Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings.
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| Language: | English |
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The Ohio State University / OhioLINK
2018
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=osu1534262705743824 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-osu15342627057438242021-08-03T07:08:05Z Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. Judy, Jacob M. Dentistry Introduction: Previous studies have shown that healthy subjects (ASA 1 or II) presenting with acute facial swellings improve (reduction of pain/swelling) without any definitive dental treatment. The purpose of this investigation was to compare an incision and drainage procedure with drain placement without endodontic debridement to a mock incision and drainage procedure with mock drain placement without endodontic debridement in symptomatic patients with a diagnosis of pulpal necrosis with associated swellings to evaluate the postoperative course over a period of four days.Methods: Forty adult patients were randomly divided into two treatment groups: incision and drainage or mock incision and drainage. A four-day postoperative survey was supplied to patients to record changes in pain and swelling as well as document medication usage. Patients were given a supply of 600 mg ibuprofen and 1000 mg acetaminophen along with a prescription for escape (narcotic) medication if pain was not relieved by the OTC medications. Results: Both groups reported a decrease in postoperative pain and medication use over the four-day postoperative period, and there was no significant difference in the need for escape (narcotic) medication between the two groups. Overall, none of the subjects had swellings that required further intervention or hospitalization during the studyperiod. Conclusions: The incision and drainage group and the mock incision and drainage group experienced a decrease in pain and medication use over a span of four days. No significant difference was seen between groups in the need for the escape medication when the combination of 600 mg ibuprofen and 1000 mg acetaminophen did not provide adequate pain relief. No significant differences in the perception of swelling was found between groups at any point in time. This study found that every patient was able to be managed on an ambulatory basis without definitive dental treatment when presenting with an orofacial swelling of odontogenic origin. 2018 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1534262705743824 http://rave.ohiolink.edu/etdc/view?acc_num=osu1534262705743824 restricted--full text unavailable until 2023-12-17 This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Dentistry |
| spellingShingle |
Dentistry Judy, Jacob M. Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| author |
Judy, Jacob M. |
| author_facet |
Judy, Jacob M. |
| author_sort |
Judy, Jacob M. |
| title |
Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| title_short |
Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| title_full |
Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| title_fullStr |
Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| title_full_unstemmed |
Postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| title_sort |
postoperative evaluation of no endodontic treatment with or without incision and drainage in patients with odontogenic facial swellings. |
| publisher |
The Ohio State University / OhioLINK |
| publishDate |
2018 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=osu1534262705743824 |
| work_keys_str_mv |
AT judyjacobm postoperativeevaluationofnoendodontictreatmentwithorwithoutincisionanddrainageinpatientswithodontogenicfacialswellings |
| _version_ |
1719454517016133632 |