scholarly journals Conhecimento de cirurgiões-dentistas sobre a anatomia da face aplicada à anestesia local: uma revisão sistematizada

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Érick Tássio Barbosa Neves
Keyword(s):  
Local Anesthesia ◽  
Associated Factors ◽  
Inferior Alveolar Nerve ◽  
Family Health ◽  
Anesthetic Technique ◽  
Inferior Alveolar Nerve Block ◽  
Porto Alegre ◽  
New Approach ◽  
Local Material ◽  
Dent Assoc

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.

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
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
Inferior Alveolar Nerve Block ◽  
New Approach

A COMPARATIVE EVALUATION OF ANESTHETIC EFFICACY OF 4% ARTICAINE WITH 1:100000 EPINEPHRINE AND 2% LIDOCAINE WITH 1:100000 EPINEPHRINE FOR INFERIOR ALVEOLAR NERVE BLOCK AND LONG BUCCAL NERVE BLOCK DURING ROOT CANAL TREATMENT: AN IN VIVO STUDY

2021 ◽  
pp. 56-59
Author(s):  
Nupur Vasava ◽  
Chintan Joshi ◽  
Vaishali Parekh
Keyword(s):  
Local Anesthesia ◽  
Nerve Block ◽  
Root Canal ◽  
Inferior Alveolar Nerve ◽  
Mean Value ◽  
Root Canal Treatment ◽  
Anesthetic Techniques ◽  
Inferior Alveolar Nerve Block ◽  
The Mean ◽  
Irreversible Pulpitis

Background: It is important to control the pain associated with root canal treatment (RCT) in endodontic. Pain accompanying fear and anxiety due to endodontic treatment can be reduced by anesthetic techniques. The present study aims to compare the effect of articaine versus lidocaine local anesthesia for inferior alveolar nerve block (IANB) and long buccal nerve block on pain during RCT. METHODS: Twenty patients diagnosed with symptomatic irreversible pulpitis of mandibular posterior tooth were selected. The patients randomly received either cartridge of lidocaine or articaine using IANB and long buccal nerve block. The patients were randomly divided into two groups of ten. Group 1: patients received IANB and long buccal nerve block 2% lidocaine with 1:100000 epinephrine. Group 2: patients received IANB and long buccal nerve block with 4% articaine with 1:100000 epinephrine. Before the Injection, the patient received all information about the visual analysis scale (VAS). Pain was evaluated using VAS scale in numberic value 1 to 10 number. The pain was evaluated at three different stages: before administration of LA, after immediate access opening, and after immediate obturation procedure. Data were analyzed using various suitable statistical tests. RESULT: The mean value of efcacy of pain before administration of local anesthesia (LA) was 8.50 ± 0.97 for lidocaine and 8.30 ± 0.48 for articaine had no signicant difference. A signicant difference was observed at two different duration after immediate access opening and after immediate obturation where articaine has a lower mean value 3.60 ± 1.08 and 1.60 ± 0.17 respectively (P>0.05) as compared to the mean value of lidocaine 4.10 ± 1.10 and 1.60 ± 0.17 respectively Conclusion: Within the limitations of the study, in cases of symptomatic irreversible pulpitis articaine 4% did not alleviate pain much and showed better anesthetic efcacy than 2% lidocaine with IANB and long buccal nerve block.

Knowledge Level of Clinical Dental Students in Faculty of Dentistry, Universitas Sumatera Utara Regarding the Anesthetic Technique of Inferior Alveolar Nerve Block

2021 ◽  
Vol 24 (2) ◽  
pp. 39-47
Author(s):  
Hendry Rusdy ◽  
Abdullah Oes ◽  
Gostry Aldica Dohude ◽  
Indra Basar ◽  
Magdalena Lia Ignatita
Keyword(s):  
Nerve Block ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Dental Students ◽  
Good Knowledge ◽  
Anesthetic Technique ◽  
Oral And Maxillofacial Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Validated Questionnaire ◽  
Level Of Knowledge

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.

