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Journal articles on the topic 'Dental anesthesia'
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Lazarev, V. V., D. M. Khaliullin, R. R. Gabdrafikov, D. V. Koshcheev, and E. S. Gracheva. "XENON ANESTHESIA IN PEDIATRIC DENTAL INTERVENTIONS." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 9, no. 1 (May 10, 2019): 78–84. http://dx.doi.org/10.30946/2219-4061-2019-9-1-78-84.
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Introduction. Therapeutic dental manipulations in smaller children are usually done under general anesthesia and sedation using inhalation anesthetics due to their high psychoemotional lability. Xenon (inert gas) is of particular interest among inhalation anesthetic agents due to its unique pharmacological properties such as hypnotic and analgesic effect, lack of toxicity, organ protective properties, etc. Purpose is to estimate adequacy, safety and comfort with anesthesia in pediatric dentistry. Materials and methods. 30 children (18 boys and 12 girls) were involved in an open, prospective, randomized study. They obtained dental treatment for caries and pulpitis. Sevoflurane 8% and concentration of 60–70% xenon with О2 was given to induce anesthesia. Anesthesia adequacy, safety and comfort were estimated based on hemodynamics data, BIS index, concentrations of sevoflurane and xenon in the anesthetic gas, recovery time, rate of agitation, nausea and vomiting. Results. The study demonstrated safety of xenon gas anesthesia in pediatric dentistry. The estimated values were within the reference range. Following anesthesia, recovery occurred after 30 minutes, no single case of postanesthesia agitation, nausea and vomiting was noted. Conclusion. Xenon provides for high effectiveness and safety of anesthesia in pediatric dentistry. The results show that further studies are reasonable.
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Townsend, Janice A., Joseph L. Hagan, and Megann Smiley. "Use of Local Anesthesia During Dental Rehabilitation With General Anesthesia: A Survey of Dentist Anesthesiologists." Anesthesia Progress 61, no. 1 (March 1, 2014): 11–17. http://dx.doi.org/10.2344/0003-3006-61.1.11.
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AbstractThe purpose of this study was to document current practices of dentist anesthesiologists who are members of the American Society of Dentist Anesthesiologists regarding the supplemental use of local anesthesia for children undergoing dental rehabilitation under general anesthesia. A survey was administered via e-mail to the membership of the American Society of Dentist Anesthesiologists to document the use of local anesthetic during dental rehabilitations under general anesthesia and the rationale for its use. Seventy-seven (42.1%) of the 183 members responded to this survey. The majority of dentist anesthesiologists prefer use of local anesthetic during general anesthesia for dental rehabilitation almost always or sometimes (90%, 63/70) and 40% (28/70) prefer its use with rare exception. For dentist anesthesiologists who prefer the administration of local anesthesia almost always, they listed the following factors as very important: “stabilization of vital signs/decreased depth of general anesthesia” (92.9%, 26/28) and “improved patient recovery” (82.1%, 23/28). There was a significant association between the type of practice and who determines whether or not local anesthesia is administered during cases. The majority of respondents favor the use of local anesthesia during dental rehabilitation under general anesthesia.
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Martinez-Martinez, Adel Alfonso, Elio Jimenez-Batista, and Alexander Morales-Jimenez. "Use of bufferized dental anesthetics in dental surgery." CES Odontología 34, no. 1 (June 15, 2021): 35–43. http://dx.doi.org/10.21615/cesodon.34.1.4.
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Introduction and objective: The addition of epinephrine to the anesthetic solution reduces the pH of the solution to a range between 2.9 and 4.4.The acidity of the anesthetic may delay onset and contribute to injection pain. Objective: to determine the intensity of pain during a mandibular third molar surgery after using buffered 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration. Materials and methods: an observational and descriptive clinical study was performed. The buffered solution was alkalinized with 8.4% sodium bicarbonate with a ratio of 9:1, using a hand-mixing methodology, the sample were patients who required a mandibular third molar surgery. After standardizing the anesthetic technique, it was used the inferior alveolar nerve block followed by buccal infiltration. Results: 32 patients (20 female - 62.5% and 12 male - 37.5%), with an average age of 21.12 years (mean ± standard deviation [SD]: 21.12 ± 3.61) were admitted to the study. When assessing the pain puncture and during the injection, 94% of patients classified it as mild pain according to VAS. When evaluating the latency period, the average time was less than two minutes and the perioral soft tissue anesthesia was 62%. Only a small percentage of patients required complementary anesthesia. Conclusion: buffered 4% of articaine with epinephrine in the inferior alveolar nerve block with buccal infiltration significantly decreased onset time, injection pain and need for complementary anesthesia in third molar surgery.
