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Article
Impact of Age, Procedural Duration and Impaction Type on Pain and Trismus After Surgery of Mandibular Wisdom Tooth

Author: Ahmed Salah Hameed Al-Noaman
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 2 Pages: 353 -360
Publisher: Babylon University جامعة بابل

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Abstract

This study assessed the impact of patient's age, duration of surgical procedure and type of impaction on pain and trismus after surgery of impacted mandibular wisdom tooth.Successive patients with impacted mandibular wisdom tooth were recruited. Winter's classification was used to classify impacted teeth. Surgical removal of impacted teeth was done using local anesthesia. The effect of age, duration of surgical operation and pattern of impaction on post-operative pain and trismus was studied after 3 and 7 days. Visual analogue score (VAS) was used to assess pain, trismus was measured as the inter-incisal distance using manual caliper and duration of surgical procedure was defined as the period between incision and finishing of suturing. Seventy nine patients with age ranged 15 to 41 years were recruited. The highest percentage were male gender (57%). The highest pain VAS score was recorded in the age group (30-41) after 3 days and the lowest mouth opening was seen in the same population after 3 and 7 days. The mean of operation time was 38.5 and its effect after < 20 minutes recorded the least pain score and trismus after 3 and 7 days. Highest pain score and more trismus were related to horizontal impaction on day 3 (p=0.04, p=0.000); whereas lowest pain value and better mouth opening were related to vertical impaction.Postoperative pain and trismus increased with advancing age, operation time and horizontally impacted tooth and trismus did not resolve within short time and may last for more than 10 days..


Article
A Comparative Study of Laparoscopic Versus Open Appendectomy

Author: Basher A. Abdul- Hassan
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 2 Pages: 233-237
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Laparoscopic appendectomy has gained popularity in recent years and has become one of the most widely performed procedures. However, it is not the universal gold standard as laparoscopic cholecystectomy for acute cholecystitis. This is, perhaps, due to the emergency nature of disease often operated by junior staff in odd hours when laparoscopic equipment, trained staff and supervision may not be availableOBJECTIVE:To compare the results of open with laparoscopic appendectomy in terms of postoperative pain, rate of wound infection and hospital stay.PATIENTS & METHODS:This study was conducted in Al- Kadhmyia teaching hospital, over a period of six months from the 1st of October 2009 to the 1st of April 2010. Patients undergoing surgery for acute appendicitis were randomly assigned into one of the two groups (A or B) after obtaining written and informed consent. In Group-A patients underwent open appendectomy and in Group B laparoscopic appendectomy was performed. Post operatively pain chart, days of hospital stay and wound infection was recorded.RESULT:Sixty patients (38 male, 22 female), with clinical diagnosis of acute appendicitis based on Alvarado score of six and above, were included in the study. They were randomized into 2 groups of A and B with 30 patients in each group. Group-A comprised open appendectomy procedure and Group-B comprised laparoscopic appendectomy. Comparison of postoperative pain by visual analogue scale was significantly low in Group B, compared with Group A, on day 0, 1 and 2. Number of days in Hospital was 4.1±0.8 days in Group A and 1.5±0.06 days in Group B. None of the patients in Group B, while 8 (26.67%) patients in-Group A, developed postoperative wound infection at 1 week follow up.CONCLUSION:Laparoscopic appendectomy is safe and effective. Postoperative pain, hospital stay and wound infection were significantly lower after this mode of surgery


Article
Incidence and severity of pain following the usage of three different root canal instrumentation systems

Authors: Jamal A. Mehdi --- Ahmad H. Oubaid
Journal: Journal of Oral and Dental Research مجلة طب الفم والاسنان ISSN: 23106417 Year: 2016 Volume: 3 Issue: 1 Pages: 20-27
Publisher: Iraqi Association for Oral Research الجمعية العراقية لبحوث طب الفم

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Abstract

Introduction: Post-Operative pain is one of the most common issue that might happened during and after endodontictreatment, this prospective randomized clinical trial evaluated the incidence and severity of Post-Operative painfollowing root canal instrumentation using ProTaper Universal System, ProTaper Next system and WaveOne system.Methods: Ninety patients with asymptomatic irreversible pulpitis on their permanent molar teeth selected and distributed randomly into three different groups of 30 patients each, to have access opening and instrumentation at same visit, those patients were fitted with inclusive criteria that we put for this study. Group 1 instrumented with ProTaper system, Group 2 instrumented with ProTaper Next system and Group 3 instrumented with WaveOne system, all systems strictly followed manufacturing instruction. The assessment of Post-Operative pain carried out at day 1, 2, 3 and 7, using Verbal Rating Scale (4-point scale). Verbal Rating Scale pain score compared and analyzed using Chi-Square test. Result: total score for Verbal Rating scale (scores recorded for 4 days) showed significant difference among the groups (P < 0.05), there was a significant difference between ProTaper Next group and the other two group (ProTaper group and WaveOne group) (P < 0.05), while there was Non-significant difference between ProTaper System and WaveOne System (P ≥ 0.05). Conclusion: ProTaper next system caused the lowest incidence and severity of Post-Operative pain, WaveOne system caused the highest incidence and severity of Post-Operative pain.

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