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intraosseous dental anesthesia

A Zh Petrikas, D V Medvedev, E B Ol'khovskaya
The traditional classification methods of dental local anesthesia must be modified. In this paper we proved that the vascular mechanism is leading component of spongy injection. It is necessary to take into account the high effectiveness and relative safety of spongy anesthesia, as well as versatility, ease of implementation and the growing prevalence in the world. The essence of the proposed modification is to distinguish the methods in diffusive (including surface anesthesia, infiltration and conductive anesthesia) and vascular-diffusive (including intraosseous, intraligamentary, intraseptal and intrapulpal anesthesia)...
2016: Stomatologii︠a︡
G Gazal, W M Fareed, M S Zafar
Pain control during the dental procedure is essentials and challenging. A complete efficacious pulp anesthesia has not been attained yet. The regional anesthesia such as inferior alveolar nerve block (IANB) only does not guarantee the effective anesthesia with patients suffering from irreversible pulpitis. This main aim of this review was to discuss various aspects of intraseptal dental anesthesia and its role significance in pain-free treatment in the dental office. In addition, reasons of failure and limitations of this technique have been highlighted...
January 2016: Saudi Journal of Anaesthesia
Iu V Efimov, Iu V Tel'ianova, E Iu Efimova
There was the research aimed at improving the effeciency of intraosseous anesthesia in the maxilla by blocking the infraorbital nerve conduction along its entire length. In the experimental part of the needle puncture defined place and character of the spreading of contrast medium into the upper jaw. In the clinical part of the study shows the advantages of the proposed method of intraosseous anesthesia.
2014: Stomatologii︠a︡
Christina M Fernandez, Jamie L Peyton, Mona Miller, Eric G Johnson, Jan P Kovacic
OBJECTIVE: To describe the successful application of CPR in a geriatric chinchilla employing basic and advanced life support measures during cardiopulmonary arrest (CPA). CASE SUMMARY: A 13-year-old female intact chinchilla presented to a general and multispecialty referral hospital for a dental procedure. During recovery from anesthesia the patient suffered CPA and CPR was initiated. Noninvasive positive pressure mask ventilation was initiated and external chest compressions were performed...
November 2013: Journal of Veterinary Emergency and Critical Care
S V Tarasenko, S S Dydykin, A V Kuzin
The paper presents studies on nutritional foramina of the mandible. Some nutritional foramina located in the frontal mandibular region on the lingual surface and containing significant blood vessels and nerves are found to be more typical for teeth-bearing mandible. In retromolar area in case of third molars presence intraosseous canals were revealed leading to inferior alveolar nerve canal. One should consider intraligamental and lingual anesthesia by lower incisors extraction. Intraosseous anesthesia and retromolar area infiltration significantly increase anesthesia efficiency by third molar extraction...
2013: Stomatologii︠a︡
Christian Graetz, Karim-Mohamed Fawzy-El-Sayed, Nicole Graetz, Christof-Edmund Dörfer
OBJECTIVES: The principle of the intraosseous anesthesia (IOA) relies on the perforation of the cortical plate of the bone for direct application of the local anesthetic solution into the underlying cancellous structures. During this procedure, IOA needles might accidentally come in contact with the tooth roots. The aim of the current in vitro study was to examine the consequences of this 'worst case scenario' comparing five commercially available IOA systems. MATERIAL AND METHOD: Extracted human roots were randomly perforated using five different IOA systems with a drilling time ≤5s...
January 2013: Medicina Oral, Patología Oral y Cirugía Bucal
Senem Özer, Mehmet Yaltirik, Irem Kirli, Ilhan Yargic
OBJECTIVE: The aim of this study was to compare anxiety and pain levels during anesthesia and efficacy of Quicksleeper intraosseous (IO) injection system, which delivers computer-controlled IO anesthesia and conventional inferior alveolar nerve block (IANB) in impacted mandibular third molars. STUDY DESIGN: Forty subjects with bilateral impacted mandibular third molars randomly received IO injection or conventional IANB at 2 successive appointments. The subjects received 1...
