Local anesthesia for mandibular third molar extraction

Kim, Chang; Hwang, Kyung‐Gyun; Park, Chang‐Joo

doi:10.17245/jdapm.2018.18.5.287

Cited by 34 publications

(20 citation statements)

References 23 publications

(26 reference statements)

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“…A case report study by Han et al [25] and Kim et al [26] showed that none of the patients that received a Quicksleeper® injection prior to their periodontal surgery claimed discomfort after the treatment despite undergoing multiple root planning on both the mandible and the maxilla.…”

Section: Discussionmentioning

confidence: 99%

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery

Sovatdy

Vorakulpipat

Kiattavorncharoen

et al. 2018

J Dent Anesth Pain Med

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Background There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery. Methods This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). The patients underwent surgical removal of bilateral mandibular third molars with two different IANBI techniques. One side was injected using Quicksleeper®, and the other side was injected using a conventional IANBI. Both techniques used one cartridge (1.7 ml) of 1:100,000 epinephrine 4% articaine. A supplementary injection was used if necessary. All volumes of anesthetic agent used were recorded. Statistical analysis was performed using paired t-test and Wilcoxon test. Results This research showed that CAIOI has faster onset and shorter duration of action than IANBI (P < 0.05). The pain was similar in both techniques. In the CAIOI group, one-third of the cases could be completed without additional anesthesia. The remaining two-thirds required minimal supplementary volume of anesthesia. The success rates were 68% for CAIOI and 72% for IANBI, respectively. Conclusion CAIOI is an advantageous anesthetic technique. It can be used as an alternative to conventional IANBI for mandibular third molar surgery.

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Section: Discussionmentioning

confidence: 99%

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery

Sovatdy

Vorakulpipat

Kiattavorncharoen

et al. 2018

J Dent Anesth Pain Med

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show abstract

“…However, block failure occurs sometimes because of anatomical, pathological, and psychological characteristics even when performed by an experienced clinician. [ 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Changes in blood pressure and pulse rate of patients without systemic diseases following the injection of 2% lidocaine plus epinephrine 1:80000 in an inferior alveolar nerve block - A prospective study

Aliabadi

Divanpour

Mardani

2020

Ann Maxillofac Surg

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Introduction: An inferior alveolar nerve block is dental anesthesia produced by the local injection of lidocaine plus epinephrine; however, its administration could cause cardiovascular side effects. We aimed to assess the changes in blood pressure and pulse rate following the injection of 2% lidocaine with epinephrine 1:80000 for an inferior alveolar nerve block. Materials and Methods: Seventy-one patients without any systemic disease were enrolled in this study. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate were measured using an automatic digital blood pressure monitor in four stages as follows: at the rest time (Stage 1), prior to injection (Stage 2), immediately after injection (Stage 3), and 10 min after the administration of anesthetic agents (Stage 4). All injections and measurements were carried out by a single operator to minimize the variability. Results: SBP and DBP in all stages were within the normal range (lower than 130 and 80 mmHg, respectively), and none of the patients showed evidence of arterial hypertension. Although the pulse rate increased significantly at Stages 2, 3, and 4 compared with Stage 1 ( P < 0.05), no evidence of bradycardia or tachycardia was seen. Discussion: Local anesthesia with 2% lidocaine plus epinephrine 1:80000 for an inferior alveolar nerve block would be safe for patients without any systemic diseases.

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“…However, the success rate of the inferior alveolar nerve block is, in fact, only modest and associated complications, such as aspiration and nerve injury, are fairly common. Thus, various anaesthesia methods for inferior nerve block ( Figure 1) have been continuously studied to try to address this issue [2]. The conventional inferior alveolar nerve block (IANB) is the most commonly used nerve block technique in dentistry.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Efficacy and Pain in Open Mouth versus Closed Mouth Ianb Technique for Third Molar Extraction

Karunakaran¹,

Gangasani²,

Unnam³

et al. 2020

SJODR

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Aim: The purpose of the present study was to assess the efficacy as well as pain perception status in patients, who have been administrated Inferior Alveolar Nerve Block (IANB) for third molar extraction by both closed mouth as well as open mouth techniques. Methodology: 90 patients were enrolled in the present study. The patients were given inferior alveolar nerve block to extract mandibular third molar by three different techniques. They were divided in 3 groups of 30 patients each in which conventional open mouth, Fischer 123 technique, closed mouth Vazirani Akinosi technique were assigned with Group I, II, III respectively. Pain Perception (VAS), Speed of anaesthesia, Patient anxiety and Clinician expertise were measured. Results: The results show that intra-oral conventional technique is less technique sensitive as compared to Vazirani-Akinosi and Fischer's 123 techniques. Former is still the best in terms of less expertise required as well as pain perception by the patient. Conclusion: Conventional open mouth technique is still the most popular choice amongst clinicians and the pain sensitivity is also negligible amongst the patients with this classic intra-oral technique. Indirect as well as closed mouth technique requires more skilled expertise but can be used in cases with limited mouth opening.

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Local anesthesia for mandibular third molar extraction

Cited by 34 publications

References 23 publications

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery

Changes in blood pressure and pulse rate of patients without systemic diseases following the injection of 2% lidocaine plus epinephrine 1:80000 in an inferior alveolar nerve block - A prospective study

Evaluation of Efficacy and Pain in Open Mouth versus Closed Mouth Ianb Technique for Third Molar Extraction

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