i ntroduction: deep and long-lasting anesthesia is essential throughout endodontic treatment. this study was conducted to compare the effect of adding fentanyl to epinephrine-containing lidocaine on depth and duration of local anesthesia in painful maxillary molars with irreversible pulpitis (irp). methods and materials: this randomized double-blind, clinical trial with parallel design was cond...

Various cells and inflammatory mediators are involved in the initial pulpal responses to caries. This review focuses on the cellular, neuronal, and vascular components of pulpal innate responses to caries. Discussion will include dentinal fluid, odontoblasts, neuropeptides, and neurogenic inflammation, which are not classic immune components but actively participate in the inflammatory response...

Aim: To compare premedication with dexamethasone as compared to ibuprofen in the effectiveness of IDNB lower molars asymptomatic irreversible pulpal infection. Study design: A Randomized Control Clinical Trial. Place & duration: Department Operative Dentistry, Akhtar Saeed Medical and Dental College, Lahore, from October 2022 November Methodology: total 30 cases each group were taken, using...

In regions where preventive dentistry is widespread, tooth loss due to root fracture occurs approximately 10 times more frequently than that caries and periodontal disease. Root most likely occur in non-vital teeth, the dental pulp has been removed, often through a procedure known as pulpectomy. However, super minimally invasive (SMIP) therapy recently reported novel treatment approach for pulp...

INTRODUCTION Post endodontic pain is often linked to the inflammatory process as well as additional central mechanisms. The purpose of the present double-blind randomized clinical trial study was to compare the prophylactic effects of a derivative of Zingiber Officinale, Zintoma, and Ibuprofen on post endodontic pain of molars with irreversible pulpitis. MATERIALS AND METHODS The post endodon...

Pain management after root canal treatment is a very important issue in clinical practice. The purpose of this study was to evaluate the effect of occlusal reduction on postoperative pain in teeth with irreversible pulpitis and tenderness to percussion. This was a prospective, randomized study conducted in Operative Department of dental section of Bahria Dental College and Hospital from June 20...