Our results indicate that there is clinical meaningfulness for a variety of powerful psychosocial and cultural influences that come to bear on the perceived need for anesthetic in tooth drilling. Although gender and age affected Scandinavians to some degree, pain beliefs by […]
In: Dental treatment27 Mar 2010
Avoiding Disturbing Effects of Numbness.
Although nonuse of anesthetic among Anglo-Americans was rare, American dentists most frequently said that Anglo-American patients wanted to avoid the feeling of numbness after the appointment to have full control of their tongue, lips, and cheeks. These often have social implications such as embarrassment, as a 40-yr-old male Anglo-American dentist described:
Frequency Distributions for Nonuse of Local Anesthetic
American dentists (n = 51) reported a median of 1% of patients not using anesthetic compared with 90% among Chinese (n = 31) and 37.5% among Scandinavian dentists (n = 40). American patients (n = 112) reported 6% nonuse of anesthetic compared with 90% of 159 Chinese and 54% of 125 Scandinavians (Danes = 54/87; Swedes = 13/38). Danes were over three times […]
Subjects were 163 Anglo-Americans from Seattle, WA (n = 112) and Columbus, OH (n = 51), 195 Mandarin Chinese from Taipei, Taiwan (n = 140) and mainland China (n = 55) and 167 Scandinavians (n = 112 Danes from Arhus, Denmark and n = 55 Swedes from Go-teborg and Linkoping, Sweden); a total of 129 dentists and 396 patients. The pool of subjects was drawn from public and private dental […]
Even though pain has elements of both physiological response and psychosocial conditioning, only a few studies have tried to reveal how pain attains meaning or emotional significance from the nature of the social or cultural context […]
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 […]
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.
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.