In: Anesthesia
6 Dec 2009INTRODUCTION
Children most often associate pain during a dental visit with the administration of local anesthetic. Pain and discomfort perceived by pediatric patients can be severe. In a survey of 119 children, 65 thought that a “shot” or “needle” hurt more than anything else that had ever happened to them.
In: Anesthesia
28 Nov 2009DISCUSSION
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 pain [...]
In: Anesthesia
27 Nov 2009RESULTS
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 from [...]
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.
In: Anesthesia
25 Nov 2009The 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 [...]
The pH of the plain lidocaine solution was 6.6; the epi-nephrine-containing solution’s pH was 4.4.
Twelve volunteers (6 men, 6 women) recorded at least one of their buccal injections at a minimum of 30 mm on the VAS, and 17 participants (10 men, 7 women) had palatal injection scores of at least 30 mm for one [...]
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.