BACKGROUND Irreversible pulpitis is a highly painful inflammatory condition of the dental pulp which represents a common dental emergency. Recommended care is partial endodontic treatment. The dental literature reports major difficulties in achieving adequate analgesia to perform this emergency treatment, especially in the case of mandibular molars. In current practice, short-course, orally adm...

INTRODUCTION Few studies have evaluated the effectiveness of the Gow-Gates and Vazirani-Akinosi techniques in patients presenting with symptomatic irreversible pulpitis. Therefore, the purpose of this prospective, randomized study was to evaluate the anesthetic efficacy of the Gow-Gates and Vazirani-Akinosi techniques using 3.6 mL 2% lidocaine with 1:100,000 epinephrine in mandibular posterior ...

Root canal therapy (RCT) is a common and successful treatment for irreversible pulpitis due to carious pulp exposure in mature permanent teeth. However, it is often an expensive procedure, may require multiple appointments, and requires a high level of training and clinical skill, specifically in molars. Uninsured patients, low-income patients, and patients with limited access to specialist car...

human dental pulp inflammation can progress to periapical lesion formation and conventional root canal treatment (rct) has been the traditional method for disease management. this observational study presents two cases of vital pulp therapy in mature molars diagnosed with irreversible pulpitis and associated with apical periodontitis. in these two clinical cases, the involved teeth had deep car...

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...

the presence of immune factors in inflamed dental pulps, suggests that immune responses could participate in disease process. with regard to the presence of significant number of mast cells in pulpitis cases, the purpose of this study was to determine the correlation between concentration and presence of ige in supernatant fluids of explants cultures of different states of dental pulps. for thi...

Successful local anesthesia is the bedrock of pain control in endodontics. Pain control is essential to reduce fear and anxiety associated with endodontic procedure. It is belivied that premedication with non-streroidal anti–inflammatory (NSAID) drugs before administrating inferior alveolar nerve block (IANB) increases the success of anesthesia. The purpose of this study was to evaluate t...

introduction: effective post-operative pain management is one of the problems following root canal treatment. nonsteroidal anti-inflammatory drugs (nsaids) are the most commonly prescribed analgesics in endodontics. the aim of this study was to evaluate the effectiveness of naproxen in controlling pain following root canal treatment in teeth with irreversible pulpitis. materials and methods: th...

OBJECTIVES This study was done to compare the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine with that of 2% lidocaine with 1:80,000 epinephrine during pulpectomy in patients with irreversible pulpitis for inferior alveolar nerve block in mandibular posterior teeth. MATERIAL AND METHODS Patients with irreversible pulpitis referred to the Department of Conservative Dentistry an...

background: successful anesthesia during root canal therapy may be difficult to obtain. intraosseousinjection significantly improves anesthesia’s success as a supplemental pulpal anesthesia, particularly incases of irreversible pulpitis. the aim of this study was to compare the efficacy of x‑tip intraosseousinjection and inferior alveolar nerve (ian) block in primary anesthesia for mandibular p...