scholarly journals Computer Controlled Local Anesthesia Delivery: Literature Review

2013 ◽  
Vol 13 (4) ◽  
pp. 179
Author(s):  
Young-Jin Kim ◽  
Jun-Hyung Lee ◽  
Kang-Hee Lee ◽  
Kee-Deog Kim ◽  
Bock-Young Jung ◽  
...  
Keyword(s):  
Literature Review ◽  
Local Anesthesia ◽  
Computer Controlled

scholarly journals Comparison of the Pain Perception of Conventional and Computer-controlled Anesthesia Techniques for Extraction of Maxillary First Premolar

2015 ◽  
Vol 6 (3) ◽  
pp. 150-153
Author(s):  
Varsha Sunil Manekar
Keyword(s):  
Clinical Trial ◽  
Soft Tissue ◽  
Local Anesthesia ◽  
Local Anesthetic ◽  
Hard Palate ◽  
Pain Perception ◽  
Central Incisor ◽  
Analog Scale ◽  
Computer Controlled ◽  
Single Blind

ABSTRACT Introduction Anterior middle superior alveolar (AMSA) block is a nerve block technique in conjunction with computer-controlled local anesthetic delivery (CCLAD) system. Anterior middle superior alveolar produces local anesthesia (LA) to the maxillary teeth from second premolar to the central incisor including the hard palate and corresponding soft-tissue of both buccal and palatal side, with single palatal injection. Aim To evaluate efficacy of AMSA block for extraction of maxillary first premolar. Study design In randomized single blind, split mouth clinical trial, the 14 patients received the conventional buccal-palatal (B-P) anesthesia on one side and CCLAD anesthesia AMSA for other side. The treatment consisted of bilateral extraction of maxillary first premolars for orthodontics. Pain perception ratings were obtained by using 10 point visual analog scale (VAS). Results A total of 100% cases had painless injection with CCLAD, whereas 28.57% patients had painless injection experience with conventional LA. In all cases, there was no pain during extraction on both sides. With CCLAD, buccal retraction was painful in four cases whereas palatal retraction was painful in one case. Conclusion Anterior middle superior alveolar block injected with CCLAD is better as LA technique for extraction of maxillary first premolar as compared to B-P approach. How to cite this article Manekar VS. Comparison of the Pain Perception of Conventional and Computer-controlled Anesthesia Techniques for Extraction of Maxillary First Premolar. World J Dent 2015;6(3):150-153.

scholarly journals Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Damian Chybicki ◽  
Małgorzata Lipczyńska-Lewandowska ◽  
Gaja Torbicka ◽  
Anna Janas-Naze
Keyword(s):  
Decision Making ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Unusual Case ◽  
Day Surgery ◽  
Dental Instruments ◽  
Patient Cooperation ◽  
Computer Controlled ◽  
Needle Breakage ◽  
Broken Needle

The article describes an unusual case of retrieval of 8 mm fragment of a broken 30-gauge 21 mm dental needle in a 6 y.o. noncooperative autistic male patient. The needle of a computer-controlled local anesthesia device was broken during an attempt to administer local anesthetic, in order to perform conservative treatment of teeth 55 and 54 by a pedodontist. Despite the fact that the patient was under nitrous oxide sedation, an unexpected movement of the patient occurred and resulted in needle breakage. Due to the lack of patient cooperation, the surgical retrieval of a broken needle was performed under general anesthesia as part of one-day surgery procedures. The purpose of the article is to emphasize careful decision-making in proper choice of dental instruments during treatment of noncooperative paediatric patients even under sedation and to suggest dentists to carry out treatment of such patients under general anesthesia.

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

2011 ◽  
Vol 83 (5) ◽  
Author(s):  
Tomasz Banasiewicz ◽  
Wiktor Meissner ◽  
Przemysław Pyda ◽  
Tomasz Wierzbicki ◽  
Maciej Biczysko ◽  
...  
Keyword(s):  
Literature Review ◽  
Local Anesthesia ◽  
Thyroid Surgery

scholarly journals Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial

2019 ◽  
Vol 13 (4) ◽  
pp. 298-304
Author(s):  
Hrishikesh Saoji ◽  
Mohan Thomas Nainan ◽  
Naveen Nanjappa ◽  
Mahesh Ravindra Khairnar ◽  
Meeta Hishikar ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Delivery System ◽  
Local Anesthetic ◽  
Pain Perception ◽  
Controlled Trial ◽  
Conventional Group ◽  
Lower Pain ◽  
Computer Controlled ◽  
Recovery From Anesthesia ◽  
Time Required

