Aim: To compare premedication with dexamethasone as compared to ibuprofen in the effectiveness of IDNB lower molars asymptomatic irreversible pulpal infection. Study design: A Randomized Control Clinical Trial. Place & duration: Department Operative Dentistry, Akhtar Saeed Medical and Dental College, Lahore, from October 2022 November Methodology: total 30 cases each group were taken, using...

BACKGROUND This study aimed to identify key symptoms that could be associated with the diagnosis of acute forms of symptomatic apical periodontitis (SAP) and symptomatic irreversible pulpitis (SIP), and to identify a diagnostic algorithm based on these symptoms. METHODS In this prospective, observational study 173 emergency patients diagnosed with acute pain of endodontic origin and no swelli...

Introduction: Effective post-operative pain management is one of the problems following root canal treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed analgesics in endodontics. The aim of this study was to evaluate the effectiveness of naproxen in controlling pain following root canal treatment in teeth with irreversible pulpitis. Materials and methods: T...

Introduction: Primary root canal treatment success depends on a number of variables, including debridement and disinfection of the root canal system to remove all bacteria and diseased pulpal and dentinal tissues. Complex root canal anatomy, such as concealed isthmuses, apical deltas and lateral canals, hinder this objective, making instrumentation of these regions nearly impossible. Recent adv...

Multiple internal root resorption is a rare outcome of chronic irreversible pulpitis. In some cases, a chronic apical periodontitis can be later on associated. Usually, the conventional intraoral radiograph is mandatory in diagnosis but only CBCT proved to detect the true location, shape and size of resorptive defect and, if present, a perforation generated by resorption extension through the c...

taurodontism is a rare dental anomaly in which the involved tooth has an enlarged and elongated body and pulp chamber with apical displacement of the pulpal floor. endodontic treatment of these teeth is challenging, because it is hard to identify the number of root canals. in this article a case of bilateral involvement of maxillary first molars is presented. endodontic treatment of right maxil...

OBJECTIVES Achieving adequate anesthesia with inferior alveolar nerve blocks (IANB) is of great importance during dental procedures. The aim of the present study was to assess the success rate of two anesthetic agents (bupivacaine and lidocaine) for IANB when treating teeth with irreversible pulpitis. MATERIALS AND METHODS Sixty volunteer male and female patients who required root canal treat...