Local Anesthesia in Oral and Maxillofacial Surgery

John, Reena Rachel

doi:10.1007/978-981-15-1346-6_5

Cited by 4 publications

(5 citation statements)

References 35 publications

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“…8 Another study showed that injecting 0-5% Procaine at 37°C reduced the discomfort of Bier's blocks, as compared to anaesthesia at room temperature and concluded that pre-warmed local anaesthetic solutions cause less discomfort in general. 9 A previous study stated that pre-warm local anaesthetic agents used for retro-bulbar and facial nerve injection, greatly decrease patient discomfort, which was similar to the findings of our study. 10 Aydinbelge et al, suggested that heating Lignocaine at 43°C before infiltrative injection for local anaesthesia in arthrography, angiography and other interventional procedures reduces the burning sensation during its administration.…”

Section: Discussionsupporting

confidence: 91%

“…Anaesthetic infiltration to the middle superior alveolar nerve, were administered. 9 The injection point was placed in the mucobuccal fold apically in the middle of maxillary premolars using a 27G short needle and injecting 0.9 mL of the anaesthetic with speed of 0.15 mL/second. Instantly once the injection was administered, the patient was instructed to grade the intensity of the pain.…”

Section: Methodsmentioning

confidence: 99%

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Effect of Warming Anesthetic Solution on Pain Perception During Maxillary Infiltration: A Split Mouth Randomized Control Trial

Saeed

Mahmood

Baig

et al. 2022

PAFMJ

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Objective: To evaluate the effectiveness of using anesthesia at 42°C (107.6°F) for the insight of pain as dental sedative in contrast to its administration at room temperature 21°C throughout the procedure of maxillary infiltration. Study Design: Double-blind, Split-Mouth randomized clinical trial (Clinical trial number: ISRCTN79560957) Place and Duration of Study: Department of Armed Forces Institute of Dentistry, Rawalpindi, from Jan to Jun 2021. Methodology: A total of 38 patients were examined, undergoing maxillary premolar extractions for orthodontic purposes. Group- A received local anesthesia injection with the anesthesia warmed to 42°C (107.6°F) and group- B patients receiving local anesthesia injection with anesthesia at room temperature. The injection point was placed in the mucobuccal fold apically in the middle of maxillary premolars using a 27G short needle and injecting 0.9 mL of the anesthetics at the speed of 0.15 mL/second. Patients were instructed to grade intensity of pain on Visual analogue scale. Results: According to the Visual analogue scale score, the level of pain perceived with the anesthesia at 42°C (107.6°F) in group-1 was 3.81 ± 1.48 and the level of pain perceived with the anesthesia at temperature 21°C in group-2 was 5.57 ± 1.50 with statistically significant result (p=0.001). Conclusion: The use of anesthesia at 42°C (107.6°F) significantly reduced the pain during the injection of anesthesia compared to its use at room temperature during maxillary injections.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Effect of Warming Anesthetic Solution on Pain Perception During Maxillary Infiltration: A Split Mouth Randomized Control Trial

Saeed

Mahmood

Baig

et al. 2022

PAFMJ

View full text Add to dashboard Cite

show abstract

Section: Reviewmentioning

confidence: 99%

“…The treatment primarily involves symptomatic care and, in some cases, prophylactic antibiotic coverage. The condition is expected to resolve on its own [ 2 ].…”

Section: Reviewmentioning

confidence: 99%

“…LA is described as a reversible sensation loss in a specific area of the body due to depression of excitation in the nerve endings or the inhibition of the conduction process within the peripheral nerves [2]. extraction, root canal treatment, dental fillings, and gingival treatments, including root planing and gingival grafts, often require the use of LA to ensure patient comfort [5].…”

Section: Review Definitionmentioning

confidence: 99%

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Neurological Complications of Local Anesthesia in Dentistry: A Review

Ghafoor,

Haroon,

Atique

et al. 2023

Cureus

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Local anesthesia is a technique that temporarily desensitizes a specific body area, typically for a surgical procedure, dental work, or pain management. It is described as a sensation loss in a specific area of the body due to depression of excitation in the nerve endings or due to the inhibition of the conduction process within the peripheral nerves. It allows for safer and more comfortable medical procedures, reducing the need for general anesthesia and facilitating faster recovery. Local anesthesia is generally safe, but like any medical intervention, it carries potential risks and side effects. The complications related to local anesthetics can be assessed in terms of neurological, vascular, local, systemic, and neurological. In this review article, we discussed the neurological complications of local anesthesia related to the ophthalmic nerve, maxillary nerve, mandibular nerve, branches of the trigeminal nerve, and facial nerve. These include diplopia, ptosis, paralysis of the eye, blindness, paresthesia, trismus, soft tissue lesions, edema, hematoma, facial blanching, infection, allergy, overdose, neuralgia, facial palsy, etc.

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Topical anaesthesia in dentistry – practical considerations

Pasternak,

Woroń

2024

Ból

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Topical anaesthesia is a reversible block of neurotransmission in the free sensory nerve endings of the conjunctiva,the outermost layers of the skin and mucosa. The anaesthetic effect is obtained after direct application of the agentin the form of an ointment, cream, or gel, application of the solution, or spraying on the surface of the anaesthetizedtissue. In dental practice, topical anaesthesia of the oral mucosa is used routinely at the injection site before the localanaesthesia by infiltration or regional block, and in various fields of dentistry it may also be the only way needed toensure painless performance of some interventions. Furthermore, topical agents play an important role in relievingpost-treatment ailments, such as post-extraction pain, and are a valuable aid in the symptomatic treatment of painfullesions. These drugs are also included in mouthwashes used in stomatitis associated with systemic anticancertreatment. In the paper, clinical situations in dentistry, where topical anaesthesia is particularly useful, factorsinfluencing the effectiveness of the method and formulations as well as the drugs (topical analgetics) themselvesused by dentists were elaborated. Also, potential local and general complications associated with the application ofanaesthetic preparations in dentistry have been discussed with their management.

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Local Anesthesia in Oral and Maxillofacial Surgery

Abstract: A brief description of the common Local Anesthetics, regional blocks, and extraoral techniques that are used by a maxillofacial surgeon has been described in this chapter with mention of the recent advances in techniques and armamentarium for painless delivery of local anesthesia.

Cited by 4 publications

References 35 publications

Effect of Warming Anesthetic Solution on Pain Perception During Maxillary Infiltration: A Split Mouth Randomized Control Trial

Effect of Warming Anesthetic Solution on Pain Perception During Maxillary Infiltration: A Split Mouth Randomized Control Trial

Neurological Complications of Local Anesthesia in Dentistry: A Review

Topical anaesthesia in dentistry – practical considerations

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