scholarly journals The Effects of a 2-Stage Injection Technique on Inferior Alveolar Nerve Block Injection Pain

2006 ◽  
Vol 53 (4) ◽  
pp. 126-130 ◽  
Author(s):  
John Nusstein ◽  
Geoffrey Steinkruger ◽  
Al Reader ◽  
Mike Beck ◽  
Joel Weaver
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Injection Pain ◽  
Injection Technique ◽  
Inferior Alveolar Nerve Block

Effects of Two Different Anesthetic Solutions on Injection Pain, Efficacy, and Duration of Soft-Tissue Anesthesia with Inferior Alveolar Nerve Block for Primary Molars

2016 ◽  
Vol 40 (6) ◽  
pp. 456-463 ◽  
Author(s):  
Ülkü Şermet Elbay ◽  
Mesut Elbay ◽  
Emine Kaya ◽  
Sinem Yıldırım
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Injection Pain ◽  
Primary Tooth ◽  
Inferior Alveolar Nerve Block ◽  
Double Blind ◽  
Mandibular Molars ◽  
Pain Duration

Objectives: The purpose of the study was to compare the efficacy, injection pain, duration of soft tissue anesthesia, and postoperative complications of two different anesthetics (2% lidocaine with 1:80,000 epinephrine and 3% plain mepivacaine) in pediatric patients in inferior alveolar nerve block (IANB) administered by a computer-controlled delivery system (CCDS). Study Design: The study was conducted as a randomized, controlled-crossover, double-blind clinical trial with 60 children requiring bilateral pulpotomy or extraction of primary mandibular molars. A CCDS was used to deliver 3% mepivacaine to 1 primary tooth and 2% lidocaine to the contralateral tooth with an IANB technique. Severity of pain and efficacy of anesthesia were evaluated using the Face, Legs, Activity, Cry, Consolability Scale, and comfort and side effects were assessed using a questionnaire. Data were analyzed using the Mann–Whitney U, Wilcoxon t, and Fisher exact tests. Results: Patients receiving 2% lidocaine experienced significantly less pain during injection than those receiving 3% mepivacaine, and no significant differences were found in the pain scores during treatments or in postoperative complications between the two anesthetics. The mean durations of anesthesia for 3% mepivacaine and 2% lidocaine were 139.68 minutes and 149.10 minutes, respectively. Conclusions: Plain mepivacaine and 2% lidocaine were similarly effective in pulpotomy and the extraction of primary mandibular molars. Although the use of 3% mepivacaine provided a shorter duration of anesthesia than 2% lidocaine, both solutions showed similar results in terms of postoperative complications.

Effectiveness of Two Flavored Topical Anesthetic Agents in Reducing Injection Pain in Children: A Comparative Study

2012 ◽  
Vol 37 (1) ◽  
pp. 15-18 ◽  
Author(s):  
A Deepika ◽  
R Chandrasekhar Rao ◽  
C Vinay ◽  
KS Uloopi ◽  
VV Rao
Keyword(s):  
Nerve Block ◽  
Primary Teeth ◽  
Inferior Alveolar Nerve ◽  
Clinical Effectiveness ◽  
Pediatric Dentistry ◽  
Pain Scale ◽  
Injection Pain ◽  
Inferior Alveolar Nerve Block ◽  
Topical Anesthetic ◽  
Anesthetic Agents

Topical anesthesia is widely advocated in pediatric dentistry practice to reduce pain and anxiety produced by administration of local anesthesia. There are different combinations of topical anesthetic agents that are marketed worldwide. However, sparse literature reports exist regarding clinical efficacy of these agents. Aim: To compare the clinical effectiveness of two strawberry flavored topical anesthetics viz. Precaine⁰ (8% Lidocaine + 0.8% Dibucaine) and Precaine⁰ B (20% Benzocaine) in children before intra oral local anesthetic injections and for extraction of mobile primary teeth. Study Design: This triple blind clinical study included sixty children divided equally under three techniques — palatal injections, inferior alveolar nerve block and extraction of mobile primary teeth. Both the products were used alternately using split mouth design in two visits and the child's pain response was assessed using VAS and SEM pain scale. The scores obtained were subjected to statistical analysis. Results: Precaine⁰ has shown lower mean scores in all the techniques under both the pain scales, but were statistically insignificant. Gender wise comparison has also shown lower mean scores for Precaine⁰ for both males and females, however these were statistically insignificant. On visit wise comparison, Precaine⁰ B reported significant lower scores (p<0.05) in visit 2 compared to visit 1 for inferior alveolar nerve block and extraction of mobile primary teeth under SEM pain scale. Conclusion: Precaine⁰ (8% Lidocaine + 0.8% Dibucaine) can be used as effectively as Precaine⁰ B (20% Benzocaine).

scholarly journals Use of bufferized dental anesthetics in dental surgery

2021 ◽  
Vol 34 (1) ◽  
pp. 35-43
Author(s):  
Adel Alfonso Martinez-Martinez ◽  
Elio Jimenez-Batista ◽  
Alexander Morales-Jimenez
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Injection Pain ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Dental Surgery ◽  
Mandibular Third Molar ◽  
Mandibular Third Molar Surgery ◽  
Buccal Infiltration

