Base de dados : MEDLINE
Pesquisa : E06.342.377 [Categoria DeCS]
Referências encontradas : 963 [refinar]
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[PMID]:28514341
[Au] Autor:Makeeva IM; Volkov AG; Dikopova NZ; Talalaev EG
[Ad] Endereço:I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
[Ti] Título:[Endodontic treatment efficacy enhancement by means of instrumental physiotherapy].
[Ti] Título:Povyshenie éffektivnosti éndodonticheskogo lecheniia s pomoshch'iu apparaturnykh metodov..
[So] Source:Stomatologiia (Mosk);96(2):17-19, 2017.
[Is] ISSN:0039-1735
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The article describes in detail and examines the prospects of such methods as electroodontodiagnosis, diathermocoagulation and apex-phoresis. It proves the necessity of development and standardization of devices for the mentioned treatment modalities that will improve the effectiveness an quality of caries complications treatment.
[Mh] Termos MeSH primário: Doenças da Polpa Dentária/diagnóstico
Doenças da Polpa Dentária/terapia
Teste da Polpa Dentária/instrumentação
Terapia por Estimulação Elétrica/instrumentação
Eletrodiagnóstico/instrumentação
Endodontia/instrumentação
[Mh] Termos MeSH secundário: Cárie Dentária/complicações
Doenças da Polpa Dentária/etiologia
Eletrocoagulação/instrumentação
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE
[do] DOI:10.17116/stomat201796217-19


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[PMID]:27874916
[Au] Autor:Marending M; Attin T; Zehnder M
[Ad] Endereço:Clinic for Preventive Dentistry, Periodontology and Cariology, University of Zürich, Zürich, Switzerland.
[Ti] Título:Treatment options for permanent teeth with deep caries.
[So] Source:Swiss Dent J;126(11):1007-1027, 2016.
[Is] ISSN:2296-6498
[Cp] País de publicação:Switzerland
[La] Idioma:eng; ger
[Ab] Resumo:The goal of this narrative review was to summarize and compare treatment options for permanent teeth carious lesions that are radiographically close to the pulp chamber. Thanks to adhesive restorative materials, minimally invasive approaches are possible. In this context, the old question arises as to whether caries must be excavated completely, i.e., down to hard dentin, or whether it could be advantageous to leave some soft dentin, or even merely seal the whole lesion. To answer this question, the microbiological aspects of the lesion must be considered, along with the immunological response in the dental pulp, with the concurrent possible negative outcomes for the patient. Both aspects are considered in this review, and clinical studies comparing different treatment modalities are discussed. Situations in which calcium silicate cements could be advantageous over the gold standard calcium hydroxide preparations for covering the dentin/pulp wound are also discussed.
[Mh] Termos MeSH primário: Cárie Dentária/diagnóstico por imagem
Cárie Dentária/terapia
Dentição Permanente
[Mh] Termos MeSH secundário: Capeamento da Polpa Dentária
Desvitalização da Polpa Dentária
Exposição da Polpa Dentária/diagnóstico por imagem
Exposição da Polpa Dentária/terapia
Necrose da Polpa Dentária/diagnóstico por imagem
Necrose da Polpa Dentária/terapia
Teste da Polpa Dentária
Pulpectomia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


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[PMID]:27740653
[Au] Autor:Chung SH; Park YS; Bae KS; Baek SH; Kum KY; Lee W; Shon WJ
[Ti] Título:Saving an Integrating Implant Involved with Endodontic Implant Pathology Using Surgical Treatment.
[So] Source:Int J Periodontics Restorative Dent;36(6):893-898, 2016 Nov/Dec.
