Two case reports are presented to illustrate the effectiveness of cold in localizing the offending tooth in difficult diagnostic situations where painful pulpitis is present. A review of the literature reveals that there are several proposed theories concerning the mechanisms by which cold relieves the painful symptoms present in some cases of irreversible pulpitis. The hydrodynamic theory seem...

INTRODUCTION In the treatment of patients with symptomatic irreversible pulpitis, endodontic debridement is a predictable method to relieve pain. However, there are clinical situations in which emergency care cannot be provided immediately. An unexplored treatment option in these cases may be the use of a long-acting anesthetic to reduce pain in untreated irreversible pulpitis. Some medical stu...

introduction: the aim of the present study was to compare the efficacy of 2% lidocaine to 4% articaine in buccal infiltration of maxillary first molars with irreversible pulpitis. moreover, the effect of root length on success of anesthesia irrespective of the type of anesthetic agent was assessed. methods and materials: fifty patients suffering from painful maxillary first molars with irrevers...

INTRODUCTION Similar to other tissues, the dental pulp mounts an inflammatory reaction as a way to eliminate pathogens and stimulate repair. Pulp inflammation is prerequisite for dentin pulp complex repair and regeneration; otherwise, chronic disease or pulp necrosis occurs. Evaluation of pulp inflammation severity is necessary to predict the clinical success of maintaining pulp vitality. Clini...

OBJECTIVES The aim was to determine the success rate of single visit root canal treatment (RCT) and thus encourage clinicians to offer this treatment option appropriately. MATERIALS AND METHODS This was a longitudinal clinical study involving all teeth of the secondary dentition except third molars in the upper and lower jaws. Teeth having irreversible pulpitis, pulp necrosis or periapical pe...

AIM   To compare the effects of single doses of three oral medications on postoperative pain following instrumentation of root canals in teeth with irreversible pulpitis. METHODOLOGY   In this double-blind clinical trial, 100 patients who had anterior or premolar teeth with irreversible pulpitis without any signs and symptoms of acute or chronic apical periodontitis and moderate to severe pai...

external root resorption of permanent teeth is a multifactorial process. several etiologic and predisposing factors have been related to external root resorption. idiopathic external root resorption is defined as cases of external root resorption without a distinct etiologic factor. this article presents an extensive idiopathic external root resorption of maxillary first molar with irreversible...

The purpose of this prospective, randomized, double-blind study was to compare the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine to 2% lidocaine with 1:100,000 epinephrine for inferior alveolar nerve blocks in patients experiencing irreversible pulpitis in mandibular posterior teeth. Seventy-two emergency patients diagnosed with irreversible pulpitis of a mandibular posterior t...

INTRODUCTION The purpose of this prospective, randomized, double-blind study was to evaluate the effect of a buccal infiltration of sodium bicarbonate on the anesthetic success of the inferior alveolar nerve block (IANB) for mandibular first molars in patients with symptomatic irreversible pulpitis. METHODS One hundred patients diagnosed with symptomatic irreversible pulpitis of a mandibular ...