| The effect of occlusal reduction on pain after endodontic instrumentation. | |
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MedLine Citation:
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PMID: 9693578 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred seventeen patients with posterior teeth requiring endodontic treatment were studied. Specific clinical findings were recorded, including pulp, vitality, preoperative pain, sensitivity to percussion, and the presence of a periradicular radiolucency. Excluded from the study were teeth with restorations to be maintained, greater than class I mobility, pocket depths > 5 mm, endodontic retreatments, and patients taking pain altering medications. Teeth were randomly assigned to 1 of 3 groups: (i) total occlusal reduction, (ii) simulated occlusal reduction (nonfunctional cusp reduction), or (iii) control (occlusion untouched). After canal instrumentation, a questionnaire was used by patients to record pain responses over a 48-h post-operative period. Responses were tabulated using a chi(2) test (p = < 0.05), and a statistically valid profile of patients most likely to benefit from occlusal reduction was developed. Occlusal reduction should prevent postoperative pain in those patients whose teeth initially exhibit pulp vitality, percussion sensitivity, preoperative pain, and/or the absence of a periradicular radiolucency. |
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Authors:
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P A Rosenberg; P J Babick; L Schertzer; A Leung |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of endodontics Volume: 24 ISSN: 0099-2399 ISO Abbreviation: J Endod Publication Date: 1998 Jul |
Date Detail:
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Created Date: 1998-08-13 Completed Date: 1998-08-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7511484 Medline TA: J Endod Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 492-6 Citation Subset: D |
Affiliation:
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Division of Surgical Sciences, New York University College of Dentistry, NY, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Chi-Square Distribution Dental Pulp Test Humans Infant, Newborn Occlusal Adjustment* Pain, Postoperative / prevention & control Patient Care Planning Questionnaires Root Canal Preparation* / adverse effects Toothache / etiology, prevention & control* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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