Introduction and objective: The addition of epinephrine to the anesthetic solution reduces the pH of the solution to a range between 2.9 and 4.4.The acidity of the anesthetic may delay onset and contribute to injection pain. Objective: to determine the intensity of pain during a mandibular third molar surgery after using buffered 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration. Materials and methods: an observational and descriptive clinical study was performed. The buffered solution was alkalinized with 8.4% sodium bicarbonate with a ratio of 9:1, using a hand-mixing methodology, the sample were patients who required a mandibular third molar surgery. After standardizing the anesthetic technique, it was used the inferior alveolar nerve block followed by buccal infiltration. Results: 32 patients (20 female - 62.5% and 12 male - 37.5%), with an average age of 21.12 years (mean ± standard deviation [SD]: 21.12 ± 3.61) were admitted to the study. When assessing the pain puncture and during the injection, 94% 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 62%. Only a small percentage of patients required complementary anesthesia. Conclusion: buffered 4% of articaine with epinephrine in the inferior alveolar nerve block with buccal infiltration significantly decreased onset time, injection pain and need for complementary anesthesia in third molar surgery.

scholarly journals Evaluation of 2-Stage Injection Technique in Children

2016 ◽  
Vol 63 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Valasingam Sandeep ◽  
Manikya Kumar ◽  
P. Jyostna ◽  
Vijay Duggi
Keyword(s):  
Nerve Block ◽  
Local Anesthetic ◽  
Rating Scale ◽  
Effective Means ◽  
Inferior Alveolar Nerve ◽  
Pediatric Dentistry ◽  
Conventional Technique ◽  
Injection Pain ◽  
Rank Test ◽  
Injection Technique

Effective pain control during local anesthetic injection is the cornerstone of behavior guidance in pediatric dentistry. The aim of this study was to evaluate the practical efficacy of a 2-stage injection technique in reducing injection pain in children. This was a split-mouth, randomized controlled crossover trial. One hundred cooperative children aged 7 to 13 years in need of bilateral local anesthetic injections (inferior alveolar nerve block, posterior superior alveolar nerve block, or maxillary and mandibular buccal infiltrations) for restorative, endodontic, and extraction treatments were recruited for the study. Children were randomly allocated to receive either the 2-stage injection technique or conventional technique at the first appointment. The other technique was used at the successive visit after 1 week. Subjective and objective evaluation of pain was done using the Wong–Baker FACES Pain Rating Scale (FPS) and Sound Eye Motor (SEM) scale, respectively. The comparison of pain scores was done by Wilcoxon sign-rank test. Both FPS and SEM scores were significantly lower when the 2-stage injection technique of local anesthetic nerve block/infiltration was used compared with the conventional technique. The 2-stage injection technique is a simple and effective means of reducing injection pain in children.

scholarly journals What’s new for the clinician? - Excerpts from and summaries of recently published papers

2021 ◽  
Vol 76 (1) ◽  
pp. 37-40
Author(s):  
Veerasamy Yengopal
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Injection Pain ◽  
Diabetic Patients ◽  
Topical Anaesthesia ◽  
Inferior Alveolar Nerve Block ◽  
Free System ◽  
System Versus

The effect of pre-anaesthesia with a needle-free system versus topical anaesthesia on injection pain of the inferior alveolar nerve block: a randomized clinical trial - Comparison of two vasoconstrictors on glycemic levels in diabetic patients

scholarly journals Inferior Alveolar Nerve Block Injection Pain Using a Computer-Controlled Local Anesthetic Device (CCLAD): A Prospective, Randomized Study

2018 ◽  
Vol 65 (4) ◽  
pp. 231-236
Author(s):  
Sara Fowler ◽  
Chase Crowley ◽  
Melissa Drum ◽  
Al Reader ◽  
John Nusstein ◽  
...  
Keyword(s):  
Nerve Block ◽  
Local Anesthetic ◽  
Supine Position ◽  
Inferior Alveolar Nerve ◽  
Needle Insertion ◽  
Injection Pain ◽  
Inferior Alveolar Nerve Block ◽  
Needle Placement ◽  
Solution Deposition ◽  
Computer Controlled

There is evidence that the Computer-Controlled Local Anesthetic Device (CCLAD) decreases the pain of oral injections. The purpose of this study was to evaluate injection pain of the inferior alveolar nerve block (IANB) using the CCLAD in an upright position versus a supine position. Additionally, we evaluated solution deposition pain with the CCLAD when compared to previous studies using a traditional syringe. One hundred ten asymptomatic subjects were randomly given IANBs using 2% lidocaine with 1:100,000 epinephrine while in an upright sitting position and supine position, at 2 different appointments, spaced at least 2 weeks apart. Each subject rated the pain for needle insertion, needle placement, and solution deposition on a Heft-Parker visual analogue scale. Pain ratings were compared between the upright and supine positions using a repeated-measures analysis of variance with post hoc testing using the Tukey-Kramer procedure. Moderate to severe pain was reported by 10% to 13% of the patients for needle insertion, 74% to 75% for full needle placement, and 8% to 10% for solution deposition. There was no significant difference between groups for phases of the injection. When comparing the injection phases within the groups, the needle placement phase of the injection was statistically more painful than both the needle insertion phase and solution deposition phase (p = .0001). Using the CCLAD, IANB injection pain of the supine and upright positions was not statistically different. Needle placement was the most painful phase of the injection. Solution deposition pain was less with the CCLAD when compared to other studies of the IANB using a traditional syringe.

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