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Alanazi, Fahad Shulaywih, Mohammed Fahad Alhazzaa, Yazeed Mohammed Alosaimi, Faisal Abdullah Alajaji, Atallah Shulaywih Alanazi, Abdullah Alassaf, Basim Almulhim, Sara Ayid Alghamdi, and Sreekanth Kumar Mallineni. "Preference of Dental Practitioners toward the Use of Local and Topical Anesthetics for Pediatric Patients in Saudi Arabia: A Cross-Sectional Survey." Children 8, no. 11 (October 28, 2021): 978. http://dx.doi.org/10.3390/children8110978.
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Background: Local anesthesia administration techniques are slightly challenging to perform and master on the basis of experience. It is always delicate to adjust to the first patient injection, especially in children. This study investigated dental practitioners’ preferences toward topical and local anesthetics for children in Saudi Arabia. Materials and methods: A questionnaire was sent through google forms to the participants, including sociodemographic characteristics, as well as perceptions of local anesthesia and topical anesthesia. The details for each demographic variable were based the gender, occupation, and experience years. Descriptive statistics were carried out using SPSS (version 24.0), where a p-value of 0.05 at a 95% confidence interval was considered significant. Result: A total of 274 responses were received from Saudi Arabian dental practitioners, whereby 92.3% preferred lidocaine, and, while choosing local anesthesia, most participants (57.7%) considered precise bodyweight. The majority of the participants selected 27 gauge needles for infiltrations (46.3%) and blocks (63.9%). Short needles were preferred by the majority (93.4%) of the dental practitioners for infiltration, while long needles (83.9%) were chosen for nerve blocks. Benzocaine (68.2%) was preferred by the majority of the dental practitioners for topical anesthesia, and 55.8% of them were not aware of the brand of the topical anesthesia. The majority of dental practitioners felt that topical anesthesia was effective prior to administration of local anesthesia, and 83.6% of the Arabian dental practitioners expressed that patients complained regarding the taste of topical anesthesia. There were mixed opinions observed among the genders and occupations of dental practitioners regarding anesthetics used. Conclusion: The dental practitioners’ perceptions and preferences demonstrate that the most commonly preferred type of local anesthetic was lidocaine, whereas the most preferred type of topical anesthetic was benzocaine in gel form. Moreover, the most widely used factor in deciding the dosage of local anesthesia was precise body weight among Saudi dentists. The majority of participants preferred short needles for infiltrations and long needles for nerve blocks. The 27 gauge needle was chosen by the majority of the participants for both infiltration and nerve blocks.
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Laviola, M., S. K. McGavin, G. A. Freer, G. Plancich, S. C. Woodbury, S. Marinkovich, R. Morrison, A. Reader, R. B. Rutherford, and J. A. Yagiela. "Randomized Study of Phentolamine Mesylate for Reversal of Local Anesthesia." Journal of Dental Research 87, no. 7 (July 2008): 635–39. http://dx.doi.org/10.1177/154405910808700717.
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Local anesthetic solutions frequently contain vasoconstrictors to increase the depth and/or duration of anesthesia. Generally, the duration of soft-tissue anesthesia exceeds that of pulpal anesthesia. Negative consequences of soft-tissue anesthesia include accidental lip and tongue biting as well as difficulty in eating, drinking, speaking, and smiling. A double-blind, randomized, multicenter, Phase 2 study tested the hypothesis that local injection of the vasodilator phentolamine mesylate would shorten the duration of soft-tissue anesthesia following routine dental procedures. Participants (122) received one or two cartridges of local anesthetic/vasoconstrictor prior to dental treatment. Immediately after treatment, 1.8 mL of study drug (containing 0.4 mg phentolamine mesylate or placebo) was injected per cartridge of local anesthetic used. The phentolamine was well-tolerated and reduced the median duration of soft-tissue anesthesia in the lip from 155 to 70 min (p < 0.0001).