Effectiveness of Augmented Reality Mobile Simulator in Teaching Local Anesthesia of Inferior Alveolar Nerve Block

2019 ◽  
Vol 83 (4) ◽  
pp. 423-428 ◽  
Author(s):  
Rasa Mladenovic ◽  
L.A.P. Pereira ◽  
Kristina Mladenovic ◽  
Nebojsa Videnovic ◽  
Zoran Bukumiric ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Local Anesthesia ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block

Infiltrative local anesthesia with articaine is equally as effective as inferior alveolar nerve block with lidocaine for the removal of erupted molars

2017 ◽  
Vol 21 (3) ◽  
pp. 295-299 ◽  
Author(s):  
J. Venkat Narayanan ◽  
Prashanthi Gurram ◽  
Radhika Krishnan ◽  
Veerabahu Muthusubramanian ◽  
V. Sadesh Kannan
Keyword(s):  
Local Anesthesia ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block

scholarly journals COMPARISON OF PAIN PERCEIVED BY PATIENTS UNDERGOING INTRA ORAL LOCAL ANESTHESIA USING DIFFERENT NEEDLE GAUGES

2020 ◽  
Vol 70 (6) ◽  
pp. 1702-06
Author(s):  
NoorUlSabah Hussain ◽  
Shoaib Younus ◽  
Uzair Bin Akhtar ◽  
Malik Ali Hassan Sajjad ◽  
Muhammad Salman Chishty ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Nerve Block ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Oral And Maxillofacial Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Group A ◽  
The Difference ◽  
Group B

Objective: To compare the difference in pain perceived by patients undergoing intra-oral local anesthesia withdifferent gauge needles. Study Design: Qausi experimental study. Place and Duration of Study: Oral and Maxillofacial surgery department of Institute of Dentistry, CombinedMilitary Hospital, Lahore Medical College, Lahore, from July 2019 to August 2019. Methodology: One hundred patients were selected by consecutive sampling from the oral surgery OPD clinic.They were divided into two groups A and B randomly. Twenty three gauge needle on a 3cc disposable syringewas used for inferior alveolar nerve block and buccal nerve block for group A and 27 gauge needle on a metaldental syringe was used for the same in group B. Patients gave a verbal pain score, from 0-10 for each injection. Results: One Hundred participants were included in study, 37 (37%) males and 63 (63%) females. Mean painscore for group A for the inferior alveolar nerve block was 4.50 ± 2.1 and group B was 3.86 ± 2. The mean painscore for the buccal nerve block in group A was 4.02 ± 1.7, while that of group B was 3.94 ± 1.8. There was nosignificant difference (p=0.167 & 0.855) in pain perceived by patients undergoing intra oral local anesthesia using needles of different gauges. Conclusion: There is no difference in pain perceived by patients undergoing intra oral local anesthesia usingneedles of different gauges.

scholarly journals Comparison of infiltration (INF) and inferior alveolar nerve block (IANB) injection techniques in bilateral therapeutic removal of mandibular premolars

2021 ◽  
Vol 15 (4) ◽  
pp. 269-272
Author(s):  
Balamurugan Rajendran ◽  
Sahana Pushpa Thaneraj
Keyword(s):  
Nerve Block ◽  
Local Anesthetic ◽  
Pain Assessment ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
Inferior Alveolar Nerve Block ◽  
Drug Injection ◽  
Anesthetic Drug ◽  
Anesthetic Effect ◽  
Injection Techniques

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.

scholarly journals Effectiveness of Premedication with Analgesics vs Placebo for Success of Inferior Alveolar Nerve Block in Irreversible Pulpitis

2012 ◽  
Vol 2 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Aisha Wali ◽  
Talha Mufeed Siddiqui ◽  
Nauman Qamar ◽  
Rabia Khan ◽  
Nausheen Jawaid
Keyword(s):  
Success Rate ◽  
Local Anesthesia ◽  
Nerve Block ◽  
Naproxen Sodium ◽  
Inferior Alveolar Nerve ◽  
Endodontic Treatment ◽  
Inferior Alveolar Nerve Block ◽  
Female Patients ◽  
Experienced Pain ◽  
Irreversible Pulpitis

