scholarly journals Anesthetic technique for inferior alveolar nerve block: a new approach

2011 ◽  
Vol 19 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Dafna Geller Palti ◽  
Cristiane Machado de Almeida ◽  
Antonio de Castro Rodrigues ◽  
Jesus Carlos Andreo ◽  
José Eduardo Oliveira Lima
2021 ◽  
Vol 24 (2) ◽  
pp. 39-47
Author(s):  
Hendry Rusdy ◽  
Abdullah Oes ◽  
Gostry Aldica Dohude ◽  
Indra Basar ◽  
Magdalena Lia Ignatita

The inferior alveolar nerve block technique (Fischer's method) is a local anesthetic technique that is often used in daily dental and surgical treatment. However, the failure rate reaches 15-20% because many factors affect the technique's success. Therefore, this descriptive study aims to determine the knowledge of clinical dental students regarding the inferior alveolar nerve block technique and the management of the failure associated with its characteristics. A cross-sectional approach was employed by using a validated questionnaire consisting of 2 parts, namely 6 general questions and 12 knowledge questions, which were distributed to 68 clinical dental students in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Sumatera Utara in 2019. The results showed that 51.5% of the students had good knowledge, 41.2% had fair knowledge and 7.4% had less knowledge. The highest percentage of students based on male gender had fair knowledge (10 people out of 15) and the female had good knowledge (30 people out of 53). The clinical dental students’ level of knowledge based on whether they have ever or never failed to perform an anesthetic block technique is in a good category. In conclusion, most of the clinical dental students at the Department of Oral Surgery in 2019 had a good level of knowledge about the inferior alveolar nerve block technique and its failure management.


2021 ◽  
Vol 15 (4) ◽  
pp. 269-272
Author(s):  
Balamurugan Rajendran ◽  
Sahana Pushpa Thaneraj

Background. The present study aimed to evaluate and compare the anesthetic effect of infiltration (INF) and inferior alveolar nerve block (IANB) techniques for bilateral therapeutic extraction of mandibular premolars. Methods. One hundred patients requiring bilateral therapeutic removal of mandibular premolars were included in the study. For the extraction of the mandibular right premolar tooth, INF was used, and after one week, the mandibular left premolar tooth was extracted using the IANB. The effect of anesthesia between the two techniques was compared and evaluated by ANOVA using SPSS. Results. INF was successful in 78% of cases, whereas IANB was successful only in 22% of cases. Furthermore, INF had a significantly better anesthetic effect than IANB (P<0.05). During pain assessment during the anesthetic drug injection and the procedure, two patients in the INF and five patients in the IANB group reported minimal pain during extraction (P>0.05). The onset of the anesthetic effect was faster in the INF group, while the duration of the effect was longer in the IANB group. Conclusion. INF was a more efficacious local anesthetic technique with high success rate than the IANB technique.