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Ohkushi, Keita, Ken-ichi Fukuda, Yoshihiko Koukita, Yuzuru Kaneko, and Tatsuya Ichinohe. "Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment—A Crossover Comparison Between Propofol and Sevoflurane." Anesthesia Progress 63, no. 4 (December 1, 2016): 175–80. http://dx.doi.org/10.2344/15-00012.1.
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The purpose of this study was to determine which anesthetic was preferable for ambulatory anesthesia: propofol alone or sevoflurane alone. A crossover study was performed to compare the recovery profile and patient satisfaction after 2 anesthesia methods. Twenty healthy patients with severe anxiety toward dental treatment undergoing 2 sessions of day-case dental treatment received either propofol or sevoflurane anesthesia. The order of these methods was randomized. The depths of anesthesia were kept constant using bispectral index (BIS) monitoring. Observations on recovery profiles were performed in the emergence phase, in the recovery phase, and 24 hours after discharge. Patient satisfaction and preference were obtained by a questionnaire. Most of the recovery profiles in the emergence phase such as time to eye opening to respond to verbal command, time to BIS ≥ 75, and time to extubation were shorter in the sevoflurane group than in the propofol group. All recovery profiles in the recovery phase showed no differences between the 2 groups. Based on the subject's satisfaction and preference, propofol was evaluated as a better anesthetic for ambulatory anesthesia than sevoflurane. Higher patient satisfaction and a greater preference for future dental treatment were revealed for propofol anesthesia. Propofol may be more suitable for ambulatory anesthesia for dental treatment.
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Pan, Jialei, Yan Wang, Yuran Qian, Jing Zou, and Qiong Zhang. "Comparison of dental anesthetic efficacy between the periodontal intraligamentary anesthesia and other infiltration anesthesia: a systematic review and meta-analysis." PeerJ 11 (July 24, 2023): e15734. http://dx.doi.org/10.7717/peerj.15734.
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Background Uncertainty exists regarding the pain scores and the success rate of intraligamentary anesthesia compared to other infiltration anesthesia. Based on the conditions of clinical anesthesia techniques, we conducted a systematic review and meta-analysis to compare the efficacy of intraligamentary anesthesia with other infiltration anesthesia. Methods The search was carried out in PubMed Central, Cochrane Central Register of Controlled Trials, MEDLINE (via OVID), Embase (via OVID), and Scopus from the inception to March 26, 2023. Results Seven eligible randomized controlled trials were included in the meta-analysis. The results indicated no significant difference in the success rate (RR = 0.96; 95% CI [0.81–1.14]; p = 0.65; I2= 73%) and visual analog scale (VAS) during dental procedures (MD = 3.81; 95% CI [−0.54–8.16]; p = 0.09; I2= 97%) between intraligamentary anesthesia and other infiltration anesthesia. However, intraligamentary anesthesia exhibited a higher VAS score during injection than other infiltration anesthesia (MD = 8.83; 95% CI [4.86–12.79]; p < 0.0001; I2= 90%). A subgroup analysis according to infiltration techniques showed that supraperiosteal anesthesia had a lower VAS score during dental procedures than intraligamentary anesthesia. Conclusions Intraligamentary anesthesia and other infiltration anesthesias have the same success rate and pain during dental procedures. However, the pain during injection of intraligamentary anesthesia is heavier than that of other infiltration anesthesia.
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Yamazaki, Shinya, Hiroshi Ito, and Hiroyoshi Kawaai. "Transient Cardiac Arrest in Patient With Left Ventricular Noncompaction (Spongiform Cardiomyopathy)." Anesthesia Progress 58, no. 1 (January 1, 2011): 22–25. http://dx.doi.org/10.2344/0003-3006-58.1.22.
