Attaining local anesthesia for the treatment of teeth diagnosed with irreversible pulpitis ("hot" tooth) can be a challenge. This article looks at the strategies a dentist can use to help achieve adequate pulpal anesthesia for the patient, thereby eliminating or reducing treatment pain.

e l b c t p p c p bstract he Cochrane Systematic Review promotes evidenceased outcomes studies. The review summarized here as conducted in an attempt to achieve reliable evience concerning the effectiveness, or otherwise, of rescribing antibiotics for patients having irreversible ulpitis. A competent search strategy was developed nd used across several databases including MEDLINE o identify ran...

Pulpal disease, specifically dental pulpitis, is triggered by exogeneous stimuli from cariogenic bacteria or traumatic injury. The specific host defense in the dental pulp is regulated by the innate and adaptive immunity, of which the pulp-dentin complex odontoblasts play an essential role in the early stage of the dental immune response. It has been reported that the NLRP3 inflammasome is expr...

Introduction: External cervical resorption (ECR) in advance stages may have a probable pulp involvement. In some of these cases, the accessibility resorptive process can be performed by an intraradicular approach. Aim: To report management ECR, classified as Class 2cp according to Patel classification, with internal Case report: A 22-year-old male patient presented complaint dentin hypersensiti...

OBJECTIVES Local anaesthesia is the standard of care during dental extractions. With the advent of newer local anesthetic agents, it is often difficult for the clinician to decide which agent would be most efficacious in a given clinical scenario. This study assessed the efficacy of equal-milligram doses of lidocaine and articaine in achieving surgical anaesthesia of maxillary posterior teeth d...

BACKGROUND Lidocaine is the gold standard anaesthetic solution that has been used since its inception into dentistry till date. Around 80% of failures have been reported when lignocaine has been used for inferior alveolar nerve block in children and adults with irreversible pulpitis. There is a need to use newer drugs which are available which have been reported to be effective like lignocaine,...

in modern endodontics, vital pulp therapy (vpt) has been considered an ultra-conservative treatment modality. based on the level of pulp preservation, vpt includes stepwise excavation, indirect pulp capping (idpc), direct pulp capping (dpc), miniature pulpotomy (mp), partial/cvek pulpotomy and coronal/complete pulpotomy (cp). the present article reviews the treatment outcomes of 94 permanent te...