2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Érick Tássio Barbosa Neves

Introdução: A Anatomia Humana é um componente curricular obrigatório na formação dos profissionais da saúde. Trata-se de uma disciplina básica que fornece subsídio para atividades de mais alta complexidade, como procedimentos clínicos e laboratoriais. Nesse sentido, o conhecimento da Anatomia nervosa da face se destaca como importante para a execução de uma anestesia local eficaz e segura em Odontologia. Objetivo: Avaliar a produção científica sobre o nivel de conhecimento dos cirurgiões-dentista sobre a Anatomia nervosa aplicada  à anestesia local. Material e método: Trata-se de uma revisão integrativa sistematizada da literatura. Para este estudo foi realizada a busca de artigos em revistas indexadas nas bases de dados Lilacs, Scielo e Medline, utilizando como critérios de busca as seguintes palavras-chave: Anestesia Local, Conhecimento, Odontologia, Neuroanatomia e Clínica Odontológica, nos idiomas português, inglês e espanhol. Resultados: Permaneceram na amostra final do estudo, 05 artigos, após avaliação da responsividade aos objetivos do estudo. A abordagem do tema é ainda incipiente na literatura e não há estudos avaliando o conhecimento anatômico de cirurgiões-dentistas sobre a anestesia local. Conclusão: Sugere-se que sejam realizados novos estudos, preferencialmente com delineamento experimental, a fim de contribuir para a educação em saúde nesta área específica e reduzir as disparidades curriculares nos centros de ensino superior.Descritores: Anestesia Local; Conhecimento; Odontologia; Neuroanatomia; Clínicas Odontológicas.ReferênciasArruda RM, Sousa CRA. Aproveitamento teórico-prático da disciplina Anatomia Humana do curso de Fisioterapia. Rev bras educ med. 2014;38(1):65-71.Mouthé Filho A, Borges MAS, Figueiredo IPR, Villalobos  MIOB, Taitison PF. Refletindo o ensino da Anatomia Humana. Enfermagem revista. 2016;19(2):169-75.Antoniazzi MCC, Carvalho PL, Koide CH. Importância do conhecimento da anatomia radiográfica para a interpretação de patologias ósseas. RGO Porto Alegre. 2008;56(2):195-99.Silva SREP, Andrade APRCB, Costa FP, Cunha RS, Politano GT, Pinheiro SL, Imparato JCP. Avaliação da técnica anestésica local utilizada por alunos de graduação em Odontologia. ConScientiae Saúde. 2010;9(3):469-75.Teixeira LMS, Reher P, Reher VGS. Anatomia aplicada à Odontologia. Rio de Janeiro. 2.ed. Guanabara Koogan; 2008.Lopes GB, Freitas JB. Parestesia dos nervos alveolar inferior após exodontia de terceiros molares. Arq Bras Odontol. 2013;9(2):35-40.Andrade YDN, Araujo EBJ, Souza LMA, Groppo FC. Análise das variações anatômicas do canal da mandíbula encontradas em radiografias panorâmicas. Rev odontol Unesp. 2015;44(1)31-6.Dodo CG, Sotto-Maior BS, Faot F, Del Bel Cury AA, Senna PM. Lesão do nervo alveolar inferior por implantes dentários: prevenção, diagnóstico e tratamento. Dental Press Implantol. 2015;9(4)57-66.Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein. 2010; 8(1):102-6.Bolanos DC, Wong LR, Guillén AJP. Comprendiendo y combatiendo el fracasso anestésico en Odontología. Revista ADM. 2015; 72(6):290-98.Vasconcelos BCE, Freitas KCM, Almeida RAC, Mauricio HA. A importância da técnica de aspiração prévia ao bloqueio anestésio do nervo alveolar inferior. Rev Cir Traumatol Buco-Maxilo-fac. 2007;7(1):29-36.Mattos ABT, Gleiser R, Primo LSSG. Complicações anestésicas em Odontopediatria. J bras odontopediatr odontol bebê. 1999;2(5):49-56.Palti DG, Almeida CM, Rodrigues AC, Andreo JC, Lima JEO. Anesthetic technique for inferior alveolar nerve block: a new approach. J Appl Oral Sci. 2011;19(1):11-15.Blanton PL, Jeske AH. The key to profound local anesthesia: neuroanatomy. J Am Dent Assoc. 2003;134(6):753-760.Cabral ED. Dental local anesthesia in family health units: use, pain and associated factors. Rev Dor. 2015;16(4):254-58.Pontanegra RSM, Camboim CCL, Freire JCP, Nóbrega MCT, Barreto JO, Santos JA, Dias-Ribeiro E. Análise do conhecimento de graduandos em Odontologia sobre o uso de anestésico local em pacientes com necessidades especiais. FOL - Faculdade de Odontologia de Lins/Unimep. 2017;27(1):5-14.Carvalho B, Fritzen EL, Parodes AG, Santos RB, Gedoz L. O emprego dos anestésicos locais em Odontologia: Revisão de Literatura. Rev bras odontol. 2013;70(2):178-81.Foreaux G, Sá MA, Schetino LPL, Guerra LB, Silva JH. O ensino-aprendizagem da anatomia humana: avaliação do desempenho dos alunos após a utilização de mapas conceituais como uma estratégia pedagógica. Ciênc Educ. 2018; 24(1):95-110.


2020 ◽  
Vol 10 (1) ◽  
pp. 13-15
Author(s):  
Muhammad Mubashirul Haque ◽  
Mostafa Md Anisuzzaman ◽  
Sajid Hasan ◽  
Nubad Adnan

Aim: The focus of the education was to assess the success between localanesthetic infiltration injection and inferior alveolar nerve block anesthesia in extraction of Chronic periodontitis mandibular posterior teeth. Methods: 100 patients aged between 13 and 73 years who attended the Department of Dental surgery, BIRDEM General Hospital for extraction of advance periodontitis of mandibular molars were included in this study. For the infiltration anesthetic technique, patient’s approval was taken. The patients were equally divided into two groups. Group (1) received 0.6 ml out of 1.8 ml of 2% lidocaine with 1:80000 adrenaline injection bucally and the same amount infiltration lingually opposite the intended tooth. Group (2) received 1.5 ml out of 1.8 ml of 2% lidocaine with 1:80000 and the remaining 0.3 ml was injected for long buccal nerve anesthesia. Results: In this Study we found 88% patients were pain free and Group-2 94% patients were pain free During extraction of Advance periodontitis of mandibular molars. P-value was 0.138 and it was not < 0.05. So it was not significant. On the other side 103 patients out of 113 were pain free in male and 79 patients out of 87 were pain free in female and 6 patients out of 87 were feeling pain during tooth extraction of advance periodontitis of mandibular molars. P-value was 0.138 and it was not < 0.05. So it was not significant. Conclusion: Infiltration anesthesia for non-vital mandibular molars is effective as a substitute for inferior alveolar block technique. Update Dent. Coll. j: 2020; 10 (1): 13-15