Background. Local anesthesia is given to decrease pain perception during dental treatments, but it may itself be a reason for pain and aggravate the dental fear. Computer-controlled local anesthetic delivery system (CCLADS) is one of the alternatives for decreasing the patients’ pain during local anesthesia. This study compared the time required for the recovery from anesthesia, pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia with CCLADS, a standard self-aspirating syringe and a conventional disposable 2-mL syringe. Methods. The study was conducted on 90 subjects (an age group of 20-40 years), who suffered from sensitivity during cavity preparation. They were randomly divided into three groups of 30 individuals each to receive intraligamentary anesthesia (2% lignocaine with 1:80,000 adrenaline) using either of the three techniques: CCLADS, a standard self-aspirating syringe, or a conventional disposable 2-mL syringe. The onset of anesthesia, time required for recovery from anesthesia (in minutes), pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia were recorded. Results. The time required for the onset of anesthesia and recovery from anesthesia was shorter with CCLADS (4.83±2.31 and 34.2±1.895, respectively) as compared to the standard self-aspirating group (10.83±1.90 and 43.5±7.581, respectively) and the conventional group (11.00±2.03 and 43.5±6.453, respectively) (P<0.001). The patients in the CCLADS group experienced no pain during local anesthesia administration as compared to the patients in the self-aspirating and conventional groups. The CCLADS and self-aspirating groups showed lower pain response as compared to the conventional group for pain after 24 hours. Conclusion. CCLADS can be an effective and pain-free alternative to conventional local anesthetic procedures.

Znieczulenie miejscowe u pacjentów w wieku rozwojowym

2019 ◽  
Vol 24 (4) ◽  
Author(s):  
Anna Kołakowska ◽  
Anna Pigan
Keyword(s):  
Local Anesthesia ◽  
Local Anesthetic ◽  
Local Anesthetics ◽  
Daily Practice ◽  
Anesthetic Techniques ◽  
International Guidelines ◽  
Anesthetic Agents ◽  
Controlled Systems ◽  
Computer Controlled ◽  
The Right

The article is based on the analysis of the literature and the latest international guidelines of dental associations in order to systematize the knowledge of doctors. The paper discusses local anesthetic agents such as lignocaine, benzocaine, articaine or mepivacaine, many times used in daily practice by dentists. Various anesthetic techniques, including computer-controlled systems for administering anesthesia, are described in the publication. The topic of teething preparations containing anesthetics and the risks associated with their use were also discussed, so that dentists could warn against their use of carers and parents of children and thus reduce the number of complications after their use. Contraindications to the use of analgesia have been presented and the complications that may occur after their administration have been characterized, thanks to which the right choice of the appropriate agent for analgesia will reduce the risk of possible complications after local anesthesia. The authors hope that after reading the article, doctors will be confident in using the benefits of local anesthetics.

scholarly journals Arthroscopic Resection of Wrist Scaphotrapeziotrapezoidal (STT) Joint Ganglia

2020 ◽  
Vol 09 (05) ◽  
pp. 440-445
Author(s):  
Ho Lam Chai ◽  
Cabello Álvaro Pérez ◽  
Wai Ping Fiona Yu ◽  
Pak Cheong Ho
Keyword(s):  
Literature Review ◽  
Local Anesthesia ◽  
Gold Standard ◽  
Clinical Relevance ◽  
Case Description ◽  
Portal Site ◽  
The Past

Abstract Background Volar wrist ganglion is the second most common wrist mass and accounts for 20% of all cases. Surgery is the gold standard for persistent and symptomatic ganglia. Arthroscopic resection has gained popularity in the past two decades. Application of this technique to ganglia in less accessible locations, such as the scaphotrapeziotrapezoidal (STT) joint, however, remains controversial. Case Description To date, no literature has described using the STT -ulnar (STT-u) and STT -radial (STT-r) joint portals for ganglionic resection. Literature Review In this report, two cases of arthroscopic ganglionic resection utilizing the STT-u and STT-r joint portals at our institution were described. Clinical Relevance Arthroscopic resection of STT joint ganglion under portal site local anesthesia is a technically feasible, safe, and effective approach. There was no recurrence observed for both cases at 50 months of follow-up.

Prevention of Flash Fires during Facial Surgery Performed under Local Anesthesia

1997 ◽  
Vol 106 (3) ◽  
pp. 248-251 ◽  
Author(s):  
Brian K. Howard ◽  
Joseph L. Leach
Keyword(s):  
Literature Review ◽  
Local Anesthesia ◽  
Surgical Procedures ◽  
Supplemental Oxygen ◽  
Intravenous Sedation ◽  
Facial Surgery ◽  
Flash Fire

As more surgical procedures are being performed under local anesthesia and intravenous sedation, complications associated with these techniques are more likely to be experienced. We report a case of an intraoperative flash fire that occurred while supplemental oxygen was being used in this scenario. A literature review and suggestions for prevention of this complication are discussed.

scholarly journals RECENT ADVANCES IN LOCAL ANESTHESIA - OVERVIEW

2011 ◽  
Vol 3 (2) ◽  
pp. 34-36
Author(s):  
V. Deepti
Keyword(s):  
Injection Site ◽  
Local Anesthesia ◽  
Local Anesthetic ◽  
Local Anesthetics ◽  
Anesthetic Drugs ◽  
Recent Advances ◽  
Injection Techniques ◽  
Delivery Vehicles ◽  
Computer Controlled ◽  
Effective Drugs

ABSTRACT The local anesthetic drugs presently available and used in dentistry represent the safest and most effective drugs in all of medicine for the prevention and management of pain. One drawback associated with intraoral local anesthesia is patients’ fear of injections .and the perception that these are painful. Recent advances have resulted in the use of computer-controlled local anesthetic delivery vehicles to regulate the delivery and rate of flow of local anesthetics at the injection site, lessening potential discomfort associated with injections. New injection techniques that provide reliable anesthesia, depending on the technique and area of anesthesia necessary have been discussed.

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