Local anesthesia reversal— A review

2021 ◽  
Vol 7 (2) ◽  
pp. 89-93
Author(s):  
Avineet Kaur ◽  
Reshma Dodwad ◽  
Raghu K N ◽  
Mithunj Kaslekar ◽  
Vikram Shetty ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Local Anesthesia ◽  
Local Anesthetic ◽  
Oral Surgery ◽  
Negative Impact ◽  
New Drug ◽  
Anesthetic Agents ◽  
Dental Offices ◽  
Patients Experience

Local anesthetic agents are widely used in dentistry. It has major role in all field of dentistry especially in oral surgery, Pediatrics, Endodontics, Periodontics etc. The only drawback associated with LA is that occurrence of soft tissue anaesthesia can persist for three to five hours, while the procedure itself usually lasts for less than an hour. Patients experience limitation of function in terms of speech difficulty, drinking neating etc. All these events leave negative impact on minds of patients; hence they avoid visiting dental offices. In order to reverse these events, a new drug named OraVerse (phentolamine mesylate) is available to us. This drug is known for its LA reversal ability and effects of local dental anaesthetic.

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.

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 Palatal Necrotic Ulcer Following Local Anesthesia: A Rare Complication

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Local Anesthesia ◽  
Local Anesthetic ◽  
Hard Palate ◽  
Rare Complication ◽  
Tissue Ischemia ◽  
Anesthetic Agents ◽  
Uncommon Condition ◽  
The Right ◽  
Local Anesthetic Infiltration

The everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record of local anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factors such as direct effects of the drug, blanching of the tissues during injection, relatively poor blood supply, and reactivation of the latent forms of herpes can all promote to tissue ischemia and a lesion in the palate. Among various complications, anesthetic necrotic ulcer is a rare and uncommon condition occurring mostly in the hard palate possibly after a local anesthetic infiltration. We report a case of palatal ulceration in a female patient after the administration of a local anesthetic to the right posterior hard palate and follow-up

scholarly journals Clinical parameters of the local anesthetic effects of bupivacaine applied with and without a vasoconstrictor in oral implantology

2007 ◽  
Vol 64 (9) ◽  
pp. 611-615 ◽  
Author(s):  
Milos Duka ◽  
Zoran Lazic ◽  
Novak Stamatovic ◽  
Zoran Tatic ◽  
Marija Bubalo ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Latent Period ◽  
Local Anesthesia ◽  
Local Anesthetic ◽  
Oral Surgery ◽  
Clinical Parameters ◽  
Local Infiltration ◽  
Dental Implantation ◽  
Retrobulbar Block ◽  
The Right

Background/Aim. Bupivacaine (Marcaine?), homologue of mepivacaine, chemically related to lidocaine, is used as a local anesthetic for local infiltration, peripheral nerve block, retrobulbar block, symphathetic block, and caudal and epidural anesthesia. The aim of this investigation was to determine and to compare clinical parameters of the local anesthetic effects of bupivacaine applied with and without a vasoconstrictor. Methods. This investigation included a total of 30 randomly selected patients, who ranged in age from 30?60 years, with partial or total anodontia in the molar region of the mandible. These patients with total or partial edentulous molar part of the mandible, scheduled for dental implantation placement, were asked to participate in the study. In the first phase of the investigation, the patients were subjected to local anesthesia with 3.5 cm3 of 0.5% bupivacaine with a vasoconstrictor (adrenalin, 1: 200 000) in the right side of the mandible. After administering local anesthesia, the placement of blade, cylindrical, transdental (B.C.T.) implants was performed. In the second stage of the investigation, in 7?10 days period after the first oral surgery, the patients were subjected to local anesthesia with 3.5 cm3 of 0.5% bupivacaine, but without a vasoconstrictor, in the left side of the mandible. After administering local anesthesia, the placement of B.C.T. implants was performed. During the performance of both oral surgery procedures, the following clinical parameters of the local anesthetic effects were monitored: latent period, duration and the potency of anesthesia, and the evaluation of the postoperative pain level. Results. The latent period under local anesthesia with 3.5 cm3 of 0.5% bupivacaine and vasoconstrictor was statistically significantly shorter than without vasoconstrictor. The duration of local anesthesia was longer without vasoconstrictor. There was no difference in the potency of anesthesia with or without a vasoconstrictor, while the lowest level of postoperative pain was found after administering bupivacaine without a vasoconstrictor use. Conclusion. The results of this investigation show that bupivacaine without a vasoconstrictor is efficient when used for local anesthesia in placing dental implants since it provides better blood circulation required for good dental implant osseointegration. .

