dry sockets was 9.0%, with a slightly higher occurrence in females (9.7%), though the difference was not statistically significant (p-value=0.802). Smokers demonstrated a higher incidence of dry sockets (23.1%), which was also not statistically significant (p-value=0.099). Medically compromised patients experienced dry sockets at 17.4%, compared to 6.3% in healthy patients, suggesting a trend that did not reach statistical significance (p-value=0.363). Conclusions: It was concluded that identifying high-risk groups and promoting effective prevention and management techniques can reduce the incidence of dry sockets, leading to better outcomes and overall oral health

Appropriateness of antibiotic prescribing among patients treated for dental diseases in Mekelle city, Northern Ethiopia: a cross sectional study

BackgroundLocal operative treatments are generally preferred for most dental diseases, with antibiotics only recommended as an adjunct in specific cases. Misuse and overuse of antibiotics has been shown to significantly contribute to the development of resistant bacteria. However, the antibiotic prescribing practices of dentists in Ethiopia have not been thoroughly studied. This study aimed to assess the appropriateness of antibiotic prescribing for patients with dental diseases at dental clinics in Mekelle City, Northern Ethiopia.MethodsA cross sectional study was conducted in April and May 2020 among patients visiting dental clinics in Mekelle City. Data were collected through patient medical record reviews and dentist interviews. The appropriateness of antibiotic prescription was evaluated based on guidelines from the American Dental Association and the European Society of Endodontology. Data were analyzed using SPSS Statistics, version 29. Binary logistic regression analysis was performed, and the results were presented as odds ratios with 95% confidence intervals. A p value less than 0.05 was considered statistically significant.ResultsTwo hundred and thirty-one patients with dental diseases participated in the study. The mean age was 30.6 years with a standard deviation of 16.1. Most participants had dental pulp related disease. 89% of patients were prescribed antibiotics, with amoxicillin being the most common. Inappropriate antibiotic prescribing was identified in 175 (75.8%) of the study participants. The most common inappropriate prescribing was unnecessary antibiotic prescribing for dental conditions without systemic signs, assessed in 141 (80.1%) participants. Patients diagnosed with pulp related disease without systemic signs and those who had tooth extractions were significantly associated with inappropriate antibiotic prescription (p value < 0.001).ConclusionsThe study findings show that antibiotics are over-prescribed for dental conditions in this resource constrained setting, especially in patients who have had tooth extractions. Dentists need training on appropriate antibiotic use and antimicrobial stewardship interventions should be implemented in dental setting to reduce unnecessary antibiotic prescriptions and prevent antibiotic resistance development.

Hematological parameters in patients with internal carotid artery atherosclerotic stenosis during tooth extraction.

Hematological parameters in patients with internal carotid artery atherosclerotic stenosis during tooth extraction.

Cytokine imbalance as a factor of postoperative complications of third mandibular molar extraction

Background. Tooth extraction is considered the most frequently performed operation in surgical dentistry, which can often cause inflammatory complications. Modern research has come a long way in terms of developing methods for the prevention, diagnosis and treatment of these complications, but the search for their early laboratory markers remains an urgent task to this day.The aim of the study. To determine prognostic laboratory criteria for the development of local inflammatory complications of third mandibular molar extraction.Methods. The study included 35 people who underwent extraction of a third mandibular (semi-impacted) molar. Before the surgery, immediately after the surgery, 1, 2, 3 and 4 days after the surgery, we assessed the objective status of the patients and collected oral fluid from the oral cavity, in which we determined the concentrations of cytokines using enzyme-linked immunosorbent assay. After the surgery, patients were divided into a control group and a group with complications with determination of their cytokine status.Results. Immediately after the surgery, patients from the group with complications, compared with patients from the control group, had significantly higher levels of proinflammatory cytokines – interleukin (IL) 1, IL-8 and comparable levels of tumor necrosis factor α and anti-inflammatory cytokines IL-4 and IL-10. Integral cytokine indices in both groups showed a sharp shift towards pro-inflammatory direction in patients with complications. This fact determines the protracted or progressive nature of the inflammatory process after the surgery.Conclusion. Determining the level of individual cytokines and cytokine indices in the oral fluid after the extraction of a third mandibular molar allows us to identify early markers for the chronicity of the inflammatory process, to predict its further course and to take appropriate measures to prevent the development of expected complications.