[Is] ISSN:1945-3388
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Endodontic implant pathology (EIP) refers to cases in which endodontic infections cause infections in adjacent implants, and vice versa. This case report demonstrates the successful resolution of two types of EIPs, implant endodontitis and endodontic implantitis, by endodontic intervention with surgical treatment. In case 1, the patient complained of tooth discomfort after implant placement in the adjacent tooth. The tooth was sensitive to percussion and showed slight mobility with a negative reaction to an electric pulp test. The symptoms persisted despite conventional root canal treatment, and surgical treatment of the symptomatic tooth and implant lesion was performed. In case 2, the patient suffered from repeated infection around a newly installed implant. The adjacent devitalized tooth exhibited a periapical lesion that was contiguous with the implant. Conventional root canal treatment and retreatment did not successfully resolve the symptoms. Surgical root canal therapy was then performed with regenerative biomaterials as needed. Neither case showed radiographic or clinical evidence of failure after 4 and 5 years of follow-up, respectively, after the surgery and the adjacent implants were successfully osseointegrated. Endodontic intervention combined with surgical treatment resolved both types of EIPs and led to tooth preservation and successful osseointegration of adjacent implants.
[Mh] Termos MeSH primário: Implantação Dentária Endo-Óssea/efeitos adversos
Implantes Dentários/efeitos adversos
Peri-Implantite/cirurgia
Complicações Pós-Operatórias/cirurgia
Tratamento do Canal Radicular/métodos
[Mh] Termos MeSH secundário: Teste da Polpa Dentária
Feminino
Seres Humanos
Masculino
Meia-Idade
Peri-Implantite/diagnóstico por imagem
Complicações Pós-Operatórias/diagnóstico por imagem
Dente não Vital/diagnóstico por imagem
Dente não Vital/cirurgia
Falha de Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dental Implants)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE
[do] DOI:10.11607/prd.1995


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[PMID]:27341469
[Au] Autor:Ranna V; Kellesarian SV; Feng C; Javed F; Ghanem A
[Ti] Título:Influence of the orthognathic surgical procedure Le Fort I osteotomy on the vascularity and neurosensory response of the dental pulp: A systematic review.
[So] Source:Quintessence Int;47(8):677-86, 2016.
[Is] ISSN:1936-7163
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Abnormalities of the midface and maxilla are frequently corrected using Le Fort I surgery. This osteotomy passes near the apices of the maxillary teeth, severing the blood vessels and nerves supplying the teeth. The aim of this review was to determine the effect of Le Fort I osteotomy on pulpal vascularity and neurosensory response. DATA SOURCES: A systematic search of the literature was performed in PubMed/ Medline, Google Scholar, EMBASE, and ISI Web of Knowledge from 1969 up to and including December 2015 using the following key words: Le Fort 1, tooth vitality, maxillary osteotomy, pulp, orthognathic. Reference lists of relevant articles were hand-searched for additional articles. RESULTS: Sixty-two studies were located by initial screening; 38 did not meet the eligibility criteria; three were excluded after full-text review, 13 were excluded after quality assessment, leaving nine studies eligible that met all inclusion criteria for this systematic review. The postoperative follow-up period of the included studies ranged from 3 months to 28 months. Five studies assessed pulpal blood flow using laser Doppler flowmetry and eight studies assessed the pulpal neurosensory response using electric pulp testing. CONCLUSION: There is a decrease in pulpal vascularity and neurosensory response following a Le Fort I osteotomy in the early postoperative period (1 to 10 days) that is likely temporary. Further controlled clinical studies with standardized parameters are required to determine the long-term effects of Le Fort I osteotomy on the vascular and neural healing of the dental pulp.
[Mh] Termos MeSH primário: Polpa Dentária/irrigação sanguínea
Polpa Dentária/inervação
Procedimentos Cirúrgicos Ortognáticos
Osteotomia de Le Fort
[Mh] Termos MeSH secundário: Teste da Polpa Dentária/métodos
Seres Humanos
Fluxometria por Laser-Doppler
Procedimentos Cirúrgicos Ortognáticos/efeitos adversos
Osteotomia de Le Fort/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160625
[St] Status:MEDLINE
[do] DOI:10.3290/j.qi.a36386


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[PMID]:27140658
[Au] Autor:Kong HJ; Shin TJ; Hyun HK; Kim YJ; Kim JW; Shon WJ
[Ad] Endereço:a Department of Medical Informatics , Chungnam National University College of Medicine and Chungnam National University Hospital , Daejeon ;
[Ti] Título:Oxygen saturation and perfusion index from pulse oximetry in adult volunteers with viable incisors.
