J Orofac Pain
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Randomized Controlled Trial
Effects of intra-alveolar placement of 0.2% chlorhexidine bioadhesive gel on dry socket incidence and postsurgical pain: a double-blind split-mouth randomized controlled clinical trial.
To assess the effects of intra-alveolar application of chlorhexidine gel on the incidence of alveolar osteitis (dry socket) and the severity of postsurgical pain. ⋯ Besides decreasing the incidence of dry socket, chlorhexidine gel can reduce postsurgical pain in patients with and without dry socket.
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Comparative Study
Sex-specific differences in patients with temporomandibular disorders.
To explore potential differences in characteristics of patients that might account for sex-specific differences in temporomandibular disorders (TMD). ⋯ Female TMD patients showed greater pain and muscle tenderness on palpation as compared to male TMD patients. They also showed a different age distribution of prevalence of TMD. These results were independent of subjective symptoms, clinical findings, and external factors.
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To perform a systematic review of the literature dealing with the prevalence of bruxism in adult populations. ⋯ The present systematic review described variable prevalence data for bruxism activities. Findings must be interpreted with caution due to the poor methodological quality of the reviewed literature and to potential diagnostic bias related with having to rely on an individual's self-report of bruxism.
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To test whether temporomandibular disorders (TMD) case-control differences in conditioned pain modulation (CPM) exist, using a mechanically evoked temporal summation (TS) model. ⋯ Painful TMD is not necessarily associated with a compromised ability to engage the endogenous analgesic system in an experimental setting.
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Randomized Controlled Trial
Pain and intramuscular release of algesic substances in the masseter muscle after experimental tooth-clenching exercises in healthy subjects.
To investigate whether experimental tooth clenching leads to a release of algesic substances in the masseter muscle. ⋯ Low levels of pain and fatigue developed with this experimental tooth-clenching model, but they were not associated with an altered release of 5-HT, glutamate, lactate, or pyruvate. More research is required to elucidate the peripheral release of algesic substances in response to tooth clenching.