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Left ventricular noncompaction (LVNC), also known as spongiform cardiomyopathy, is a severe disease that has not previously been discussed with respect to general anesthesia. We treated a child with LVNC who experienced cardiac arrest. Dental treatment under general anesthesia was scheduled because the patient had a risk of endocarditis due to dental caries along with a history of being uncooperative for dental care. During sevoflurane induction, severe hypotension and laryngospasm resulted in cardiac arrest. Basic life support (cardiopulmonary resuscitation) was initiated to resuscitate the child, and his cardiorespiratory condition improved. Thereafter, an opioid-based anesthetic was performed, and recovery was smooth. In LVNC, opioid-based anesthesia is suggested to avoid the significant cardiac suppression seen with a volatile anesthetic, once intravenous access is established. Additionally, all operating room staff should master Advanced Cardiac Life Support/Pediatric Advanced Life Support (including intraosseous access), and more than 1 anesthesiologist should be present to induce general anesthesia, if possible, for this high-risk patient.
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Townsend, Janice A., Steven Ganzberg, and S. Thikkurissy. "The Effect of Local Anesthetic on Quality of Recovery Characteristics Following Dental Rehabilitation Under General Anesthesia in Children." Anesthesia Progress 56, no. 4 (December 1, 2009): 115–22. http://dx.doi.org/10.2344/0003-3006-56.4.115.
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Abstract This study is a randomized, prospective, double-blind study to evaluate the effects of the combination of local anesthetics and an intravenous nonsteroidal anti-inflammatory drug (NSAID) vs NSAID alone on quality of recovery following dental rehabilitation under general anesthesia (GA). Twenty-seven healthy children aged 3–5.5 years underwent dental rehabilitation under GA. Fifteen children in the experimental group received oral infiltration of local anesthetic in addition to intravenous ketorolac tromethamine, while 12 children in the control group received intravenous ketorolac tromethamine alone for postoperative pain management. Pain behaviors were evaluated immediately postoperatively using a FLACC scale and 4 hours postoperatively by self-report using various scales. Parents reported perception of child pain and comfort and any occurrences of postoperative cheek biting. The use of intraoral infiltration local anesthesia for complete dental rehabilitation under general anesthesia for children aged 3–5.5 years did not result in improved pain behaviors in the postanesthesia care unit (PACU), nor did it result in improved pain behaviors 4–6 hours postoperatively as measured by the FLACC scale, FACES scale, and subjective reports of parents or a PACU nurse. Those children receiving local anesthesia had a higher incidence of negative symptoms related to local anesthetic administration, including a higher incidence of lip and cheek biting, which was of clinical importance, but not statistically significant. Infiltration of local anesthetic for dental rehabilitation under general anesthesia did not improve quality of recovery in children aged 3–5.5 years.
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Campbell, Robert L., and Surinder K. Kallar. "Dental Outpatient Anesthesia." Anesthesiology Clinics of North America 5, no. 1 (March 1987): 167–85. http://dx.doi.org/10.1016/s0889-8537(21)00354-0.
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Alkhouli, Muaaz, Zuhair Al-Nerabieah, and Mayssoon Dashash. "A Novel Scale to Assess Parental Satisfaction of Dental Local Anesthetic Techniques in Children: A Cross-Sectional Study." Pain Research and Management 2023 (May 19, 2023): 1–9. http://dx.doi.org/10.1155/2023/9973749.
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Background. Pain control is one of the most important aspects that can affect parental satisfaction of the dental care provided for children. Dental local anesthesia has the highest impact on pain sensation of the children. However, there is no scale in the literature to assess parental satisfaction of dental local anesthetic techniques. Objectives. This study was aimed to assess the parental satisfaction with dental local anesthetic techniques for their children through designing a scale that reflects satisfaction and to study the validity and reliability of this scale. Methods. A cross-sectional observational study was conducted on 150 parents (102 mothers and 48 fathers). Two techniques of local anesthesia were used for each child participated in this study (inferior alveolar nerve block and computerized intraosseous anesthesia). The developed scale consisted of 20 items in a 5-point Likert scale. Half of the items were written in a negative format. Internal consistency, validity, and factor analysis were performed in this study. Independent t-test was used to compare between the two techniques of anesthesia, between boys and girls and among fathers and mothers. Results. Parental satisfaction mean values were higher in the computerized intraosseous anesthesia group in comparison to inferior alveolar nerve block ( P value <0.05). The T-test showed that there was no difference between boys and girls regarding parental satisfaction ( P value >0.05). Furthermore, fathers show lower satisfaction in the computerized interosseous anesthesia group ( P value <0.05). Excellent internal consistency of this scale was resulted as Cronbach’s alpha reliability coefficient was 0.985. After factor analysis, seven factor components were retained by using varimax rotation. Conclusions. Findings of this study reported that the designed parental satisfaction of dental local anesthetic techniques scale (PSLAS) is a valid and reliable scale to be used. Moreover, this study showed that parental satisfaction was higher when computerized intraosseous anesthesia was used in comparison to inferior alveolar nerve block.
