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Journal of Dental Anesthesia and Pain Medicine

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https://www.readbyqxmd.com/read/29984325/letter-to-the-editor-response-to-the-effect-of-dental-scaling-noise-during-intravenous-sedation-on-acoustic-respiration-rate
#1
COMMENT
Steven J Barker
No abstract text is available yet for this article.
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984324/recurrent-st-segment-elevations-in-a-patient-with-asymptomatic-early-repolarization-during-head-and-neck-surgery-implications-of-vasospastic-angina
#2
Se-Ung Park, Sung-Hoon Kim, Hye-Mee Kwon, Gi-Ho Koh, Gi-Byoung Nam, Myong-Hwan Karm, Wook-Jong Kim, Seung-Woo Ku
A 57-year-old woman scheduled for cochlear implant removal exhibited preoperative electrocardiographic findings of early repolarization (ER). Four episodes of transient ST segment elevations during surgery raised suspicion for vasospastic angina (VA). In the post-anesthetic care unit, the patient complained of chest discomfort and received sublingual nitroglycerin with uncertain effect. The patient refused to proceed with postoperative invasive coronary angiography, resulting in inconclusive diagnosis. Intraoperative circumstances limit the diagnosis of VA, which emphasizes the need for further testing to confirm the diagnosis...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984323/airway-management-in-a-displaced-comminuted-fracture-of-the-mandible-and-atlas-with-a-vertebral-artery-injury-a-case-report
#3
Rathna Paramaswamy
Complex cervical spine fractures are a serious complications of maxillofacial trauma and associated with high mortality and neurological morbidity. Strict vigilance in preventing further insult to the cervical spine is a crucial step in managing patients who are at risk for neurologic compromise. We report a rare case of a right transverse process of atlas fracture with right-sided vertebral artery injury that was associated with a comminuted fracture of the body and angle of the mandible, which restricted mouth opening...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984322/delayed-paresthesia-of-inferior-alveolar-nerve-after-dental-surgery-case-report-and-related-pathophysiology
#4
Re-Mee Doh, Sooil Shin, Tae Min You
Paresthesia is an altered sensation of the skin, manifesting as numbness, partial loss of local sensitivity, burning, or tingling. The inferior alveolar nerve (IAN) is the third branch of the trigeminal nerve and is very important in dental treatment. IAN paresthesia may occur after various dental procedures such as simple anesthetic injections, surgical procedures, and endodontic treatment, and is reported to range from 0.35% to 8.4%. The altered sensation usually follows immediately after the procedure, and reports of late onset of nerve involvement are rare...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984321/comparative-randomized-study-of-propofol-target-controlled-infusion-versus-sevoflurane-anesthesia-for-third-molar-extraction
#5
Patrick K Chung, Parmanand Dhanrajani
Background: The objective of this study was to compare hemodynamic and recovery characteristics of total intravenous anesthesia using propofol target-controlled infusion (TCI) versus sevoflurane for extraction of four third molar teeth. Methods: One hundred patients undergoing extraction of four third molar teeth under general anesthesia were randomized to one of two groups. Group 1 received propofol TCI-oxygen for induction and propofol TCI-oxygen-air for maintenance...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984320/effect-of-preemptive-intravenous-ibuprofen-on-postoperative-edema-and-trismus-in-third-molar-tooth-extraction-a-randomized-controlled-study
#6
Yakup Gülnahar, Ilke Kupeli
Background: This study aimed to evaluate the anti-inflammatory efficacy of preemptive intravenous ibuprofen on inflammatory complications such as edema and trismus in patients undergoing impacted mandibular third molar surgery. Methods: Sixty patients were included and divided into three groups (800 mg IV ibuprofen + 50 mg dexketoprofen, 800 mg IV ibuprofen, and control). In all patients, preoperative hemodynamic values were recorded before the infusions. The operation was started at 15-min post-infusion...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984319/effect-of-a-5-naproxen-patch-on-reducing-pain-caused-by-separators-prior-to-fixed-orthodontic-treatment
#7
Ladan Eslamian, Nazila Akbarian Rad, Behnam Rahbani Nobar, Seyed Alireza Mortazavi
Background: The pain involved in orthodontic treatments may involve inflammatory processes. This study evaluated the effect of using a naproxen patch for pain reduction in the separating stage of fixed orthodontic treatment. Methods: In this double-blind, randomized, controlled clinical trial of 35 orthodontic patients (age: 14-19 years) who had pain during separator placement, each patient randomly placed naproxen and placebo patches in the first permanent molar region, in opposite quadrants of the same jaw...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984318/comparative-evaluation-of-the-efficacy-safety-and-hemostatic-effect-of-2-lidocaine-with-various-concentrations-of-epinephrine
