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...

INTRODUCTION The purpose of this study was to assess the accuracy of sensibility tests by correlating it with histologic pulp condition. METHODS AND MATERIALS Assessment of clinical signs and symptoms were performed on 65 permanent teeth that were scheduled to be extracted for periodontal, prosthodontic or orthodontic reasons. The normal pulp and reversible pulpitis were considered as treatab...

The aim of this study was to evaluate the immediate changes in the pulp-dentin complex that result from crown preparation, and their correlation with the thickness of remaining dentin and the preparation technique (with or without water spray cooling). Thirty upper intact premolars scheduled for extraction for orthodontic reasons were high speed prepared, extracted immediately after preparation...

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...

A randomized, double-blind trial was conducted to compare the efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:100,000 epinephrine when used as a supplemental anesthetic. Forty-eight patients with irreversible pulpitis requiring supplemental buccal infiltration for endodontic therapy were given either 4% articaine with 1:100,000 epinephrine or 2% lidocaine with 1:100,...

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,...

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...

The preservation of deciduous teeth is crucial in pediatric dentistry to maintain normal speech, development, and self-esteem, while also preventing secondary issues like space loss tooth impaction. Different materials approaches have been explored over time, ranging from mummification maintaining pulp vitality promoting healing. In today's conservative dentistry, techniques indirect treatment ...

vital pulp therapy (vpt) of permanent mature teeth is continuously ascertaining to be a more reliable endodontic treatment. the purpose of this case report was to describe successful vpt of a mature mandibular left first molar with concurrent hyperplastic pulpitis, internal root resorption and periradicular periodontitis in a 35-year-old male patient. after complete caries removal and access ca...