2021 ◽  
Vol 12 (46) ◽  
pp. 76-80
Author(s):  
Adel Martínez-Martínez ◽  
Samuel Urbano del Valle ◽  
Johnatan Zambrano Trespalacios

Inferior alveolar nerve block in the mandibular technique is the blockade that presents most failures in the dental practice, so this technique is considered the less effective of those used in Dentistry and the most frustrating to the dentist. This study aimed to determine pain intensity during dental procedures after using 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration in patients who were attended in the dental clinic of the University of Cartagena, Colombia. A clinical randomized trial was performed. The sample was of patients who required dental procedures in the jaw with local anesthesia. After standardization of the anesthetic technique, and use of 4% articaine with epinephrine 1:100000, the inferior alveolar nerve was blocked with 0.9 mL (half cartridge) followed by buccal infiltration with 0.9 mL in the first mandibular molar. Fifty patients (30 men - 60% and 20 women - 40%), with an average age of 25.3 years old (mean ± standard deviation [SD]: 25.3 ± 6.6) were included in the study. When assessing the pain puncture and during the injection, 92% of patients classified it as mild pain according to VAS. When evaluating the latency period, the average time was less than two minutes and the perioral soft tissue anesthesia was 97%. Only a small percentage of patients required complementary anesthesia. The authors recommend the use of 4% of articaine with epinephrine in mandibular procedures that require deep pulp anesthesia, using this with a buccal infiltration.


2016 ◽  
Vol 1 (3) ◽  
pp. 171
Author(s):  
Rehatta Yongki ◽  
Netty N. Kawulusan ◽  
Iis Purwanti

Local anesthesia is important to do prior to tooth extraction procedure to control the patient's pain. Local anesthetic technique in dentistry consists of topical, infiltration, and anesthetic blocks. For molar tooth extraction, mandibular block technique is used either direct or indirect. This study aimed to see if there are differences in effectiveness of inferior alveolar nerve block anesthesia techniques between direct and indirect. This clinical experimental design study used 20 patients as samples during February-April. 10 patients were taken as a group that carried out direct technique while 10 others group conducted indirect techniques. The sample selection using purposive sampling method. Pain level were measured using objective assessments (pain experienced by the patient after a given stimulus) and subjective evaluation (thick taste perceived by the patient). The average time of onset in direct and indirect techniques in each sample was 16.88 ± 5.30 and 102.00 ± 19.56 seconds (subjectively) and 22.50 ± 8.02 and 159.00 ± 25.10 (objectively). These results indicated direct techniques onset faster than indirect techniques. The average duration of direct and indirect techniques respectively was 121.63 ± 8.80 and 87.80 ± 9.96 minutes (subjectively) and 91.88 ± 8.37 and 60.20 ± 10.40 minutes (objectively). These results indicated the duration of direct technique is longer than indirect technique. There was no significant difference when viewed from anesthesia depth and aspiration level. This study indicated that direct technique had better effect than indirect technique in terms of onset and duration, while in terms of anesthesia depth and aspiration level was relatively equal. Insignificant differences were obtained when assessing anesthetic technique successful rate based on gender, age and extracted tooth.


Author(s):  
Bahaa R. Youssef ◽  
Andreas Söhnel ◽  
Alexander Welk ◽  
Mohamed H. Abudrya ◽  
Mohamed Baider ◽  
...  

Abstract Objective To compare the effectiveness and complications of intraligamentary anesthesia (ILA) with conventional inferior alveolar nerve block (IANB) during injection and dental treatment of mandibular posterior teeth. Materials and methods In this randomized, prospective clinical trial, 72 patients (39 males, 33 females), scheduled for dental treatment of mandibular posterior teeth, were randomly allocated to ILA group (n = 35) received ILA injection or IANB group (n = 37) received the conventional IANB. Our primary outcome was to assess pain and stress (discomfort) during the injection and dental treatment, using the numeric rating scale (NRS) from 0 to 10 (0 = no pain, 10= the worst pain imaginable), whereas recording 24-h postoperative complications was our secondary outcomes. Results Patients in ILA group reported significantly less pain during injection when compared with IANB group (p = 0.03), while pain during dental treatment was similar in both groups (p = 0.2). Patients in both groups also reported similar law values of discomfort during treatment (p = 0.7). Although no signs of nerve contact or any other postoperative complications were observed, five patients in IANB group (none in ILA group) reported temporary irritations. Conclusion This study showed equivalent effectiveness of both intraligamentary anesthesia and conventional inferior alveolar nerve block, for pain control during routine dental treatment of mandibular posterior teeth. Nevertheless, ILA showed significantly less pain during injection. No major postoperative complications in both groups were observed. Clinical relevance ILA could be considered as an effective alternative for routine dental treatment. Trial registration NCT04563351


2013 ◽  
Vol 144 (4) ◽  
pp. 389-395 ◽  
Author(s):  
Jerry Swee ◽  
Anthony R. Silvestri ◽  
Matthew D. Finkelman ◽  
Alfred P. Rich ◽  
Stanley A. Alexander ◽  
...  

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