#8
Myong-Hwan Karm, Minyoung Kim, Fiona D Park, Kwang-Suk Seo, Hyun Jeong Kim
Background: We evaluated the changes in mean arterial pressure (MAP) and heart rate (HR), and the anesthetic and hemostatic effects, after injection of 2% lidocaine containing various concentrations of epinephrine in rats and mice to determine the appropriate concentration of epinephrine in various anesthetic mixtures. Methods: Rats and mice were randomly allocated to experimental groups: 2% lidocaine without epinephrine (L0), 2% lidocaine with epinephrine 1:200,000 (L200), 1:100,000 (L100), and 1:80,000 (L80)...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29984317/efficacy-of-sodium-bicarbonate-buffered-versus-non-buffered-lidocaine-with-epinephrine-in-inferior-alveolar-nerve-block-a-meta-analysis
#9
REVIEW
Jing Guo, Kaifeng Yin, Rafael Roges, Reyes Enciso
Introduction: This systematic review evaluated the use of buffered versus non-buffered lidocaine to increase the efficacy of inferior alveolar nerve block (IANB). Materials and Methods: Randomized, double-blinded studies from PubMed, Web of Science, Cochrane Library, Embase, and ProQuest were identified. Two of the authors assessed the studies for risk of bias. Outcomes included onset time, injection pain on a visual analog scale (VAS), percentage of painless injections, and anesthetic success rate of IANB...
June 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744389/orotracheal-intubation-in-a-patient-with-difficult-airway-by-using-fiberoptic-nasotracheal-intubation-a-case-report
#10
Hye Joo Yun, Eunsun So, Myong-Hwan Karm, Hyun Jeong Kim, Kwang-Suk Seo
In cases of a difficult intubation where numerous intubation methods, including laryngoscopy, have failed, yet oral intubation is still necessary, the method of tube exchange after fiberoptic nasal intubation may be attempted. Fiberoptic nasal intubation allows intubation to be performed relatively easily when the laryngeal view grade is poor. We report a case in which our attempt at oral intubation for total maxillectomy with laryngoscopy and fiberoptic oral intubation had failed due to an unexpected difficult airway; subsequently, we successfully completed the surgery by performing fiberoptic nasal intubation to secure the airway, followed by using a tube exchanger to exchange to an oral endotracheal tube...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744388/airway-management-during-general-anesthesia-in-an-intellectually-disabled-patient-with-undiagnosed-tracheomalacia
#11
Sooil Shin, Seungoh Kim
In cases of intellectually disabled patients, there is sometimes difficult to obtain sufficient information due to the intellectual disorder, even though the patient has significant medical problems. Herein, we report a case of decreased oxygen saturation and inadequate air exchange during general anesthesia in an intellectually disabled patient. We also describe the subsequent management, including the diagnosis of tracheomalacia (TM) using bronchoscopy, and the management of airway compromise with manual and/or controlled respiration, which led to the prevention of complications...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744387/dexamethasone-treatment-for-bilateral-lingual-nerve-injury-following-orotracheal-intubation
#12
Saeyoung Kim, Seung-Yeon Chung, Si-Jeong Youn, Younghoon Jeon
Lingual nerve injury is a rare complication of general anesthesia. The causes of lingual nerve injury following general anesthesia are multifactorial; possible mechanisms may include difficult laryngoscopy, prolonged anterior mandibular displacement, improper placement of the oropharyngeal airway, macroglossia and tongue compression. In this report, we have described a case of bilateral lingual nerve injury that was associated with orotracheal intubation for open reduction and internal fixation of the left distal radius fracture in a 61-year-old woman...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744386/pulmonary-aspiration-during-intubation-in-a-high-risk-patient-a-video-clip-and-clinical-implications
#13
Gi-Ho Koh, Sung-Hoon Kim, Hyo-Jung Son, Jun-Young Jo, Seong-Soo Choi, Se-Ung Park, Wook-Jong Kim, Seung-Woo Ku
We report a case of pulmonary aspiration during induction of general anesthesia in a patient who was status post esophagectomy. Sudden, unexpected aspiration occurred even though the patient had fasted adequately (over 13 hours) and received rapid sequence anesthesia induction. Since during esophagectomy, the lower esophageal sphincter is excised, stomach vagal innervation is lost, and the stomach is flaccid, draining only by gravity, the patient becomes vulnerable to aspiration. As the incidence of perioperative pulmonary aspiration is relatively low, precautions to prevent aspiration tend to be overlooked...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744385/changes-in-blood-flow-at-the-mandibular-angle-and-horner-syndrome-in-a-rat-model-of-superior-cervical-ganglion-block
#14
Kazutoshi Kubota, Katsuhisa Sunada
