The influence of epinephrine concentration in local anesthetics on pulpal and gingival blood flows

Lee, Jaesang; Kim, Sung-Kyo

doi:10.5395/jkacd.2003.28.6.475

Cited by 4 publications

(10 citation statements)

References 25 publications

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“…This result is in agreement with the previous studies 7,8,19) . In a preliminary study for the present investigation, plain 2% lidocaine injection induced no change in PBF as in the control with saline.…”

Section: ⅳ Discussionsupporting

confidence: 83%

“…In tooth grinding procedures, local anesthesia is usually used to control patient' s pain and discomfort. Many previous studies investigated the effect of epinephrine-containing local anesthetics on pulpal blood flow (PBF) [6][7][8] and the effect of cavity preparation on PBF 9,10) . However, few studies investigated on the effect of local anesthetics on cavity preparation-induced PBF change.…”

mentioning

confidence: 99%

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Effect of local anesthesia on pulpal blood flow in mechanically stimulated teeth

Chu

Park

Ahn

et al. 2006

J Korean Acad Conserv Dent

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Section: ⅳ Discussionsupporting

confidence: 83%

mentioning

confidence: 99%

Effect of local anesthesia on pulpal blood flow in mechanically stimulated teeth

Chu

Park

Ahn

et al. 2006

J Korean Acad Conserv Dent

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“…In animal studies 27,28 after 3 months of loading of implants subjects were sacri ced. One of the researches (Mozzati et al 34 ) was made on partially edentulous mandibles in need of tooth extractions with immediate loading of 4 implants for fullarch rehabilitation. Degidi et al (2006) 33 didn't provide any information on the number of implants inserted in the maxilla and mandible separetely.…”

Section: Study Characteristicsmentioning

confidence: 99%

Immediate Loading of Implants Placed in Fresh Extraction Sockets in the Posterior Region. A Systematic Review

Sadykov,

Romanenko,

Mirosh

et al. 2024

Preprint

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Purpose: To determine the essential torque, length and diameter of implant inserted into fresh extraction socket in posterior region in order to load it immediately. To find out the preferred bone type and peri-implant changes after loading. Materials and methods: This study is based on searching scientific research papers using the following databases: MEDLINE - PubMed, Google Schoolar, Scopus, Cochrane, Web of Science. No filters and limits were used. Indexed databases were searched from 1990 up to 2023 using the following terms in different combinations: “immediate loading of implants”, “in the posterior”, “immediate implant placement/insertion”, “immediate provisionalization”, “fresh extraction sockets”, “bone density”, “torque”, “primary stability”, “peri-implant tissues”. The selection process started by carefully reading the title, followed by the abstract, the objectives and the full body of each article and paper. Articles identified as being potentially relevant based on their titles were evaluated by a reading of their full text, including reference to objectives, methods/approaches, and participants/populations and results. Studies that are not eligible based on the examination of the full text were excluded. Two articles were of the animal studies. The rest of 8 studies were the controlled clinical trials. Results: A total of 201 studies were searched on indexed databases. However, only 10 of the papers met the inclusion criteria. Four groups of authors indicate the use of conical implants. Regardless of placement location, the most commonly used wide implant is greater than 3.5 mm. Meanwhile all authors followed the standard surgical protocal and placed the implants with an insertion torque ≥35 Ncm except for Degidi et al. (2006) who used ≥25 Ncm. There is no significant difference among survival rate of immediate and delayed placed implants. Evaluation of bone density was made according to the criteria by Lekholm and Zarb (1985) and Misch, Judy (1987). Conclusion: The current systematic review shows that immediate loading of implants inserted in fresh extraction sockets in the posterior demonstrates good treatment outcome with regard to implant survival and marginal bone loss.

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“…It induces vasoconstriction by binding to α1 receptor, and vasodilation by binding to β2 receptor. As α receptors predominate in oral mucosa, submucosa, and periodontium compared to β2 receptor, epinephrine mainly behaves as potent vasoconstrictor in the oral cavity 34,35,36…”

Section: Reviewmentioning

confidence: 99%

Biologic response of local hemostatic agents used in endodontic microsurgery

et al. 2014

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Appropriate use of local hemostatic agent is one of the important factors on the prognosis of endodontic microsurgery. However, most investigations to date focus on the hemostatic efficacy of the agents, whereas their biologic characteristics have not received enough attention. The purpose of this paper was to review the biologic response of local hemostatic agents, and to provide clinical guidelines on their use during endodontic microsurgery. Electronic database (PUBMED) was screened to search related studies from 1980 to 2013, and 8 clinical studies and 18 animal studies were identified. Among the materials used in these studies, most widely-investigated and used materials, epinephrine, ferric sulfate (FS) and calcium sulfate (CS), were thoroughly discussed. Influence of these materials on local tissue and systemic condition, such as inflammatory and foreign body reaction, local ischemia, dyspigmentation, delayed or enhanced bone and soft tissue healing, and potential cardiovascular complications were assessed. Additionally, biological property of their carrier materials, cotton pellet and absorbable collagen, were also discussed. Clinicians should be aware of the biologic properties of local hemostatic agents and their carrier materials, and should pay attention to the potential complications when using them in endodontic microsurgery.

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The influence of epinephrine concentration in local anesthetics on pulpal and gingival blood flows

Cited by 4 publications

References 25 publications

Effect of local anesthesia on pulpal blood flow in mechanically stimulated teeth

Effect of local anesthesia on pulpal blood flow in mechanically stimulated teeth

Immediate Loading of Implants Placed in Fresh Extraction Sockets in the Posterior Region. A Systematic Review

Biologic response of local hemostatic agents used in endodontic microsurgery

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