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Journal of the Indian Society of Pedodontics and Preventive Dentistry最新文献

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Malocclusion in children - The psychological perspective! 儿童咬合不良——心理学视角!
Pub Date : 2023-07-01 DOI: 10.4103/jisppd.jisppd_472_23
Sharath Asokan, Sivakumar Nuvvula
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引用次数: 0
Reliability of the electric pulp tester as an indicator of pulpal anesthesia in primary maxillary posterior teeth to assess the need for supplemental injections: An observational clinical study. 电牙髓测试仪作为上颌后牙牙髓麻醉指标评估补充注射需求的可靠性:一项观察性临床研究。
Pub Date : 2023-07-01 DOI: 10.4103/jisppd.jisppd_294_23
M Swathi Renuka, Ashwin P Rao, Srikant Natarajan, Y M Karuna, P Anupama Nayak, Shweta Rao
Background: The primary maxillary molars occasionally remain sensitive during operative procedures even post the buccal supraperiosteal injection. This could be due to the widely flared palatal roots receiving accessory innervation from the palatal nerves. Identifying inadequate anesthesia upfront using the electric pulp test (EPT) would give vital information to the clinician on the need of a supplemental palatal injection. Aim: The aim of this study was to assess and evaluate the reliability of the EPT as an indicator of pulpal anesthesia in primary maxillary molars. Methodology: Fifty one primary maxillary molars were subjected to the EPT following a buccal supraperiosteal injection. During the operative procedure, the “ Face Legs Activity Cry Consolability” (FLACC) scores were recorded. The outcome of the EPT was correlated with the results of the FLACC score using Pearson's Chi-square test. Results: The EPT results were correlated to the FLACC scores. Five out of the 10 primary maxillary second molars which responded to the EPT scored 0 on the FLACC scale. The remaining 5 teeth scored 1 on the FLACC scale. The P value was 0.056 which was not statistically significant. This infers that the EPT is not a reliable tool to assess the adequacy of pulpal anesthesia in primary maxillary second molars. Conclusion: From the results of the present study, it can be concluded that the EPT is not a reliable tool to be used as an indicator of pulpal anesthesia in primary maxillary molars.
背景:上颌第一磨牙在手术过程中偶尔保持敏感,即使在颊骨膜上注射后也是如此。这可能是由于广泛张开的腭根接受来自腭神经的辅助神经支配。使用电牙髓测试(EPT)预先确定麻醉不足将为临床医生提供补充腭部注射的重要信息。目的:本研究的目的是评估和评估EPT作为上颌磨牙牙髓麻醉指标的可靠性。方法:51颗上颌第一磨牙在颊骨膜上注射后进行EPT。在手术过程中,记录“面部-腿部活动-哭闹-可控制性”(FLACC)评分。EPT的结果与使用Pearson卡方检验的FLACC评分结果相关。结果:EPT结果与FLACC评分相关。对EPT有反应的10颗上颌第二磨牙中有5颗在FLACC量表上得分为0。剩下的5颗牙齿在FLACC量表上得了1分。P值为0.056,无统计学意义。由此推断,EPT不是评估上颌第二磨牙牙髓麻醉充分性的可靠工具。结论:从本研究的结果可以得出结论,EPT不是一种可靠的工具来作为上颌磨牙牙髓麻醉的指标。
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引用次数: 0
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Journal of the Indian Society of Pedodontics and Preventive Dentistry
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