Background: A stellate ganglion block (SGB) causes increased blood flow in the maxillofacial region, exhibiting the potential for regenerative effects in damaged tissue. The focus of this study was to understand the efficacy of SGB for regenerative effects against nerve damage. A rat model of the superior cervical ganglion block (SCGB) was created instead of SGB, and facial blood flow, as well as sympathetic nervous system function, were measured. Methods: A vertical incision was made on the left side of the neck of a Wistar rat, and a 5-mm resection of the superior cervical ganglion was performed at the back of the bifurcation of the internal and external branches of the left common carotid artery...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744384/the-effect-of-dental-scaling-noise-during-intravenous-sedation-on-acoustic-respiration-rate-rra%C3%A2
#15
Jung Ho Kim, Seong In Chi, Hyun Jeong Kim, Kwang-Suk Seo
Background: Respiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environment with excessive noise. This study evaluated whether noise from the ultrasonic scaler affects the performance of RRa in respiratory rate measurement. Methods: We analyzed data from 49 volunteers who underwent scaling under intravenous sedation...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744383/structural-damage-to-periodontal-tissues-at-varying-rate-of-anesthetic-injection
#16
Maria Sarapultseva, Alexey Sarapultsev, Svetlana Medvedeva, Irina Danilova
Background: Incorrect administration of an anesthetic during local anesthesia is one of the most important causes of pain symptoms in patients scheduled for dental procedures. The current study assessed the severity of damage to periodontal tissue following different rates of anesthetic administration. Methods: The research was conducted on 50 outbred male rats with a body mass of 180-240 g. The anesthetic used was 1% articaine. Results: The results showed that administration of the anesthetic at a rapid pace caused structural damage to the periodontal tissue...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744382/alternative-practices-of-achieving-anaesthesia-for-dental-procedures-a-review
#17
REVIEW
Zavattini Angelo, Charalambous Polyvios
Managing pain and anxiety in patients has always been an essential part of dentistry. To prevent pain, dentists administer local anaesthesia (LA) via a needle injection. Unfortunately, anxiety and fear that arise prior to and/or during injection remains a barrier for many children and adults from receiving dental treatment. There is a constant search for techniques to alleviate the invasive and painful nature of the needle injection. In recent years, researchers have developed alternative methods which enable dental anaesthesia to be less invasive and more patient-friendly...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744381/complications-caused-by-nitrous-oxide-in-dental-sedation
#18
REVIEW
Seong In Chi
The first clinical application of nitrous oxide (N2 O) was in 1844, by an American dentist named Horace Wells who used it to control pain during tooth extraction. Since then, N2 O has shared a 170-year history with modern dental anesthesia. N2 O, an odorless and colorless gas, is very appealing as a sedative owing to its anxiolytic, analgesic, and amnestic properties, rapid onset and recovery, and, in particular, needle-free application. Numerous studies have reported that N2 O can be used safely and effectively as a procedural sedation and analgesia (PSA) agent...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29556561/intraosseous-anesthesia-using-a-computer-controlled-system-during-non-surgical-periodontal-therapy-root-planing-two-case-reports
#19
Keumah Han, Jongbin Kim
Local anesthesia is administered to control pain, but it may induce fear and anxiety. Root planing is a non-surgical periodontal therapy; however, when it is performed in an extensive manner, some tissue removal is inevitable. Notably, this removal may be so painful that local anesthesia is required to be administered to the area scheduled for the treatment. Although patients tend to accept root planing easily, they frequently express a fear of local anesthesia. Intraosseous anesthesia (IA) is an intraosseous injection technique, whereby local anesthetic is injected into the cancellous bone supporting the teeth...
February 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29556560/cardiac-arrest-due-to-an-unexpected-acute-myocardial-infarction-during-head-and-neck-surgery-a-case-report
#20
Jimin Kim, Eunsun So, Hyun Jeong Kim, Kwang-Suk Seo, Myong-Hwan Karm
Major cardiac complication such as acute myocardial infarction can occur unexpectedly in patients without risk factors. We experienced cardiac arrest due to an unexpected acute myocardial infarction in a patient without any risk factors during head and neck reconstructive surgery. The patient was diagnosed with acute myocardial infarction after return of spontaneous circulation. With immediate percutaneous coronary intervention, the patient recovered without complications.
February 2018: Journal of Dental Anesthesia and Pain Medicine
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