November 2012: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Leandro Augusto Pinto Pereira, Francisco Carlos Groppo, Cristiane de Cássia Bergamaschi, John Gerard Meechan, Juliana Cama Ramacciato, Rogério Heládio Lopes Motta, José Ranali
OBJECTIVE: The aim of this study was to compare the cardiovascular effects and the anesthetic efficacy of intraosseous injections of 4% articaine with 1:100,000 epinephrine (EPI100) or 4% articaine with 1:200,000 epinephrine (EPI200). STUDY DESIGN: In this prospective, randomized, double-blind study, 0.9 mL EPI100 and EPI200 solutions were administered for endodontic treatment of mandibular molars with symptomatic irreversible pulpitis in 60 patients. The anesthetic success and pain during anesthesia were evaluated by visual analog scale...
August 2013: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
M Zarei, J Ghoddusi, E Sharifi, M Forghani, F Afkhami, Parviz Marouzi
AIM: To compare the efficacy of supplemental anaesthesia using periodontal ligament injections (PDL) and intraosseous injections with the X-Tip system in terms of the measured heart rate and patient reported pain level. METHODOLOGY: In this single-blind randomized clinical trial, 40 patients (22 women, 18 men) with irreversible pulpitis who had experienced unsuccessful pain management by inferior alveolar nerve block with 2% lidocaine and 1 : 100 000 epinephrine were selected...
October 2012: International Endodontic Journal
Mohammad D Kanaa, John M Whitworth, John Gerard Meechan
OBJECTIVE: The objective of this study was to compare the efficacy of supplementary repeat inferior alveolar nerve block with 2% lidocaine and epinephrine, buccal infiltration with 4% articaine with epinephrine, intraligamentary injection, or intraosseous injection (both with 2% lidocaine with epinephrine) after failed inferior alveolar nerve block (IANB) for securing pain-free treatment in patients experiencing irreversible pulpitis in mandibular permanent teeth. METHODS: This randomized clinical trial included 182 patients diagnosed with irreversible pulpitis in mandibular teeth...
April 2012: Journal of Endodontics
Rut Beneito-Brotons, David Peñarrocha-Oltra, Javier Ata-Ali, María Peñarrocha
OBJECTIVE: To compare a computerized intraosseous anesthesia system with the conventional oral anesthesia techniques, and analyze the latency and duration of the anesthetic effect and patient preference. DESIGN: A simple-blind prospective study was made between March 2007 and May 2008. Each patient was subjected to two anesthetic techniques: conventional and intraosseous using the Quicksleeper® system (DHT, Cholet, France). A split-mouth design was adopted in which each patient underwent treatment of a tooth with one of the techniques, and treatment of the homologous contralateral tooth with the other technique...
May 2012: Medicina Oral, Patología Oral y Cirugía Bucal
David Peñarrocha-Oltra, Javier Ata-Ali, María-José Oltra-Moscardó, María Peñarrocha-Diago, Miguel Peñarrocha
OBJECTIVE: To analyze the side effects and complications following intraosseous anesthesia (IA), comparing them with those of the conventional oral anesthesia techniques. MATERIAL AND METHOD: A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite quadrants...
May 2012: Medicina Oral, Patología Oral y Cirugía Bucal
D Peñarrocha-Oltra, J Ata-Ali, M-J Oltra-Moscardó, M-A Peñarrocha-Diago, M Peñarrocha
OBJECTIVE: To compare intraosseous anesthesia (IA) with the conventional oral anesthesia techniques. MATERIAL AND METHOD: A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite quadrants...
