Archive for November, 2009

With the approval of The Ohio State University IRB Human Subjects Committee, 22 healthy volunteer dental students, both male and female, were recruited in pairs to participate in a single-blinded clinical protocol. A power analysis was performed on data from previous similar studies and indicated that an N (least significantnumber) greater than 15 should provide [...]

This study sought to characterize the effects of 3070% nitrous oxide and 0.2-0.8% sevoflurane conscious sedation on quantitative electroencephalographic (EEG) readings as measured by the bispectral index (BIS). BIS is a processed parameter (algorithm) made available in 1997 by Aspect Medical Systems (Newton, Mass). As depicted in Figure 1, it is specifically designed to correlate [...]

DISCUSSION The use of the 80 reading as a criterion for pulpal anesthesia was based on the studies of Dreven et al and Certosimo and Archer. These studies showed that an 80 reading ensured pulpal anesthesia in vital asymptomatic teeth. Additionally, Certosimo and Archer demonstrated that electric pulp test readings less than 80 resulted in [...]

RESULTS Forty adult patients, 30 men and 10 women, aged 2034 years, with an average age of 26 years, participated in this study. One hundred percent of the patients had subjective lip anesthesia with the IAN blocks. The rates of anesthetic success are presented in Table 1. Success rates for the IAN block alone ranged [...]

MATERIALS AND METHODS Forty adult patients participated in this study. The patients were in good health and were not taking any medications that would alter pain perception. The Ohio State University Human Subjects Review Committee approved the study, and written informed consent was obtained from each patient.

The inferior alveolar nerve (IAN) block is the most frequently used mandibular injection technique for achieving local anesthesia for restorative and surgical procedures. However, the IAN block does not always result in successful pulpal anesthesia. Failure rates in anterior teeth have ranged from 10%-90%.

A number of methods may be used to reduce the discomfort of local anesthetic injections. These might include the application of topical anesthetics before needle penetration and a slow rate of injection. However, there is little evidence in the literature that the various methods proposed are reliable. Even the use of topical anesthetics before injection [...]

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Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.

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