Effectiveness of Oral Carbamazepine in Improving Quality of Life of Trigeminal Neuralgia Patients by Using Brief Pain Inventory Facial Questionnaire (BPI-Facial): A Randomised Clinical Trial
Abid Majeed Rather, Umer Mukhtar, Mohammad Muneeb Mubashir
Page Numbers : 319-322
DOI : 10.36348/sjodr.2021.v06i07.006
Background: Trigeminal neuralgia (TN) is a debilitating unilateral, stabbing facial painful, condition originating from the trigeminal nerve. It is presented as burning, electric shock, or Tingling sensation. Pain in the trigeminal neuralgia significantly affects both the sensory as well as the motor activities of the body, thus affects the quality of life. Carbamazepine remains the gold standard drug in terms of efficacy for treatment for trigeminal neuralgia. The study aimed to evaluate the efficacy of tablet Carbamazepine in improving quality of life by using BPI Facial questionnaire. Materials and Methods: A total of 20 patients with a mean age of 50.80 years included in the study were randomly selected from the outpatients having complaint of facial pain. All the patients were given a Brief pain inventory Questionnaire before and after tablet carbamazepine intervention (400mg OD) divided into two doses. After 1-month patients were again given BPI Facial questionnaire to evaluate the effectiveness of tablet carbamazepine on quality of life. The collected data were then subjected to statistical analysis. Results: The treatment of trigeminal neuralgia with tablet carbamazepine showed significant improvement in pain. Also, the interference of pain on the general activities and orofacial activities decreased significantly as seen by the Brief pain inventory facial questionnaire. Hence it increases the quality of life of trigeminal neuralgia patients. Conclusion: The study suggests that carbamazepine can be effective as first or second-line treatment of trigeminal neuralgia.
Original Research Article
July 24, 2021
Effectiveness of Cold Therapy in Reducing Post-Surgery Oedema, Pain and Trismus after Impacted Mandibular Third Molar Surgery: A Randomized Observer-Blind Split-Mouth Clinical Trial
Abid Majeed Rather, Umer Mukhtar, Amit Kumar, Ejaz Ahmad Mokhtar
Page Numbers : 323-328
DOI : 10.36348/sjodr.2021.v06i07.007
Pain, swelling, and trismus are the most common undesirable effects seen in the post-op period after impacted mandibular third molar surgeries. To prevent these effects different methods of treatment has been advocated from time to time. Cold therapy is one of the conventional methods used for reducing these undesirable effects after dentoalveolar surgeries. However, there is a lack of knowledge about its effectiveness to prevent these post-op sequelae. This study was aimed to evaluate the effects of local cold application therapy in reducing pain, trismus, and swelling after impacted mandibular third molar surgery. 18 patients (7 males and 11 females) with bilaterally placed symmetrical mandibular impacted third molars were enrolled in this randomized, observer-blind split-mouth clinical trial. The patients were aged between 18-65 years. After surgical removal of the tooth on one side (intervention), ice pack therapy was given for 24 h after surgery; and for the other side (control), no cold therapy was advised. The time interval between the two surgeries was at least 4 weeks and the amount of trismus and facial swelling was measured on day 2 and 7 postoperatively. The pain was measured by VAS scale on day 1, 2, and 7 postoperatively. The amount of pain, and trismus, were not significantly different between the intervention and control sides but the swelling was less with cold therapy. Thus, Cold therapy had some beneficial effects on postoperative swelling, with no effect on pain and trismus after impacted mandibular third molar surgery.
July 20, 2021
Critical Analysis of AAP 1999 and 2017 the World Workshop Classification Systems: An Insight
Dr. Neelam Das
Page Numbers : 304-312
DOI : 10.36348/sjodr.2021.v06i07.004
The subject of classification is taken into account to be monotonous by the majority. Classification systems help to assemble similar disease phenotypes in more homogeneous syndromes. Over the years, various researchers have done extensive work in the development of classification of periodontal diseases. Though we have made great strides towards the understanding of periodontitis in general, the bitter truth is that we have not hit the bull's eye on the true nature of etiopathogenesis. Until then any classification based on infectious etiology would be a misfit. A classification that is easy to understand and based on treatment needs would be more apt at this juncture. This article is aimed at discussing the American Academy of Periodontology 1999 and present 2017 the World Workshop Classification Systems to know and simplified the modifications.