Local Anesthetics – Substances with Multiple Application in Medicine

2016 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Rodica Sîrbu ◽  
Emin Cadar ◽  
Cezar Laurențiu Tomescu ◽  
Cristina Luiza Erimia ◽  
Stelian Paris ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Medical Care ◽  
Local Anesthesia ◽  
Short Duration ◽  
Local Anesthetic ◽  
Local Anesthetics ◽  
Nerve Roots ◽  
Nervous Control ◽  
Painful Sensation ◽  
Action Groups

Local anesthetics are substances which, by local action groups on the runners, cause loss of reversible a painful sensation, delimited corresponding to the application. They allow small surgery, short in duration and the endoscopic maneuvers. May be useful in soothe teething pain of short duration and in the locking of the nervous disorders in medical care. Local anesthesia is a process useful for the carrying out of surgery and of endoscopic maneuvers, to soothe teething pain in certain conditions, for depriving the temporary structures peripheral nervous control. Reversible locking of the transmission nociceptive, the set of the vegetative and with a local anesthetic at the level of the innervations peripheral nerve, roots and runners, a trunk nervous, around the components of a ganglion or coolant is cefalorahidian practice anesthesia loco-regional. Local anesthetics summary and semi-summary have multiple applications in dentistry, consulting, surgery and obstetrics, constituting "weapons" very useful in the fight against the pain.

Spouse Caregivers' Perceptions of Influence of Dementia on Marriage

2002 ◽  
Vol 14 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Ulla Eloniemi-Sulkava ◽  
Irma-Leena Notkola ◽  
Kaija Hämäläinen ◽  
Terhi Rahkonen ◽  
Petteri Viramo ◽  
...  
Keyword(s):  
Behavioral Change ◽  
Intervention Study ◽  
Negative Impact ◽  
Behavioral Changes ◽  
Telephone Interviews ◽  
Before And After ◽  
Spouse Caregivers ◽  
Dementing Illness ◽  
Male Patients ◽  
Patients Experience

Objectives: To investigate what kind of changes spouse caregivers of demented patients experience after the onset of dementia (a) in the general atmosphere, happiness, and relations of marriage and (b) in the sexual side of marriage. Design: Semistructured telephone interviews of spouse caregivers of demented patients. Setting: Community-living demented patients and their spouse caregivers in eastern Finland. Participants: The spouse caregivers of 42 demented patients recruited from a previous intervention study. Measures: The questionnaire covered different areas of marriage from the time before and after the onset of dementia. Results: A statistically significant decline had occured in extent of happiness (p = .012), in equal relations (p = .001), and in patients' expressions of sexual needs (p < .001) when compared the time before and after dementia. Twenty-five (60%) of the caregivers reported that the demented patient had shown at least one negative sexual behavioral change during the course of dementia. Seven male patients (24%) had shown the behavioral symptom of constantly expressing need for making love. One in 10 caregivers had experienced positive sexual behavioral changes. In one third of the patients, the expressions of tenderness towards the caregiver had increased. Dementia did not affect significantly the general atmosphere of the marriage. Out of those still in home care, at 3 years from the onset of dementia, 19 couples (46%) continued to practice intercourse, at 5 years the number was 15 couples (41%), and at 7 years it had declined to 7 couples (28%). Conclusions: Dementing illness has a major negative impact on many dimensions of marriage. However, there are also positive changes and preserved aspects of marriage. Dementia seems to have a surprisingly little impact on whether the couple continues to have intercourse when compared with the general aging population.

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