Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Gepubliceerd in:
Diagnosis hoofdstuk lezen eerste hoofdstuk lezen

2014 | OriginalPaper | Hoofdstuk

6. Local Anesthesia

Auteur : Paul A. Rosenberg, DDS

Gepubliceerd in: Endodontic Pain

Uitgeverij: Springer Berlin Heidelberg

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Prior to initiating endodontic treatment, achieving profound anesthesia is of primary importance. A patient’s assessment of the treatment and the dentist’s skills is largely based on achieving complete anesthesia. Many of the “horror stories” that patients relate about pain and root canal therapy are probably due to inadequate anesthesia.
This chapter will review the causes of anesthetic problems and how they are best managed. There are some cases that are more likely than others to experience anesthetic problems. It is helpful to identify those potential problem cases before treatment.
An example of an anesthetic problem is treatment of a “hot tooth” (presence of a numb lip but pain persists). Most often, this problem is associated with long-standing irreversible pulpitis in a mandibular molar. Predictable anesthetic strategies to resolve that problem are presented. The use of a variety of supplemental injections and nitrous oxide is also reviewed.
Determining the presence of profound anesthesia is essential and using a numb lip or sticking the gingiva are not dependable tests. An evidence-based approach to recognizing profound anesthesia is described.
The greatest evil is physical pain. Saint Augustine
vorige hoofdstuk Causes of Endodontic Pain and Preventive Strategies
volgende hoofdstuk Flare-Ups
Literatuur
1.
American Association of Endodontists, Colleagues for Excellence (2009) Taking the pain out of restorative dentistry and endodontics; current thoughts and treatment options to help patients achieve profound anesthesia
2.
Berlin J, Nusstein J, Reader A et al (2005) Efficacy of articaine and lidocaine in a primary intraligamentary injection administered with a computer-controlled local anesthetic delivery system. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99(3):361–366PubMedCrossRef
3.
Birchfield J, Rosenberg PA (1975) Role of the anesthetic solution in intrapulpal anesthesia. J Endod 1(1):26–27PubMedCrossRef
4.
D’souza JE, Walton RE, Peterson LC (1987) Periodontal ligament injection: an evaluation of the extent of anesthesia and postinjection discomfort. J Am Dent Assoc 114(3):341–344PubMed
5.
Dreyer WP, Van Heerden JD, De V Joubert JJ (1983) The route of periodontal ligament injection of local anesthetic solution. J Endod 9(11):471–474PubMedCrossRef
6.
Fowler S, Reader A (2013) Is a volume of 3.6 mL better than 1.8 mL for inferior alveolar nerve blocks in patients with symptomatic irreversible pulpitis? J Endod 39(8):970–972PubMedCrossRef
7.
Fuhs QM, Walker WA 3rd, Gough RW et al (1983) The periodontal ligament injection: histological effects on the periodontium in dogs. J Endod 9(10):411–415PubMedCrossRef
8.
Hasselgren G, Reit C (1989) Emergency pulpotomy: pain relieving effect with and without the use of sedative dressings. J Endod 15(6):254–256PubMedCrossRef
9.
Hsiao-Wu GW, Susarla SM, White RR (2007) Use of the cold test as a measure of pulpal anesthesia during endodontic therapy: a randomized, blinded, placebo-controlled clinical trial. J Endod 33(4):406–410PubMedCrossRef
10.
Ng YL, Mann V, Gulabivala K (2008) Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J 41(12):1026–1046PubMedCrossRef
11.
Nusstein JM, Reader A, Drum M (2010) Local anesthesia strategies for the patient with a “hot” tooth. Dent Clin North Am 54(2):237–247PubMedCrossRef
12.
Reader A, Nusstein J, Drum M (2011) Successful local anesthesia for restorative dentistry and endodontics. Quintessence, Chicago
13.
Reisman D, Reader A, Nist R et al (1997) Anesthetic efficacy of the supplemental intraosseous injection of 3 % mepivacaine in irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84(6):676–682PubMedCrossRef
14.
Smith GN, Walton RE, Abbott BJ (1983) Clinical evaluation of periodontal ligament anesthesia using a pressure syringe. J Am Dent Assoc 107(6):953–956PubMed
15.
Stanley W, Drum M, Nusstein J et al (2012) Effect of nitrous oxide on the efficacy of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis. J Endod 38(5):565–569PubMedCrossRef
16.
Vangheluwe J, Walton R (1997) Intrapulpal injection: factors related to effectiveness. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83(1):38–40PubMedCrossRef
17.
Walton RE (1986) Distribution of solutions with the periodontal ligament injection: clinical, anatomical, and histological evidence. J Endod 12(10):492–500PubMedCrossRef
Metagegevens
Titel
Local Anesthesia
Auteur
Paul A. Rosenberg, DDS
Copyright
2014
Uitgeverij
Springer Berlin Heidelberg
Boek
Endodontic Pain

Print ISBN: 978-3-642-54700-3

Elektronisch ISBN: 978-3-642-54701-0

Copyright: 2014

DOI
https://doi.org/10.1007/978-3-642-54701-0_6