Unmasking the Effect of Analgesics on Endodontic Diagnosis Using a Novel Bite Force Sensor Device: A Prospective, Randomized Clinical Trial
Autor: | Mainak Kanti Saha, Sandeep Dubey, Shubham Kala, Sushil Kishnani, Anuj Bhardwaj, Suparna Ganguly Saha, Shweta Narwani, Sohini Jain |
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Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Clinical Biochemistry Dentistry lcsh:Medicine Placebo law.invention 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Randomized controlled trial law medicine pain diclofenac sodium ibuprofen Periodontitis business.industry lcsh:R 030206 dentistry General Medicine Diclofenac Sodium Ibuprofen medicine.disease Symptomatic relief Dentistry Section Surgery Bite force quotient 030104 developmental biology placebo business medicine.drug |
Zdroj: | Journal of Clinical and Diagnostic Research, Vol 10, Iss 10, Pp ZC38-ZC42 (2016) |
ISSN: | 2249-782X |
Popis: | Introduction: A definitive diagnosis is of primary importance before initiating any endodontic treatment; yet, there are occasions when the dental professional is unable to accurately reproduce the patient's chief complaint, as it can pose a dilemma and may require consideration of multiple variables in order to reach an accurate diagnosis. So to overcome this problem, a methodical approach in providing endodontic treatment should be implemented which includes diagnosis, definitive dental treatment and adjunctive drug therapy, known as the “3D” strategy. Aim: The purpose of this study was to evaluate the possible "masking" effect of these analgesics on endodontic diagnosis using a novel bite force sensor device. Materials and Methods: A total of 90 patients with endodontic pain were selected and they were given either a placebo or 400 mg ibuprofen (brufen) or 50mg diclofenac sodium (voveron). Both patients and operators were completely blinded to the drugs administered. Bite force tolerance values were noted before and one hour after administration of medication using the self designed bite force sensor. Results: The pre- and post-bite force tolerance values were tabulated for both contralateral and affected tooth. For the affected tooth, there was statistically significant difference between pre- and post-bite force tolerance values in Group I (i.e., ibuprofen) and Group II (i.e., diclofenac sodium) (p |
Databáze: | OpenAIRE |
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