[So] Source:Acta Odontol Scand;74(5):411-5, 2016 Jul.
[Is] ISSN:1502-3850
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Evaluation of pulp vitality is an important diagnostic procedure in dentistry. Conventional techniques for measurement of pulp vitality, including thermal stimulation, electrical stimulation, or direct dentin stimulation, are frequently associated with false positive or false negative results. Recently, oxygen saturation from pulse oximetry has been utilized in the evaluation of pulp vitality. Perfusion index (PI) data calculated from photoplethysmography have been widely used to evaluate peripheral perfusion. The combination of oxygen saturation and PI may aid in the accurate measurement of pulp vitality. We aimed to investigate the baseline values of oxygen saturation and PI using pulse oximetry in adult volunteers. MATERIAL AND METHODS: Fifteen adult volunteers with viable incisors were tested. To measure PI, a fabricated oxygen sensor was applied to an incisor without a pulp lesion while oxygen saturation was simultaneously measured in the finger. Oxygen saturation and PI were continuously measured with customized software. The normal reference values of oxygen saturation and PI were obtained by analyzing the recorded data. RESULTS: Pulse oximetry showed relatively stable, objective, and accurate oxygen saturation results. The tooth oxygen saturation ranged from 97% to 100%. The PI ranged from 0.3% to 0.5%, and PI and oxygen saturation showed relatively consistent values across subjects. CONCLUSIONS: Although there are some limitations to our study, these results may prove useful for detecting teeth with impaired vitality and non-invasively differentiating between necrotic and vital pulp.
[Mh] Termos MeSH primário: Teste da Polpa Dentária/métodos
Polpa Dentária/irrigação sanguínea
Incisivo/irrigação sanguínea
Oximetria/métodos
[Mh] Termos MeSH secundário: Adulto
Temperatura Baixa
Teste da Polpa Dentária/instrumentação
Estimulação Elétrica/métodos
Seres Humanos
Oximetria/instrumentação
Oxigênio/sangue
Fotopletismografia/métodos
Valores de Referência
Fluxo Sanguíneo Regional/fisiologia
Dente não Vital/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170111
[Lr] Data última revisão:
170111
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160504
[St] Status:MEDLINE
[do] DOI:10.3109/00016357.2016.1171898


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[PMID]:27118600
[Au] Autor:Pigg M; Nixdorf DR; Nguyen RH; Law AS; National Dental Practice-Based Research Network Collaborative Group
[Ad] Endereço:Department of Endodontics, Faculty of Odontology, Malmo University, Malmo, Sweden; Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmo University, Malmo, Sweden. Electronic address: maria.pigg@mah.se.
[Ti] Título:Validity of Preoperative Clinical Findings to Identify Dental Pulp Status: A National Dental Practice-Based Research Network Study.
[So] Source:J Endod;42(6):935-42, 2016 Jun.
[Is] ISSN:1878-3554
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Endodontic diagnostic tests are often used clinically to assess pulp status as a basis for the diagnosis and determination of whether root canal treatment (RCT) is indicated. Response to cold and pain on percussion are 2 common tests, yet their validity in identifying nonvital pulp in regular dental practice has not been reported. METHODS: We assessed the validity of cold and percussion tests to identify nonvital pulp in teeth requiring RCT in a dental practice setting performed by 46 general dentists and 16 endodontists in the National Dental Practice-Based Research Network. The influence of patient-, tooth-, and dentist-related characteristics was investigated. Observed bleeding from the pulp chamber was the clinical reference. Sensitivity (SN), specificity (SP), overall test accuracy (TA), positive (PPV) and negative (NPV) predictive values, and likelihood and diagnostic odds ratios (LR+, LR-, dORs) were calculated for each single test and the combined cold and percussion tests. RESULTS: Seven hundred eight patient teeth were included. Cold test showed high validity to identify a nonvital pulp status (SN = 89%, SP = 80%, TA = 84%, PPV = 81%, NPV = 88%, LR+ = 4.35, LR- = 0.14, dOR = 31.4), whereas pain on percussion had lower validity (SN = 72%, SP = 41%, TA = 56%, PPV = 54%, NPV = 60%, LR+ = 1.22, LR- = 0.69, dOR = 1.78). Combining the 2 tests did not increase validity, whereas preoperative pain, medication intake, patient age and sex, and dentist training level affected test validity significantly. CONCLUSIONS: In regular dental practice, the cold test exhibits higher validity to discriminate between vital and nonvital pulp than the tooth percussion test.