Does alveolar ridge preservation reduce the need for sinus floor elevation: A comparative study to spontaneous healing.

In cases of atrophy in the maxillary posterior region, characterized by reduced vertical bone volume, implant placement becomes challenging. Augmentation procedures like sinus lifts are often needed to address insufficient bone volume. This study aims to explore if alveolar ridge preservation, using a bovine bone substitute and a porcine collagen membrane, significantly decreases the need for sinus lifts compared to natural wound healing after tooth extraction. In this comparative clinical study, 40 patients requiring a total of 53 extractions were assigned to one of the following groups: a test group with bovine bone substitute material (Straumann® XenoFlex) and a porcine collagen membrane (Jason® membrane), or a control group with spontaneous socket healing. After 6 months, digital volume tomography was performed for implant planning. For seven patients from the control group (n = 22 extracted sites) sinus lift augmentations were performed while only four sinus lift procedures were performed in the test group (n = 31 extracted sites), indicating a higher need for sinus augmentation procedures in the control group, however not statistically different on a p value of 0.05 (p = 0.168). In the control group, the mean value of the radiographically measured bone height (mesial and distal) was 11.13 ± 2.12 mm preoperatively before tooth extraction, while it was 11.3 ± 2.17 mm postoperatively after implant placement. In contrast, the mean value in the test group was 11.78 ± 3.09 mm preoperatively and 11.92 ± 2.79 mm postoperatively. Statistical analysis revealed no significant difference between the two groups (odds ratio 0.32; 95% CI: 0.08, 1.26; p = 0.951). The implant survival rate in the control group was 100%, compared to 96.77% in the test group. Within the limits of this study, the use of bovine bone substitute and a porcine resorbable membrane after tooth extraction in the posterior maxilla seems to reduce the need for sinus augmentation in comparison to spontaneous healing although the difference was not statistically significant. Additionally, the Alveolar Ridge Preservation in the test group made external sinus floor elevation unnecessary compared to the control group. The change in radiographically measured bone height pre- and postoperatively showed no significant difference between the two groups.

Evaluation of Bleeding Time after Dental Extractions during Uninterrupted Single or Dual Antiplatelet Treatment - A Comparative Study

Abstract Introduction: This study aimed to assess the duration of bleeding after dental extractions amongst subjects with uninterrupted single antiplatelet therapy and dual antiplatelet therapy (DAPT) and to compare the bleeding time after dental extractions amongst those subjects undergoing various antiplatelet therapies. Materials and Methods: Post-extraction bleeding time was categorised as within 30 min, within 1 h and within 24 h. The bleeding time in different categories was compared and analysed using Chi-square. The antiplatelet agents assessed were aspirin, clopidogrel, ticagrelor and a combination of aspirin with clopidogrel and ticagrelor. Results: Bleeding time was significantly higher in patients under DAPT, compared to those under single antiplatelet therapy, and with an increase in the number of teeth extracted, there was an increase in bleeding time. All cases with prolonged bleeding could be managed with local haemostatic measures. Discussion: Simple extraction can be undertaken safely in patients under single antiplatelet therapy, considering that local haemostatic measures are available for use in the setup to control bleeding if necessary. Patients under DAPT are better managed if the therapy is altered, as there was a definite increase in bleeding time in patients under DAPT after extraction.

Alveolar bone healing patterns in chronic kidney failure and kidney transplant recipients: A pixel intensity and fractal analyses.

To assess and compare radiographically the alveolar bone after tooth extractions in individuals with chronic kidney failure undergoing hemodialysis (CKFh), those submitted to kidney transplantation (KT), and those without kidney disease (CG) by using fractal analysis (FA) and pixel intensity (PI). Periapical radiographs of 48 CKFh individuals (87 extracted teeth), 12 KT individuals (26 extracted teeth and 29 control individuals [76 extracted teeth] were analyzed at 7 and 60 days after tooth extraction. Fractal dimension (FD) and PI were assessed to evaluate the alveolar trabecular bone structural complexity and mineral content. The difference in FD values between the 7th and 60th postoperative days in KT individuals (0.03±0.08) was significantly lower compared to those of CKFh individuals (0.09±0.10) and controls (0.15±0.06). As for the difference in PI values, KT (4.55±10.24) and CKFh groups (9.88±15.90) showed significantly lower values compared to those of the control group (17.93±11.86) in the same period. These results indicate a lower gain in the trabecular bone complexity and bone density in the alveolus of KT individuals compared to the other groups. Overall mineral content and thickness of the bone in the plane of the x-ray beam were lower in KT and CKFh individuals compared to controls, reflecting the need for careful consideration in recommending rehabilitation with dental implants for these patients. Particular attention should be given to the potential challenges in oral rehabilitation of KT patients.

