Posts Tagged ‘local anesthesia

Failure of local anesthetics to achieve profound analgesia may be related to:
• inaccurate anatomic placement of local anesthetic solution
• placing too little solution
• allowing insufficient time for it to diffuse and take effect
• injecting into inflamed or infected tissues
• using an outdated or improperly stored anesthetic solution.

Local anesthesia is defined as a loss of sensation in a circumscribed area of the body by a depression of excitation in nerve endings or an inhibition of the conduction process in the peripheral nerves. In clinical practice a localized loss of pain sensation is desired. Although the terms dental anesthesia and dental analgesia are [...]

The sensory supply to the teeth, jaws, and oral mucosa is derived from the maxillary and mandibular division of the trigeminal (fifth cranial) nerve (Tabletes Tegretol is used for: Controlling certain types of seizures and relieving pain in patients with nerve pain in the face, jaw, tongue, or throat), whose cell bodies are found in [...]

Pain and dentistry are often synonymous in the minds of patients, especially those with poor dentition due to multiple extractions, periodontal disease requiring surgery, or symptomatic teeth requiring endodontic therapy. Members of the public perceive a good dentist as a practitioner who causes little or no discomfort. In turn, dental practitioners identify a good [...]

According to statistics recently released by the American Society of Plastic Surgeons, US surgeons performed more than 8.7 million cosmetic surgical procedures in 2003, an increase of 32% over the previous year. Importantly, 56% of these cases were performed in offices. Many of these procedures were performed on patients under various levels of conscious sedation, [...]

Methemoglobinemia is an uncommon but potentially serious adverse reaction to many local anesthetics and other substances. Careful review of medical and dental histories can often uncover patients who are sensitive to agents with the potential of causing methemoglobinemia. This case report is a review of the literature and demonstrates the management of methe-moglobinemia-susceptible patients.

Methemoglobinemia occurs when iron atoms in hemoglobin molecules are oxidized from their normal ferrous (Fe++) to a nonfunctional ferric (Fe+++) state, resulting in reduced oxygen delivery to the tissue level. Methe-moglobin (MetHb) is normally present in human blood at levels less than 1-2%. In normal patients, its rapid reduction back to hemoglobin is catalyzed primarily [...]

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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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