2Introduction: Chronic back pain is one of the most common types of musculoskeletal pain in the elderly. The self-management based of the 5A training program for problem control has positive consequences for the elderly. This study aimed to evaluate the impact of the self-management-based of 5A program on the non-specific chronic low back pain of elderly patients. Methods: This clinical trial study was performed on 66 elderly patients with non-specific chronic low back pain refereed in the specialized and super-specialized clinics of Abadan University of Medical Sciences, 2022. The block randomization method assigned the patients to the experimental and control groups. The experimental group was trained in self-management programs based 5A model for 6 weeks and followed up for 8 weeks.  The scale was measured in two groups before intervention,4 weeks, and 8 weeks after intervention.  Data analysis using SPSS 22 software. Results: There was no significant difference in the average pain between the experimental and control groups before the intervention, while there was a significant difference between the two groups (P <0.001). In addition, the results showed that there was a significant difference in mean pain score between the two groups after four and eight weeks (P < 0.001). Conclusion: The implementation of the self-management program based on the 5A model in the elderly with non-specific chronic back pain is effective and can reduce the pain intensity, so nurses can use this self-management method as a supportive and non-pharmacological method in the control of non-specific chronic low back pain.

Background and Aim: Burning mouth syndrome (BMS) is a chronic burning pain, usually in the absence of clinical and laboratory findings. The prevalence of this disorder in the general population is estimated to be 1% to 15%. It particularly affects the middle-aged persons, and women are involved 7 times more frequency than men especially after menopause. BMS patients complain from moderate to severe burning sensation that can effect on their life quality. There has been no clear consensus on its etiology. Most often patients with inexplicable oral complaints are referred from one health care professional to another without effective management. This approach cause significant emotional impact on patients. Although information about treatment modality of BMS remains limited, the present article provides update information about BMS, including possible etiological factors, Pathophysiology and current treatment choices. Review Articles: Literature was searched Medline, Elseveier, Embase, and Cochrane Library from 1986 to 2008. Any articles in English (clinical trials, cross sectional, longitudinal and epidemiological studies) were included. Meanwhile, theses for the degree of DDS in Shahid Beheshti and Azad dental faculties about BMS and textbooks were reviewed thoroughly. Results: Although BMS is of unknown etiology but various local, psychological and systemic factors can trigger or exacerbate this disorder. Systemic or local drugs may be mandatory to treat BMS. It is important to resolve any risk factor or cognitive-behavior therapy in management of BMS. Conclusion: Appropriate diagnosis is necessary for management of BMS and several treatment protocols should be used simultaneously to improve pain and burning.

Background: The healing process after dental extraction is influenced by various factors, and finding effective strategies for promoting wound healing and reducing postoperative discomfort remains a challenge. This study aimed to evaluate the effectiveness of topical Curcuma longa gel in reducing pain and promoting wound healing after dental extraction, with the secondary objective of assessing the occurrence of dry sockets. The study was a split‑, mouth randomized controlled trial conducted at the oral and maxillofacial surgery department over 3 months. Materials and Methods: This split‑, mouth randomized controlled trial consisted of a total of 21 patients undergoing bilateral extractions. One extraction socket was randomly assigned to the test group, where Curcuma. longa gel was applied, while the contralateral socket served as the control group, receiving a placebo. Pain and wound healing were evaluated using standardized scales on the 3rd and 7th days postextraction. Descriptive statistics, paired t‑, tests, and unpaired t‑, tests were performed using the SPSS software version 19. The statistical significance was fixed at P ≤,0. 05. Results: The test group showed significantly higher mean healing scores on the 3rd and 7th days compared to the control group. On the 7th day, the test group had significantly lower mean pain scores than the control group. No cases of dry sockets were observed in either group. Conclusion: Topical Curcuma longa gel demonstrated positive effects in promoting wound healing and reducing pain after dental extraction. Clinicians should consider the use of Curcuma longa gel as a post‑, extraction medicament, particularly in cases involving multiple or traumatic extractions.

Background and Aim: Considering the important role of molars in masticatory function and in order to prevent rapid residual ridge resorption in the postextraction phase, it is necessary to replace these teeth in an appropriate way as soon as possible. This study was conducted to evaluate the outcome of immediate tapered wide platform implants instead in molar sockets one year following loading in a private clinic in year 1388- 89.Materials &Methods: This descriptive study was carried on 12 samples of first and second molars of 10 patients with average of 46±4.71 years, which had referred on year 1387. Immediately after extraction, tapered platform implants were placed. One year following loading, the stability of implants was evaluated by means of periotest. Clinical evaluation was based on: pain, infection and pus drainage. In order to determine crestal bone changes parallel periapical radiographs were taken. Data were analyzed by t- test.Results: None of the samples showed pain, infection, pus drainage or continues radiolucency. The average PTV (Perio Test Value) was -2.81±1.6 with average of -1 to -6 was indicator of no mobility in implants. The average crestal bone change was 0.22±0.01 mm.Conclusion: Installation of tapered wide platform implants at the time of molar extraction maybe successful with ideal case selection and proper surgical procedure.