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Moore, David L., Lili Ding, Gang Yang, and Stephen Wilson. "Impact of Instituting General Anesthesia on Oral Sedation Care in a Tertiary Care Pediatric Dental Clinic." Anesthesia Progress 66, no. 4 (December 1, 2019): 183–91. http://dx.doi.org/10.2344/anpr-66-02-02.
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Tertiary pediatric medical centers disproportionately care for low-income, underserved children with significant dental needs. Long wait times for hospital operating room treatment increase tooth loss rather than restoration. Oral sedation has commonly been provided to avoid the long waits for operating room treatment. However, this can be challenging with young, anxious patients. High failure rates and repeat visits for oral sedation have resulted in continued waiting for definitive dental services in the operating room. The Division of Dentistry requested the Department of Anesthesiology to create a general anesthesia program in the dental clinic to increase the use of anesthesia services but align the cost of the anesthetic with the revenue stream. Our aim was to objectively measure the performance of a dental clinic anesthesia service by comparing the percentage of case completions, percentage of complete radiographs, and number of serious adverse events to clinic-based oral sedations. We were also interested in total number of cases completed. We retrospectively studied data regarding an in-office general anesthesia (IOGA) program for dentistry and compared it to oral sedations before and after instituting the IOGA program. Patients received either a general endotracheal anesthetic or nonintubated total intravenous general anesthesia. Successful case completion increased from 88.6% (oral sedation) to 99.5% (IOGA). One hundred percent of IOGA cases had complete radiographs, as opposed to 63.4% for oral sedation. This was an increase from 53.5% from the previous 2 years with oral sedation. Serious adverse event rate was 0% (0/508) for oral sedation and 0.2% (1/418) for IOGA. Comparing 2 years before and after IOGA revealed a decrease in oral sedations from 930 to 508, whereas IOGA increased from 0 to 418 cases. Anesthesia services in dental clinic increased complete dental care and complete radiographs, reduced failed sedations, and were performed safely.
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Patil, Kavitha, Karishma Munoli, Vinod Kumar, and Kartik Venkataraghavan. "Intraoral Local Anesthesia and Ocular Complications." World Journal of Dentistry 4, no. 2 (2013): 108–12. http://dx.doi.org/10.5005/jp-journals-10015-1214.
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ABSTRACT Background Ocular complications due to intraoral local anesthesia are rare but most distressing to the dentist and patient. Ocular complications after local anesthetic injections are rarely reported in the literature and these complications include strabismus, ptosis, diplopia, blindness, ophthalmoplegia, loss of accommodation. The dentist must be vigilant and beware of ocular complications when performing local anesthetic nerve blocks. Aim The aim and objective of this review is to help the dental surgeons to understand about the causes, mechanisms and symptoms of ocular complications to enable them to diagnose, manage and prevent those complications. Materials and methods The revision included a systematic literature search of past 10 years with keywords dental anesthesia, ocular complications, blindness after dental anesthesia, diplopia following dental anesthesia. Papers for review were chosen from the selected articles. When data did not appear sufficient or were inconclusive; recommendations were based upon expert or consensus opinion by experienced researchers and clinicians. Conclusion The various ocular complications, its causes, mechanisms and management are emphasized in this review paper. As per literature review ocular complications are rare to occur but they are most distressing, clinicians should be aware of complications and should be able to diagnose and understand the complications for timely prevention and effective management. How to cite this article Patil K, Munoli K, Kumar V, Venkataraghavan K. Intraoral Local Anesthesia and Ocular Complications. World J Dent 2013;4(2):108-112.
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Byakodi, Sanjay, Vivek Gurjar, and Sushant Soni. "Glucose Levels and Hemodynamic Changes in Patients submitted to Routine Dental Extraction under Local Anesthesia with and without Adrenaline." Journal of Contemporary Dental Practice 18, no. 1 (January 2017): 57–59. http://dx.doi.org/10.5005/jp-journals-10024-1989.