Original Research Article
July 20, 2021
Comparison of Submucosal Injection of Dexamethasone and Methylprednisolone for the Control of Postoperative Sequelae after Apicectomy in Maxillary Teeth: Randomized Controlled Trial
Abid Majeed Rather, Mohammad Muneeb Mubashir, Arun Negi
Page Numbers : 313-318
DOI : 10.36348/sjodr.2021.v06i07.005
Pain, swelling, and trismus are the most common undesirable symptoms seen after periradicular surgeries. These postoperative sequelae can significantly affect the individual’s quality of life. Thus, management of these postoperative sequelae is important to increase the success of treatment. The purpose of this study was to compare the effects of the preoperative submucosal administration of equivalent doses of two commonly used steroids on these postoperative sequelae. A randomized double-blinded controlled clinical trial involving 40 subjects who underwent apicectomy in the maxillary tooth region was conducted from august 2017 to august 2018. Periradicular lesions involving a maximum of three teeth were included. The participants were allocated randomly to two groups: The (DM Group) dexamethasone group received 8 mg dexamethasone and (MP Group) methylprednisolone group received 40 mg methylprednisolone dissolved in 2ml saline by the administration through submucosal injections preoperatively. Each participant was assessed for, swelling, postoperative pain, trismus and amount of rescue analgesic medication taken. Submucosal injection of dexamethasone was found to be superior to methylprednisolone in terms of the reduction in swelling and amount of rescue analgesic medication taken. Thus, the preoperative submucosal use of steroids can be considered an effective, safe, and simple therapeutic strategy to reduce post op swelling, pain, and trismus after periradicular surgeries.
On January 16, 2021, Free vaccination against COVID-19 get the ball rolling in India and the government is expected to be the largest vaccination lay out in the world and pleading all of its citizens to be immunized. Four of the eight COVID-19 vaccines currently undergoing clinical trials in India were created there. Covishield (the Oxford-AstraZeneca vaccine) and Covaxin, a home-grown vaccine produced by Bharat Biotech, have been licenced for limited emergency use by India's medicines authority. Manufacturers in India have said that they will be able to meet the country's future COVID-19 vaccination needs.
July 15, 2021
CAD/CAM Zirconia: Case Report and Narrative Review of Present and Future of Dental Restorations in the Aesthetic Zone
Shaker M Hakami, Alshaymaa F Hakami, Hamood M Mahdali, Salman J Lughbi, Mohammed B Hakami, Maan N Alhakami
Page Numbers : 292-299
DOI : 10.36348/sjodr.2021.v06i07.002
Aesthetics is a major concern for dental patients and is a challenge in contemporary dental rehabilitation for clinicians and dental technicians. Discolored frontal maxillary teeth can result in excessive psychological suffering for the affected individual. Here we describe the use of zirconia CAD/CAM restorative materials for the treatment of teeth in the aesthetic zone for a 26-year-old teacher. Maxillary central and lateral individual zirconia crowns were manufactured and cemented with dual-cure resin cement. Harmony with the existing shade of all teeth was achieved. The patient reported improved self-esteem and better relationship with their students as well as social interactions.
Original Research Article
July 4, 2021
“Clinical Evaluation of Scalpel Blades Biopsy and Punch Biopsy of Oral Mucosal Lesion for Histopathology”
Dr. Navin Shah, Dr. Viren Abhani, Dr. Amit Mahajan, Dr. Nishita Shah, Dr. Rishabh Shah, Dr. Sonal Sinha
Page Numbers : 286-291
DOI : 10.36348/sjodr.2021.v06i07.001
Background: Biopsy is a critical procedure in the diagnosis and treatment plan of surgical cases and is also highly technique-sensitive. Various biopsy techniques are conventionally used with each technique having its own pros and cons. A study was carried out to compare scalpel versus Punch for biopsy of oral lesions under various parameters vital to histopathological diagnosis. Materials and Methods: A total of 16 patients (08 in each group) satisfying the inclusion criteria were randomly allocated using odd-even scheme into scalpel and Punch groups by a operator. The patients were evaluated intraoperatively for patient comfort, bleeding, time taken for excision, and postoperatively for pain and healing. The excised samples were sent for histopathological analysis as follows: Loss of architecture in epithelium, loss of architecture in connective tissue and artifacts. Results: The mean time taken for excision was statistically similar in both the groups. Distribution of patient comfort and pain was statistically not significant. Healing was uneventful in both the groups. In the histological parameters, there was loss of architecture in epithelium in many cases in the punch group. In the same group, there was loss of architecture in the samples. Conclusion: Both techniques seem to be equally effective in performing incisional biopsies of oral lesions. Punch biopsy has the advantage of fast and avoidance of suturing as well. However, due to the Size of tissue caused, there may be minor loss of histological architecture.