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Questions and Answers
What is the main purpose of administering triazolam ？
What should patients be advised against using concurrently with oral triazolam?
Which enzyme is inhibited by furanocoumarins from grapefruit juice, affecting triazolam's metabolism?
What is a necessary precaution for patients who have received triazolam before their dental procedure?
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Why must drug-drug interactions be considered when administering triazolam?
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What plays a significant role in shaping a patient's response to a new pain stimulus?
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Which anatomical structure is responsible for sending pain information to the cerebral cortex?
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How does a patient's anxiety level during dental treatment affect their experience of pain?
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Which method was found effective in reducing dental anxiety before treatment?
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What substance has been shown to be effective in reducing anxiety in a dental setting?
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Why is it important to control a patient's anxiety prior to endodontic treatment?
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What aspect of the sensory cortex is noteworthy concerning orofacial regions?
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How long after treatment can patients still recall their experience as painful or unpleasant?
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Study Notes
Perception of Pain
- Pain is perceived in the cerebral cortex.
- A large portion of the sensory cortex is dedicated to input from the orofacial region.
- Higher-order cortical processes influence how patients perceive pain.
- Past pain experiences shape how patients assess and respond to pain.
Anxiety and Pain Perception
- Patient anxiety can affect pain perception and memory of the pain experience.
- Patient anxiety levels during dental treatment influence the perception of pain as well as the memory of the experience.
- Providing patients with positive information about pain control during endodontic treatment can decrease anxiety.
- Pharmacologic interventions, like benzodiazepines, can reduce anxiety but may need to be considered in context with other medications the patient is taking.
- Grapefruit juice can prolong the half-life of triazolam (a benzodiazepine), as it inhibits the enzyme involved in metabolizing the drug in the liver.
- Patients prescribed triazolam should be advised to avoid grapefruit juice.
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