ABSTRACT Pain is considered to be the major cause for seeking emergency endodontic treatment. Pain management is of vital importance in endodontics with no exception. Local anesthesia is considered to be the primary method to control pain. An effective local anesthesia cannot be obtained if pulp is inflamed. Clinician prescribes nonsteroidal anti-inflammatory drugs (NSAIDs) as premedication on a routine basis for mild to moderate pain to reduce pulpal inflammation before injecting anesthesia. These drugs are beneficial in providing relief from pain and inflammation in irreversible pulpitis and helps in providing effectiveness of inferior alveolar nerve block. Moreover, they have a short half life, which would make them ideal for a single dosage prior to the management of severe pain. Aim To conduct a randomized-placebo controlled clinical trial to compare the effectiveness of premedication with analgesics vs placebo for success of inferior alveolar nerve block in irreversible pulpitis. Materials and methods The study consisted of 80 adult patients attending operative Outpatient Department in Baqai Dental College. Informed Consent was obtained from each participant. Subjects were randomly divided in four groups comprising of 20 subjects in each group. Group A received piroxicam (Feldene 20 mg, Pfizer), group B received diclofenac potassium (Fastaid Plus, 50 mg platinum pharmaceutic), group C received naproxen sodium (Synflex 550 mg, ICI), and group D received a placebo drug becefol (Abbott). Medication was given 1 hour before initiating endodontic treatment. After 1 hour of oral administration of tablets, inferior alveolar nerve block using 1.8 ml of 2% lidocaine containing 1: 200,000 epinephrine was given. After 15 minutes, access cavity preparation was initiated and patients were asked to inform if they experienced pain. Patients were excluded from the study if they experienced pain but if the patient did not feel pain endodontic treatment was continued. p-value was set at 0.05. Data was analyzed by using Chi-square test (SPSS 19). Results The result showed that out of 80 patients who participated in the study, success rate for piroxicam came out to 90% (10 male and 8 female patients), followed by diclofenac potassium with 75% success rate (9 male and 6 female patients), naproxen sodium with 35% success rate (3 male and 4 female patients) and placebo with 10% success (1 male and 1 female patient). Conclusion The current study concludes that premedication given 1 hour before injecting anesthesia is helpful in reducing pain intensity and thus causing inferior alveolar nerve block to be effective. How to cite this article Wali A, Siddiqui TM, Qamar N, Khan R, Jawaid N. Effectiveness of Premedication with Analgesics vs Placebo for Success of Inferior Alveolar Nerve Block in Irreversible Pulpitis. Int J Prosthodont Restor Dent 2012;2(1):5-9.

scholarly journals Removal of a broken dental needle in the pterygomandibular space using an image intensifier: two case reports

2021 ◽  
Author(s):  
Paulo Rogério Corrêa Couto ◽  
Rafael do Nascimento Silva ◽  
Rafael de Sousa Carvalho Sabóia ◽  
Airton Vieira Leite Segundo
Keyword(s):  
Postoperative Complications ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Case Reports ◽  
Inferior Alveolar Nerve ◽  
Image Intensifier ◽  
Dental Practice ◽  
Inferior Alveolar Nerve Block ◽  
Pterygomandibular Space ◽  
Broken Needle

Introduction: Accidents and complications are elements that can occasionally be associated with the procedures realized within work dentist environment. Among some accidents related to dental practice, needle fracture during local anesthesia is noteworthy due to its rarity. Objective: This work seeks to report two cases of removal of a broken dental needle in the pterygomandibular space using an image intensifier. Material and Methods: In both cases, the accident happened during an inferior alveolar nerve block. The surgeons requested image exams to locate the objects using general anesthesia. In the surgery, a transoral incision was made to remove the broken needle from the pterygomandibular space, guided by an image intensifier. Results: Both surgeries were a success. The broken needles were found quickly with the use of the image intensifier, and no postoperative complications were observed. Conclusion: The correct assessment of fractured dental position is essential for its removal. The use of the image intensifier has been showing advantages, such as offering fast transoperative dynamic images and at different angles, thus providing opportunity for calmer surgery and with less risk for the patient and the operator.

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