
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 no patient response to an 80 reading ensured pulpal anesthesia in vital asymptomatic teeth. Additionally, Certosimo and Archer demonstrated that EPT readings less than 80 resulted in pain during operative procedures in asymptomatic teeth.
Twenty-three males and 7 females from age 19 to 43 years (average 24 years) participated in this study. One hundred percent of the subjects had subjective lip and tongue anesthesia with the IAN blocks. The discomfort ratings of solution deposition for the IAN blocks are presented in Table 1. There were no significant differences (P > .05) between the solutions.
In: Anesthesia
29 Dec 2009Thirty adult subjects participated in this study. The subjects 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 subject.
In: Anesthesia
28 Dec 2009
The inferior alveolar nerve (IAN) block is the most frequently used injection technique for achieving local anesthesia for mandibular restorative and surgical procedures. However, the IAN block does not always result in successful pulpal anesthesia. Failure rates of 8 to 67% have been reported in experimental studies. Clinical studies in endodontics have found failure with the IAN block occurring between 38 and 81% of the time.
In: Anesthesia
25 Dec 2009
Spilker and Cramer examined recruitment data from a number of medical trials and found the screening yield depends on the type of trial and subject population sought, ranging from 1 to 6% in prevention trials to 20 to 27% in therapeutic trials. Similar results have been reported in the psychology literature for psychotropic drug trials. However, the range was between 5 and 90%, with about half the investigators reporting less than a 15% enrollment rate from initial contacts. Our recruitment yield (15.9%) is thus similar to other studies recruiting patients with psychiatric conditions.
In: Anesthesia
24 Dec 2009Recruitment Outcomes
A total of 911 people contacted the study coordinator. From these initial contacts, 186 (20.4%) were not interested in a study, 165 (18.1%) were rejected (78 during the telephone interview and 87 later), and 530 (58.2%) expressed interest in the study and appeared qualified. Thirty individuals (3.3%) called because they wanted to refer someone else. The frequency of initial contacts, subjects’ interest, rejected recruits, and subjects calling for others are presented in Table 1 for each recruitment method. Of 619 subjects who received the study material, 290 returned the study questionnaire. Two hundred prospective subjects were interviewed, with 166 accepted for participation. Twenty-two subjects (2.4%) withdrew during the study and needed to be replaced. However, only 9 of these 22 subjects actually took the study drug and actually started the study before withdrawing. One hundred forty-four subjects were enrolled for the study, which is 20.7% of the 695 subjects (530 interested ones and 165 rejected ones) who were interested in participating in the study. Similarly, 23.3% of 617 subjects who received the study materials (the questionnaire and the brochure) and 72.0% of screened subjects were enrolled. Of 911 prospective subjects who initially contacted the research coordinator, 15.8% (144/911) were enrolled.
In: Anesthesia
23 Dec 2009Sample
The recruitment goal was 180 subjects with specific phobia of dental injections according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The initial expectations were not met. After 3 years, 108 subjects were enrolled and the goal revised downward to 144. Exclusion criteria were (1) obesity, (2) too young/old, (3) drug contraindications, (4) severe untreated depression or bipolar disorder, (6) unreliable jdid not appear for a screening twice), or (7) could not be contacted after repeated efforts. The 911 subjects described include those who responded to recruitment during 45 months of advertising and recruiting.
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.