March 2012: Medicina Oral, Patología Oral y Cirugía Bucal
Takashi Goto, Hideki Mamiya, Tatsuya Ichinohe, Yuzuru Kaneko
OBJECTIVE: The purpose of this study was to investigate the tissue distribution of lidocaine hydrochloride in mandibular bone marrow after intraosseous anesthesia (IOA) in rabbits. METHODS: We used macroautoradiography to examine the tissue distribution of a (14)C-labeled 2% lidocaine hydrochloride solution containing 1:80,000 epinephrine ((14)C-lidocaine). Under general anesthesia, (14)C-lidocaine was injected intraosseously or paraperiosteally. After IOA, animals were divided into three groups and observed at 1 (IOA-1), 5 (IOA-5), and 10 minutes (IOA-10) after injection...
October 2011: Journal of Endodontics
John G Meechan
BACKGROUND: The author describes the use of the infiltration anesthetic technique to anesthetize mandibular teeth in adults and explores its mechanism of action. METHODS: The author reviewed articles describing randomized controlled trials of the mandibular infiltration anesthetic technique in healthy participants. RESULTS: The author found that using the mandibular infiltration anesthetic technique can produce anesthesia in adult mandibular teeth...
September 2011: Journal of the American Dental Association
Paul A Moore, Michael A Cuddy, Matthew R Cooke, Chester J Sokolowski
BACKGROUND: and Overview. The provision of mandibular anesthesia traditionally has relied on nerve block anesthetic techniques such as the Halsted, the Gow-Gates and the Akinosi-Vazirani methods. The authors present two alternative techniques to provide local anesthesia in mandibular teeth: the periodontal ligament (PDL) injection and the intraosseous (IO) injection. The authors also present indications for and complications associated with these techniques. CONCLUSIONS: The PDL injection and the IO injection are effective anesthetic techniques for managing nerve block failures and for providing localized anesthesia in the mandible...
September 2011: Journal of the American Dental Association
Shinya Yamazaki, Hiroshi Ito, Hiroyoshi Kawaai
Left ventricular noncompaction (LVNC), also known as spongiform cardiomyopathy, is a severe disease that has not previously been discussed with respect to general anesthesia. We treated a child with LVNC who experienced cardiac arrest. Dental treatment under general anesthesia was scheduled because the patient had a risk of endocarditis due to dental caries along with a history of being uncooperative for dental care. During sevoflurane induction, severe hypotension and laryngospasm resulted in cardiac arrest...
2011: Anesthesia Progress
Joel C Small, David E Witherspoon, John D Regan, Ellen Hall
Failure to achieve profound anesthesia during dental treatment can be a significant problem for dental clinicians, especially for endodontic procedures on teeth in the mandibular arch with irreversible pulpitis. A number of supplemental local anesthesia techniques exist, the most effective of which may be the intraosseous injection. Two cases are presented demonstrating the dangers associated with the use of the intraosseous anesthesia technique. While the technique can provide profound anesthesia in otherwise difficult to anesthetize cases, care must be taken during its administration...
January 2011: Texas Dental Journal
Taylor M Clark, John A Yagiela
Computer-controlled local anesthetic delivery (C-CLAD) devices and systems for intraosseous (IO) injection are important additions to the dental anesthesia armamentarium. C-CLAD using slow infusion rates can significantly reduce the discomfort of local anesthetic infusion, especially in palatal tissues, and facilitate palatal approaches to pulpal nerve block that find special use in cosmetic dentistry, periodontal therapy, and pediatric dentistry. Anesthesia of single teeth can be obtained using either C-CLAD intraligamentary injections or IO injections...
October 2010: Dental Clinics of North America
Henk S Brand, Jacques A Baart, N Eline Maas, Irmke Bachet
The aim of this study was to evaluate the preclinical use of a training model in local anesthesia teaching on the subsequent clinical administration of a local anesthetic. Sixty-five dental students gave their first injection to a fellow dental student: twenty-two students after previous experience on a training model and forty-three without this training. After the injection, the opinions of both the student who performed the injection and the recipient were explored by questionnaires. Use of a training model did not affect the self-reported opinion of the students who performed the injection...
August 2010: Journal of Dental Education
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