Pain is a common side effect of orthodontic treatment. The pain resulting from orthodontic treatment may differ depending on the amount of force applied and the type of braces used. It may also change over the first few days following treatment. Pain has been ranked as the worst aspect of treatment and is the most common reason for people wanting to discontinue orthodontic treatment. Painkillers, swallowed or applied directly to the sore areas of the mouth following treatment, are thought to relieve the pain, making brace treatment more comfortable and acceptable. These painkillers are often cheap, readily available, easy to use and do not cause serious side effects. Continue reading
Dental pain is common after dental procedures and can lead to increased fear of dental treatment, avoidance of dental treatment and other associated problems. Reduction of pain is important, particularly in children and adolescents. One way of managing this might be to give painkillers before treatment so that the painkillers can start to work right away. This updated review looked at evidence for using painkillers in children, aged up to 17 years, undergoing treatment without sedation or general anaesthetic, but who may have had a local anaesthetic. The treatments included extracting teeth, restoring teeth and fitting braces. Continue reading
Surgical operations to remove wisdom teeth are one of the most commonly performed procedures in oral health, in England alone, 63,000 wisdom teeth are extracted each year in NHS hospitals. Many patients need time off work and their quality of life can be significantly affected. Both ibuprofen and paracetamol are commonly used for the relief of pain following the removal of lower wisdom teeth. In 2010, a new painkiller (marketed as Nuromol) containing paracetamol and ibuprofen in the same tablet, was licensed for use in the UK. This review considers the effectiveness of these painkillers. Continue reading
Irrigants for non-surgical root canal treatment in mature permanent teeth
Zbys Fedorowicz, Mona Nasser, Patrick Sequeira-Byron, Raphael Freitas de Souza, Ben Carter, Marc Heft
This new systematic review examines the antiseptic and antibacterial irrigating solutions available to help to eliminate infection during root canal treatment. 11 studies were included, with 851 participants. The review concludes that there was no difference between some of the irrigants or between the different strengths of individual irrigants.
Preoperative analgesics for additional pain relief in children and adolescents having dental treatment
Paul F Ashley, Susan Parekh, David R Moles, Prabhleen Anand, Amal Behbehani
This review examines whether or not to give children painkillers before dental treatment, in order to reduce pain afterwards. Five trials were included, with 190 participants. However, the available evidence was not sufficient to determine efficacy. There was some evidence that it could be of benefit before orthodontic treatment.
Systemic interventions for recurrent aphthous stomatitis (mouth ulcers)
Paul Brocklehurst, Martin Tickle, Anne-Marie Glenny, Michael A Lewis, Michael N Pemberton, Jennifer Taylor, Tanya Walsh, Philip Riley, Julian M Yates
25 trials with 21 interventions were included in this new systematic review on recurrent mouth ulcers. No single treatment was found to be effective and the results remain inconclusive.
Other highlights of the Cochrane Library, Issue 9, 2012 are:
- An editorial on Procalcitonin: hope in the fight against antibiotic resistance?
- Laparoscopy versus laparotomy for the management of early stage endometrial cancer
- Procalcitonin to initiate or discontinue antibiotics in acute respiratory tract infections
- Pacifier use versus no pacifier use in breastfeeding term infants for increasing duration of breastfeeding
- Inhaled analgesia for pain management in labour
- Cryotherapy following total knee replacement
- Interventions for preventing falls in older people living in the community
- Topical NSAIDs for chronic musculoskeletal pain in adults
- Separate care for new mother and infant versus rooming-in for increasing the duration of breastfeeding
- Clinical service organisation for heart failure
- Black cohosh (Cimicifuga spp.) for menopausal symptoms
- Spinal manipulative therapy for acute low-back pain
- Omega 3 fatty acid for the prevention of dementia