Restorative Dentistry & Endodontics

Research Articles

Efficacy of buccal piroxicam infiltration and inferior alveolar nerve block in patients with irreversible pulpitis: a prospective, double-blind, randomized clinical trial: Saurav Paul, Sridevi Nandamuri, Aakrati Raina, Mukta Bansal; Restor Dent Endod 2021;46(1):e9. Published online January 26, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e9

Objectives

This randomized clinical trial aimed to assess the effectiveness of buccal infiltration with piroxicam on the anesthetic efficacy of inferior alveolar nerve block (IANB) with buccal infiltration in irreversible pulpitis, with pain assessed using the Heft-Parker visual analogue scale (HP-VAS).

Materials and Methods

This study included 56 patients with irreversible pulpitis in mandibular molars, randomly distributed between 2 groups (n = 28). After evaluating the initial pain score with the HP-VAS, each patient received IANB followed by buccal infiltration of 2% lignocaine with adrenaline (1:80,000). Five minutes later, the patients in groups 1 and 2 were given buccal infiltration with 40 mg/2 mL of piroxicam or normal saline, respectively. An access opening procedure (AOP) was performed 15 minutes post-IANB once the individual showed signs of lip numbness as well as 2 negative responses to electric pulp testing. The HP-VAS was used to grade the patient's pain during caries removal (CR), AOP, and working length measurement (WLM). Successful anesthesia was identified either by the absence of pain or slight pain through CR, AOP, and WLM, with no requirement of a further anesthetic dose. A statistical analysis was done using the Shapiro-Wilk and Mann-Whitney U tests.

Results

The piroxicam group presented a significantly lower (p < 0.05) mean pain score than the saline group during AOP.

Conclusions

Buccal infiltration with piroxicam enhanced the efficacy of anesthesia with IANB and buccal infiltration with lignocaine in patients with irreversible pulpitis.

Citations

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Inferior alveolar nerve block success of 2% mepivacaine versus 4% articaine in patients with symptomatic irreversible pulpitis in mandibular molars: A randomized double‐blind single‐centre clinical trial
Mohammed Fawzy Omar Mohammed Habib, Sovana Tarek, Sara Mohamed Elsayed Teama, Khaled Ezzat, Randa Mohamed El Boghdadi, Abeer Marzouk, Manar Yehia Fouda, Shaimaa Ismail Gawdat, Marwa Mahmoud Bedier, Suzan Abdul Wanees Amin
International Endodontic Journal.2022; 55(11): 1177. CrossRef
Present status and future directions—Mechanisms and management of local anaesthetic failures
Masoud Parirokh, Paul V. Abbott
International Endodontic Journal.2022; 55(S4): 951. CrossRef

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Comparative evaluation of the bond strength of self-adhering and bulk-fill flowable composites to MTA Plus, Dycal, Biodentine, and TheraCal: an in vitro study: Aakrati Raina, Asheesh Sawhny, Saurav Paul, Sridevi Nandamuri; Restor Dent Endod 2020;45(1):e10. Published online January 8, 2020; DOI: https://doi.org/10.5395/rde.2020.45.e10

Abstract PDF PubReader ePub

Objectives

This study aimed to compare the shear bond strength (SBS) of a self-adhering flowable composite (Dyad Flow) and a bulk-fill flowable composite (Smart Dentin Replacement [SDR]) to several pulp-capping materials, including MTA Plus, Dycal, Biodentine, and TheraCal.

Materials and Methods

Eighty acrylic blocks with 2-mm-deep central holes that were 4 mm in diameter were prepared and divided into 2 groups (n = 40 each) according to the composite used (Dyad Flow or SDR). They were further divided into 4 sub-groups (n = 10 each) according to the pulp-capping agent used. SBS was tested using a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed using 2-way analysis of variance. A p value of < 0.05 was considered to indicate statistical significance.

Results

A statistically significant difference (p = 0.040) was found between Dyad Flow and SDR in terms of bond strength to MTA Plus, Dycal, Biodentine, and TheraCal.

Conclusions

Among the 8 sub-groups, the combination of TheraCal and SDR exhibited the highest SBS.