Are prophylactic antibiotics effective in preventing osteoradionecrosis after high-risk dental extractions?

A systematic review and meta-analysis. To assess and compare the effectiveness of different adjunctive treatments during tooth extraction in post-radiotherapy head and neck patients for preventing osteoradionecrosis (ORN). Two independent reviewers conducted an electronic search through PubMed, Embase, Cochrane Libraries, Scopus and Web of Science databases using relevant search terms. Additionally, references of relevant articles were manually searched for eligible studies. Included were full-length articles (randomized controlled trials (RCTs), clinical trials, or observational studies) published in English, reporting on ORN occurrence after dental extraction, with or without adjunctive interventions, in patients who had previous radiotherapy. Data extraction was similarly performed by two independent researchers. For quality assessment, bias in observational studies was evaluated using the ROBINS-I tool, while the RoB 2 tool was used for RCTs. One-arm meta-analyses estimated pooled ORN prevalence rates for different adjunctive treatments based on patient-level outcomes. For studies with direct comparisons between two modalities, pooled odds ratios for ORN were calculated using pairwise meta-analyses. This systematic review followed PRISMA guidelines and was registered in the PROSPERO database. A total of 29 studies with 1520 patients were included, comprising 4 RCTs, 4 prospective studies, and 21 retrospective observational studies. Five adjunctive treatment modalities around the time of dental extractions were identified: hyperbaric oxygen (HBO), pentoxifylline-tocopherol (PENTO), antibiotics (ABX), platelet-rich fibrin and photobiomodulation. Of the 25 observational studies included, 11 had a serious risk of bias, while all RCTs but 1 had low risk of bias. Egger's test showed no publication bias for the HBO and ABX groups (p > 0.05). Antibiotics were used in 17 studies, with significant variations in preoperative and postoperative protocols. Most studies utilized penicillin or clindamycin. The pooled prevalence of ORN was significantly lower in the HBO (4.6%), PENTO (3.4%), and ABX (3.8%) groups compared to the Control (17.6%), as indicated by the non-overlapping 95% CIs between the Control and any of the intervention groups. In studies with direct comparisons, HBO exhibited lower odds of developing ORN than the Control (odds ratio [OR] = 0.27) and ABX (OR = 0.57), although these differences were not statistically significant. HBO, PENTO, and ABX show similar reduction in ORN rates compared to no intervention. Given its cost-effectiveness and accessibility, ABX may be the most practical prophylactic modality at present.

Effect of Preemptive Analgesia on Pain Perception in Children: A Randomized Controlled Trial.

Efforts have been made to minimize pain, prevent the development of needle fear, and promote positive experiences for children. The present study is designed to evaluate the effect of premedication with Ibugesic Plus before the administration of local anesthesia and extraction in children. The aim of the study is to assess the efficacy of preemptive analgesia on pain perception during local anesthesia administration and extraction in pediatric patients. A total of 104 patients aged 7-10 years were selected who needed primary molar extraction. Group -Ibugesic Plus syrup was given 30 minutes prior to extraction. Group II-Placebo solution (B-Folcin syrup) was given 30 minutes prior to extraction. Pain level, pulse rate, and SpO2 were assessed using the Wong-Baker Faces Pain Rating Scale (WBFS) and pulse oximeter after injection, after extraction, and postoperatively. The highest scores of pain were recorded after the time of injection and extraction. The patients who received preemptive analgesics (group I) reported significantly less pain than the placebo group (group II) at the time immediately after injection, after extraction, and 2 hours after extraction. The present study showed that preemptive analgesic administration may be considered a routine and rational pain management strategy in primary tooth extraction procedures in children. Preemptive analgesia can be given to patients prior to dental procedures to reduce postoperative pain. Virda M, Panda A, Kataria K. Effect of Preemptive Analgesia on Pain Perception in Children: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2024;17(8):913-917.