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ABSTRACT Introduction In maxillofacial surgery, the simplest procedure that we perform is dental extraction. However, this simple procedure is challenged by the patient's poor medical condition. We generally use local anesthesia in combination with adrenaline; however, as we come across patients with diabetes mellitus and cardiovascular diseases who seek dental extraction, we need to be doubly cautious while using adrenaline. In this study, we intend to compare the effects of local anesthesia with adrenaline and local anesthesia without adrenaline on hemodynamic changes (blood pressure and pulse rate) and random blood sugar levels. The comparison is both within the group and between the two groups. Materials and methods Healthy patients between the ages 20 and 60 years were included and randomized into two groups of 50 each. In one group, plain local anesthesia was used, whereas in the other group, local anesthetic solution containing adrenaline was used. Medically compromised patients were excluded from the study. Random blood sugar levels, blood pressures, and pulse rates were recorded in both groups before and 10 minutes after injecting the solutions. The findings were compared. Results When results are compared within the group, a modest increase in the blood sugar level was noted with the group receiving local anesthetic with adrenaline. However, blood pressure and pulse rate showed no significant difference. Similarly, when between-the-groups comparison was done, not a single variable showed any significant difference. Conclusion The patients injected with local anesthesia containing adrenaline showed similar results to that observed in the patients injected with local anesthesia without adrenaline. However, there is a statistically significant rise in blood sugar levels when a local anesthetic is injected with adrenaline. Clinical significance Dental extractions in healthy individuals can be safely performed with local anesthetic containing adrenaline. However, in diabetic patients, it should be cautiously used. How to cite this article Byakodi S, Gurjar V, Soni S. Glucose Levels and Hemodynamic Changes in Patients submitted to Routine Dental Extraction under Local Anesthesia with and without Adrenaline. J Contemp Dent Pract 2017;18(1):57-59.
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Wong, Michelle. "Anesthesia for a Patient With Excessive Supragastric Belching." Anesthesia Progress 64, no. 4 (December 1, 2017): 244–47. http://dx.doi.org/10.2344/anpr-64-04-01.
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Excessive supragastric belching is rarely described in the anesthesia literature. Anesthesia planning of a 26-year-old patient with excessive supragastric belching, history of superior mesenteric artery syndrome (SMAS), and dental anxiety requires preoperative assessment. This case report outlines the anesthetic considerations and the management to facilitate comprehensive dentistry. Key anesthetic considerations include anxiolysis, aspiration risk reduction, total intravenous anesthesia (TIVA), and postoperative nausea and vomiting (PONV) prophylaxis.
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Proskokova, S. V., N. M. Khosrovyan, D. A. Eremin, G. S. Kabisova, N. G. Meskhiya, and E. G. Mikhailova. "Comparative analysis of oral cavity sanation in children under general anesthesia and inhalation anesthesia with nitrogen oxide." Medical alphabet, no. 35 (January 14, 2021): 36–38. http://dx.doi.org/10.33667/2078-5631-2020-35-36-38.
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The aim of this study was to carry out a comparative analysis of the volume of dental intervention under conditions of combined endotracheal anesthesia and inhalation anesthesia of nitrous oxide in pediatric dentistry.Materials and methods. Within the framework of this study, the results of oral cavity sanitation were analyzed in 300 patients aged 2 to 5 years. The median age was 3.7 years. The participants were divided into 2 equal samples: 150 patients underwent sanitation under general anesthesia (anesthesia group), 150 under conditions of inhalation anesthesia of nitrous oxide (sedation group). In the sedation group, there were 83 (55.3%) boys and 67 (44.7%) girls, in the anesthesia group – 89 participants (59.3%) were male, and 61 (40.7%) were female. The patients included in this study had comparable dental status. Also, when performing dental interventions in both groups, according to indications, local anesthesia was performed: children under 4 years old – lidocaine, children over 4 years old – articaine.Results. Based on the results of the analysis of the data obtained, it was found that the number of visits required for full-fledged dental treatment was statistically significantly lower in the anesthesia group compared to the sedation group: thus, all patients who underwent combined endotracheal anesthesia required only one visit to the clinic for necessary treatment. But it was also found that the total time of dental treatment differed depending on the anesthetic aid used: in the anesthesia group, it usually took from 1 to 2 hours (in 98% of patients), during this time a complete sanitation of the oral cavity was carried out, and in the sedation group varied more widely, with half of the patients in the range from 30 minutes to 1 hour (14% and 36.7% of children, respectively), but the number of visits for complete oral cavity sanitation increased to 8.Conclusions. In the present work, it was revealed that dental treatment under general anesthesia in children was more effective than the same treatment under conditions of inhalation anesthesia of nitrous oxide with preserved consciousness. The use of combined endotracheal anesthesia allows to reduce the number of visits to the clinic and avoid refusals from further dental treatment. General anesthesia was also more effective than sedation in terms of the number of cured teeth with caries, chronic pulpitis and extracted teeth. Nitrous oxide inhalation anesthesia provides partial retention of consciousness, is more manageable and better tolerated by children.