Citations

Citations to this article as recorded by

Shear Bond Strength of Liner Materials to Caries-Free and Caries-Affected Dentin
ZK Greene, NR Smith, T Gomes, NC Lawson
Operative Dentistry.2025; 50(3): 324. CrossRef
Hygroscopic bioactive light-cured composite promoting dentine bridge formation
Yunzi Long, Guibin Huang, Siyi Liu, Liju Xu, Ailing Li, Dong Qiu, Yanmei Dong
Regenerative Biomaterials.2024;[Epub] CrossRef
Comparative evaluation of shear bond strength and modes of failure of five different reinforced glass ionomer restorative cements to TheraCal LC: An in vitro study
Kalyani Gajanan Umale, Vandana Jaykumar Gade, Ambar W. Raut
Journal of Conservative Dentistry and Endodontics.2024; 27(2): 200. CrossRef
Evaluation of the Effect of Chitosan-Based Irrigation Solutions on the Bond Strength of Mineral Trioxide Aggregate to Bulk-Fill Composite
Arzu Şahin Mantı, Bağdagül Helvacıoğlu Kıvanç
Journal of Functional Biomaterials.2024; 15(12): 370. CrossRef
Radiopacity evaluations of the novel calcium-silicate and glass-Ionomer-based materials
Yeşim Şeşen Uslu, Elif Çelebi, Meriç Berkman
Journal of Health Sciences and Medicine.2024; 7(2): 192. CrossRef
Effect of Er Cr YSGG laser etching procedure on the bond strength of different calcium silicate cements
Yesim Sesen Uslu, Hakan Yasin Gönder, Pinar Sesen, Gizem Gunduz Bektaş
Lasers in Dental Science.2024;[Epub] CrossRef
The micro‐shear bond strength of new endodontic tricalcium silicate‐based putty: An in vitro study
Merve Yeniçeri Özata, Seda Falakaloğlu, Gianluca Plotino, Özkan Adıgüzel
Australian Endodontic Journal.2023; 49(1): 124. CrossRef
Analysis of the bond strength between conventional, putty or resin‐modified calcium silicate cement and bulk fill composites
İ Ipek, B Karaağaç Eskibağlar, Ş Yildiz, O Ataş, M Ünal
Australian Dental Journal.2023; 68(4): 265. CrossRef
Effect of Different Adhesive Strategies on the Microshear Bond Strength of Calcium-Silicate-Based Materials
Aliye Tuğçe Gürcan, Soner Şişmanoğlu, Görkem Sengez
Journal of Advanced Oral Research.2022; 13(2): 191. CrossRef
BULK FİLL KOMPOZİT REZİN RESTORATİF MATERYALLER
Merve NEZİR, Suat ÖZCAN
Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.2022; : 1. CrossRef
Effect of Bioinductive Cavity Liners on Shear Bond Strength of Dental Composite to Dentin
Saba Tohidkhah, Elham Ahmadi, Mahdi Abbasi, Reza Morvaridi Farimani, Ladan Ranjbar Omrani, Victor Feitosa
BioMed Research International.2022;[Epub] CrossRef
Bond Strength of Adhesive Systems to Calcium Silicate-Based Materials: A Systematic Review and Meta-Analysis of In Vitro Studies
Louis Hardan, Davide Mancino, Rim Bourgi, Alejandra Alvarado-Orozco, Laura Emma Rodríguez-Vilchis, Abigailt Flores-Ledesma, Carlos Enrique Cuevas-Suárez, Monika Lukomska-Szymanska, Ammar Eid, Maya-Line Danhache, Maryline Minoux, Youssef Haïkel, Naji Kharo
Gels.2022; 8(5): 311. CrossRef
How do imaging protocols affect the assessment of root-end fillings?
Fernanda Ferrari Esteves Torres, Reinhilde Jacobs, Mostafa EzEldeen, Karla de Faria-Vasconcelos, Juliane Maria Guerreiro-Tanomaru, Bernardo Camargo dos Santos, Mário Tanomaru-Filho
Restorative Dentistry & Endodontics.2022;[Epub] CrossRef
Evaluation of Shear Bond Strength of Resin-Based Composites to Biodentine with Three Types of Seventh-Generation Bonding Agents: An In Vitro Study
Huda Abbas Abdullah, Zahraa Abdulaali Al-Ibraheemi, Zanbaq Azeez Hanoon, Julfikar Haider, Boonlert Kukiattrakoon
International Journal of Dentistry.2022; 2022: 1. CrossRef
Evaluation of the Bond Strength of Different Pulp Capping Materials to Dental Adhesive Systems: An In Vitro Study
Sema Yazici Akbiyik, Elif Pınar Bakir, S¸eyhmus Bakir
Journal of Advanced Oral Research.2021; 12(2): 286. CrossRef
Differential Gene Expression Changes in Human Primary Dental Pulp Cells Treated with Biodentine and TheraCal LC Compared to MTA
Ok Hyung Nam, Ho Sun Lee, Jae-Hwan Kim, Yong Kwon Chae, Seoung-Jin Hong, Sang Wook Kang, Hyo-Seol Lee, Sung Chul Choi, Young Kim
Biomedicines.2020; 8(11): 445. CrossRef

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