[Mh] Termos MeSH primário: Necrose da Polpa Dentária/diagnóstico
Teste da Polpa Dentária/métodos
Polpa Dentária/fisiopatologia
Percussão/métodos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Temperatura Baixa
Dinamarca
Cavidade Pulpar/patologia
Teste da Polpa Dentária/normas
Pesquisa em Odontologia
Sensibilidade da Dentina/diagnóstico
Odontólogos/educação
Testes Diagnósticos de Rotina/métodos
Testes Diagnósticos de Rotina/estatística & dados numéricos
Endodontistas/educação
Feminino
Seres Humanos
Masculino
Meia-Idade
Razão de Chances
Dor
Percussão/estatística & dados numéricos
Valor Preditivo dos Testes
Reprodutibilidade dos Testes
Tratamento do Canal Radicular/métodos
Sensibilidade e Especificidade
Fatores Sexuais
Suécia
Capacitação de Professores
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160428
[St] Status:MEDLINE


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Caldeira, Celso Luiz
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[PMID]:27071975
[Au] Autor:Kataoka SH; Setzer FC; Gondim-Junior E; Fregnani ER; Moraes CJ; Pessoa OF; Gavini G; Caldeira CL
[Ad] Endereço:Discipline of Endodontics, Department of Esthetic Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, São Paulo, Brazil. Electronic address: simonykataoka@usp.br.
[Ti] Título:Late Effects of Head and Neck Radiotherapy on Pulp Vitality Assessed by Pulse Oximetry.
[So] Source:J Endod;42(6):886-9, 2016 Jun.
[Is] ISSN:1878-3554
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Radiation therapy (RT) of malignant tumors in the head and neck area may have damaging effects on surrounding tissues. The aim of this investigation was to evaluate the long-term effects of ionizing radiation on pulp vitality by measuring pulp oxygenation levels (%SpO2) in patients with history of RT of intraoral and oropharyngeal tumors 4-6 years after treatment. METHODS: In an experimental group RT (n = 90, history of RT) and a control group CON (n = 90, no history of RT), pulp vitality was assessed by measuring %SpO2 by using pulse oximetry and pulp sensitivity by cold thermal testing. All anterior teeth without history of endodontic therapy of the participants in group RT were measured (n = 693), regardless of the quadrant and the irradiated area. An equal number of anterior teeth were tested in group CON. RESULTS: There was no significant difference between the %SpO2 levels in group RT (92.7%; standard deviation, ± 1.83) and group CON (92.6%; standard deviation, ± 1.80). All teeth in RT and CON groups showed a positive response to the thermal test. All tested teeth were considered vital. CONCLUSIONS: Pulp %SpO2 was found to be within normal limits 4-6 years after RT. This suggests that RT may not have a long-term influence on pulp vitality, and reported short-term changes in pulpal microcirculation because of RT may be temporary.
[Mh] Termos MeSH primário: Teste da Polpa Dentária/métodos
Polpa Dentária/efeitos da radiação
Neoplasias de Cabeça e Pescoço/radioterapia
Oximetria/métodos
Radioterapia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Polpa Dentária/irrigação sanguínea
Feminino
Seres Humanos
Incisivo/efeitos da radiação
Masculino
Microcirculação/efeitos da radiação
Meia-Idade
Neoplasias Orofaríngeas/radioterapia
Oxigênio/análise
Oxigênio/sangue
Radiação Ionizante
Fluxo Sanguíneo Regional/efeitos da radiação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160414
[St] Status:MEDLINE


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[PMID]:26703040
[Au] Autor:Gao QM; Yang C; Zheng LY; Hu YK
[Ad] Endereço:From the Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
[Ti] Título:Removal of Long-Term Broken Roots Displaced Into the Maxillary Sinus by Endoscopic Assistant.
