A basic review on the inferior alveolar nerve block techniques

Khalil, Hesham

doi:10.4103/0259-1162.128891

Cited by 74 publications

(64 citation statements)

References 27 publications

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“…Conventional dental nerve block technique or local infiltration method exhibits certain drawbacks. 9 To overcome these drawbacks, alternative methods, like periodontal ligament or intraligamentary injection and intraosseous anesthetic injection technique, were introduced. The periodontal ligament injection (PDL) or intraligamentary injection technique appears to be the most consistently reliable technique in achieving clinically adequate pulpal anesthesia and offers many advantages in comparison to the conventional dental nerve block and infiltration anesthesia methods.…”

Section: Discussionmentioning

confidence: 99%

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

Saoji

Nainan

Nanjappa

et al. 2019

J Dent Res Dent Clin Dent Prospects

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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.

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Section: Discussionmentioning

confidence: 99%

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

Saoji

Nainan

Nanjappa

et al. 2019

J Dent Res Dent Clin Dent Prospects

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“…For safety, during the procedures both practitioner and patients wore glasses. Inferior alveolar nerve block direct (conventional) 18 method was performed at standard location with gauge 27 (Technofar, Italy), lidocaine hydrochloride 2% and 1/80000 epinephrine (Daroopakhsh, Iran). Numbness of the lip was the criterion for anesthesia.…”

Section: Inclusion Criteriamentioning

confidence: 99%

The Effect of Photobiomodulation on the Depth of Anesthesia During Endodontic Treatment of Teeth With Symptomatic Irreversible Pulpitis (Double Blind Randomized Clinical Trial)

et al. 2017

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IntroductionAchieving appropriate anesthesia in mandibular molar teeth with irreversible pulpitis is one of the most challenging aspects of root canal treatment.1 It is more complicated in teeth with symptomatic irreversible pulpitis.2 Inferior alveolar nerve block is not profoundly successful in mandibular teeth with symptomatic irreversible pulpitis and sometimes supplemental techniques are necessary. 3Nowadays photobiomodulation (PBM) is considered as an adjunct in anesthesia, the addition of galliumaluminum-arsenide laser irradiation to intravenous regional anesthesia is safe, and reduces pain during and after the operation. The most local anesthetics in dentistry block sodium channels. Tetrodotoxin resistance sodium channels are resistant to local anesthetics and sensitized by prostaglandins. 5PBM has been used in dentistry for its anti-inflammatory, 6 regeneration 7 and analgesic 4 properties. It can prevent nerve impulse conduction. Studies have shown that laser irradiation prevents axonal transmission of signals in nerve fibers A-delta and C, since nociceptive signals are transmitted by the fibers of to the spinal cord, it is likely that laser radiation reduces the transmission and subsequently reduces the feeling of pain.8 PBM effectiveness was shown in reducing pain after root canal therapy, 9 but it hasn't been used as an adjunct in anesthesia in dentistry. Some PBM applications in dentistry include the following: To control pain, swelling and inflammation after surgery thus reducing the need for medication. 10To reduce pain after tooth fillings or dentin cutting with an inhibitory effect on the pulp nervous system. 11The anti-inflammatory mechanism of PBM and its Abstract Introduction: Achieving appropriate anesthesia in patients with symptomatic irreversible pulpitis in mandibular molars during endodontic treatment is always one of the most challenging aspects. Photobiomodulation (PBM) has been used in dentistry due to its anti-inflammatory properties and regenerative effects. This study evaluates the effects of PBM in the depth of anesthesia in inferior alveolar nerve block. Methods:In this randomized clinical trial, 44 patients requiring endodontic treatment in lower molar, left or right were selected, half of them were randomly treated with PBM therapy. Laser irradiation by 980 nm diode laser with a single dose (15 J/cm 2 , for 20 seconds) before anesthesia was performed at the buccal aspect. Inferior alveolar nerve block was performed once. Success was defined as no or mild pain (no need for any supplemental injection), based on the visual analogue scale during access cavity preparation. Results were evaluated using SPSS software. Results:The results of this study showed that the necessity for supplemental injection was lower in the group receiving laser than in the group without laser (P = 0.033). The mean pain intensity during dentin cutting was lower in the group receiving laser than in the group without laser (P = 0.031). Also, the mean pain intensity during pulp dropping was lower in the gr...

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“…The present study compared the efficacy of 4% articaine (1:100,000 adrenaline) as buccal infiltration supported with lingual nerve block with inferior alveolar nerve block using 2% lidocaine (1:80,000 adrenaline) in case of simple extraction of mandibular posterior teeth. The inferior alveolar nerve block is the most commonly used injection technique to anesthetize lower teeth [16][17]. Such technique involves the insertion of the needle near the inferior alveolar nerve where it enters the mandibular foramen with its vascular bundles.…”

Section: Discussionmentioning

confidence: 99%

Articaine (4%) Buccal Infiltration versus Lidocaine (2%) Inferior Alveolar Nerve Block for Mandibular Teeth Extraction in Patients on Warfarin Treatment

Abdullah¹

2014

J Anesth Clin Res

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Background: Although lidocaine inferior alveolar nerve block is a common dental injection in case of managing mandibular teeth, it may not be the first choice in specific situations. Patients on warfarin therapy are at high risk of bleeding during dental procedures. In this study we aimed to investigate and compare the efficacy of articaine buccal infiltration in mandibular teeth extraction with lidocaine inferior alveolar nerve block for extraction of mandibular teeth in patients on warfarin treatment.

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A basic review on the inferior alveolar nerve block techniques

Cited by 74 publications

References 27 publications

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

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

The Effect of Photobiomodulation on the Depth of Anesthesia During Endodontic Treatment of Teeth With Symptomatic Irreversible Pulpitis (Double Blind Randomized Clinical Trial)

Articaine (4%) Buccal Infiltration versus Lidocaine (2%) Inferior Alveolar Nerve Block for Mandibular Teeth Extraction in Patients on Warfarin Treatment

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