[So] Source:J Craniofac Surg;27(1):e77-80, 2016 Jan.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: This report presented a patient with 2 long-term broken roots displaced in left maxillary sinus. The residual root fragments made the patient uncomfortable in both mind and body and interfered with prosthodontics work. The application of endoscope combined with piezoelectric device both helps in removing the broken roots successfully with minimally surgical injury and preserves the residual alveolar bone. METHODS: Computed tomography scans and 3-dimensional reconstructions located the broken roots. A 1.0 cm × 1.5  cm rectangle bone window on anterolateral sinus wall was opened by a piezoelectric device to place the endoscope and forcep into sinus. Two broken roots could be observed clearly via a endoscopic screen. They were removed by a mini goblet forcep completely and efficiently. A whole bone lid was replaced with a biological membrane to help repair bone defect after removing procedure. RESULTS: The operation is about 20 minutes with endoscope and piezoelectric device helped to save a lot of time and provided excellent visual surgical field. Main postoperative adverse effects were swelling, numbness, and temporal no-vitality for the first premolar (24). Three months later, computed tomography shows the Schneiderian membrane thinned to around 0.8  mm. The bone lid is on its position and starts to perform synostosis. The 24 tooth is still dysesthetic and needs time to recover. CONCLUSIONS: Endoscopic surgery combined with a piezoelectric device has obvious advantage of minimizing surgical injury and providing excellent visibility of surgical field when removing long-term foreign bodies in maxillary sinus. It is efficient and protects the residual alveolar bone.
[Mh] Termos MeSH primário: Endoscopia/métodos
Corpos Estranhos/cirurgia
Seio Maxilar/cirurgia
Fraturas dos Dentes/cirurgia
Raiz Dentária/lesões
[Mh] Termos MeSH secundário: Adulto
Dente Pré-Molar/patologia
Teste da Polpa Dentária
Endoscópios
Feminino
Seguimentos
Seres Humanos
Processamento de Imagem Assistida por Computador/métodos
Imagem Tridimensional/métodos
Membranas Artificiais
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Dente Molar/lesões
Dente Serotino/lesões
Mucosa Nasal/cirurgia
Osteotomia/instrumentação
Osteotomia/métodos
Piezocirurgia/instrumentação
Piezocirurgia/métodos
Tomografia Computadorizada por Raios X/métodos
Raiz Dentária/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Membranes, Artificial)
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160109
[Lr] Data última revisão:
160109
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:151226
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000002235


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[PMID]:26427866
[Au] Autor:Milic MS; Brkovic B; Krsljak E; Stojic D
[Ad] Endereço:Clinic of Oral Surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia.
[Ti] Título:Comparison of pulpal anesthesia and cardiovascular parameters with lidocaine with epinephrine and lidocaine with clonidine after maxillary infiltration in type 2 diabetic volunteers.
[So] Source:Clin Oral Investig;20(6):1283-93, 2016 Jul.
[Is] ISSN:1436-3771
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The pulpal anesthetic and cardiovascular parameters obtained by 2 % lidocaine with epinephrine (LE; 1:80,000) or clonidine (LC; 15 mcg/ml) were studied in diabetes mellitus (DM) type 2 and healthy volunteers (72), after maxillary infiltration anesthesia. MATERIALS AND METHODS: Onset and duration of pulpal anesthesia were measured by electric pulp tester; vasoconstrictive effect of used local anesthetic mixtures by laser Doppler flowmetry (LDF) through pulpal blood flow (PBF); systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were registered by electrocardiogram monitoring. RESULTS: Onset of pulpal anesthesia was shorter for LC than for LE in healthy, while it was not different in diabetic participants; duration of pulpal anesthesia was significantly longer in type 2 diabetic participants, regardless of used anesthetic mixture. Significant reduction of PBF with LE was observed during 45 min in healthy and 60 min in diabetic participants, while with LC such reduction was observed during 45 min in both groups. LE caused a significant increase of SBP in the 5th and 15th minutes in diabetic versus healthy participants, while LC decreased SBP from the 10th to 60th minutes in healthy versus diabetic participants. CONCLUSIONS: DM type 2 influences duration of maxillary infiltration anesthesia obtained with LE and LC, and systolic blood pressure during LE anesthesia. CLINICAL RELEVANCE: The obtained results provide elements for future protocols concerning intraoral local anesthesia in DM type 2 patients.
[Mh] Termos MeSH primário: Analgésicos/administração & dosagem
Anestesia Dentária/métodos
Anestesia Local/métodos
Anestésicos Locais/administração & dosagem
Clonidina/administração & dosagem
Polpa Dentária/efeitos dos fármacos
Diabetes Mellitus Tipo 2
Epinefrina/administração & dosagem
Lidocaína/administração & dosagem
[Mh] Termos MeSH secundário: Adulto
Estudos Cross-Over
Polpa Dentária/irrigação sanguínea
Teste da Polpa Dentária
Diástole
Método Duplo-Cego
Eletrocardiografia
Frequência Cardíaca
Seres Humanos
Fluxometria por Laser-Doppler
Maxila
Medição da Dor
Sístole
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Analgesics); 0 (Anesthetics, Local); 98PI200987 (Lidocaine); MN3L5RMN02 (Clonidine); YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:151003
[St] Status:MEDLINE
[do] DOI:10.1007/s00784-015-1610-5


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[PMID]:26358664
[Au] Autor:Bargrizan M; Ashari MA; Ahmadi M; Ramezani J
[Ad] Endereço:Department of Pediatric Dentistry, Dental School, Shahid Beheshti Medical University (SBMU), Tehran, Iran.
[Ti] Título:The use of pulse oximetry in evaluation of pulp vitality in immature permanent teeth.
[So] Source:Dent Traumatol;32(1):43-7, 2016 Feb.
[Is] ISSN:1600-9657
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIM: The current methods of pulp vitality assessment, either electric or thermal, are of limited use in children. Recently, traumatized and immature teeth may not respond to such methods and because such methods require subjective responses, it may not provide accurate results particularly in children. Pulse oximetry, an atraumatic approach, is used to measure oxygen saturation in vascular system. The aim of this study was to investigate the use of pulse oximetry to evaluate pulp vitality status in immature permanent teeth. METHODS AND MATERIALS: The study was conducted on 329 maxillary central and lateral incisors in children. The negative control group consisted of 10 root filled teeth. Systemic oxygen saturation was first measured on the thumb of the individual using a custom-made sensor. Oxygen saturation values of the teeth were then evaluated. The correlation between oxygen saturation measurement obtained from finger and tooth, and the correlation between oxygen saturation values and stage of root development were analyzed. A further comparison was made between the teeth with open and closed apex. RESULTS: Mean oxygen values recorded in the patient's finger were 97.17%, and mean oxygen values in the maxillary central and lateral incisors were 86.77% and 83/92%, respectively. There was no significant correlation between blood oxygen levels in the finger and in the teeth. (P > 0.05) There was a significant negative correlation between the stage of root development and the blood oxygen levels in the patients' teeth. (P < 0.05) Mean oxygen values in the teeth with open apex were significantly higher than the teeth with closed apex. (P < 0.001). CONCLUSION: Vital teeth provided consistent oxygen saturation readings, and non-vital teeth recorded no oxygen saturation values. During tooth development, the oxygen saturation values decreased. These findings confirm that the pulse oximetry is capable of detecting the pulpal blood flow and oxygen saturation.
[Mh] Termos MeSH primário: Teste da Polpa Dentária/instrumentação
Polpa Dentária/irrigação sanguínea
Dentição Permanente
Oximetria/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Desenho de Equipamento
Feminino
Seres Humanos
Incisivo
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:150912
[St] Status:MEDLINE
[do] DOI:10.1111/edt.12215



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