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Wong, Michelle. "Ambulatory Anesthesia for a Case of Idiopathic Bronchiolitis Obliterans." Anesthesia Progress 68, no. 2 (June 1, 2021): 98–106. http://dx.doi.org/10.2344/anpr-68-01-05.
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Bronchiolitis obliterans is rarely described in the nonlung transplant anesthesia literature. This case report describes a 27-year-old female patient with idiopathic bronchiolitis obliterans and dental anxiety who safely received intravenous deep sedation using diphenhydramine, dexmedetomidine, and ketamine in an ambulatory community dental clinic. This report outlines the anesthetic plan developed following a thorough preoperative assessment and review of the key anesthetic considerations of idiopathic bronchiolitis obliterans (eg, potential respiratory complications and appropriateness for the ambulatory dental environment) and discusses the careful anesthetic management of this patient using deep sedation to facilitate comprehensive restorative dentistry.
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Asahi, Yoshinao, Ryosuke Fujii, Naoko Usui, Hajime Kagamiuchi, Shiro Omichi, and Junichiro Kotani. "Repeated General Anesthesia in a Patient With Noonan Syndrome." Anesthesia Progress 62, no. 2 (June 1, 2015): 71–73. http://dx.doi.org/10.2344/0003-3006-62.1.71.
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Abstract Noonan syndrome (NS) is an autosomal dominant disorder characterized by facial anomalies, short stature, chest deformity, congenital heart diseases, and other comorbidities. The challenges faced during anesthetic management of patients with NS could be due to congenital heart diseases, hemostatic disorders, and airway anomalies. Here we describe dental treatment under general anesthesia performed for a 28-year-old man with NS. He had characteristic features of NS along with mild pulmonary valve stenosis. Dental treatment under general anesthesia was performed successfully on 13 occasions with nasotracheal intubation under curve-tipped suction catheter guidance or insertion of a reinforced laryngeal mask airway. This case suggests that for patients with NS, who might present several challenges, dental anesthesiologists should consider the extent of the patient's disorders to enable them to perform dental treatment safely under general anesthesia.
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Bogaevskaya, O. Yu, and S. T. Sokhov. "The risks of injection anesthesia in dentistry." RUDN Journal of Medicine 24, no. 1 (December 15, 2020): 61–68. http://dx.doi.org/10.22363/2313-0245-2020-24-1-61-68.
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The article intends to study the risks of performing injection anesthesia for dentists experiencing chronic fatigue syndrome. Materials and methods used: The survey was conducted from August to November 2019 at various dental clinics of Moscow, with 308 dentists having filled in the questionnaire. Information source: The “Questionnaire on Assessing Injection Security and Chronic Fatigue Syndrome” was offered to dentists from clinics representing different types of ownership and contained 88 questions. Results: 97,14% of the respondents were feeling anxious while performing local anesthesia, yet, regrettably, 14,28% of them had to refer the patient to a dental surgeon for this procedure. 17,14% (n=53) of the 308 respondents noted that they had to confront the patient’s general condition worsening significantly due to a local anesthetic injection prior to the start of dental treatment. The mistakes made mostly had to do with anesthetic choice (26,73%), needle choice (12%), and needle breakage (3,78%). 17,14 per cent of dentists had the experience of confronting grave, even fatal outcomes of anesthesia. The majority of dentists (74,29%) work from 41,2 to 57,7 hours weekly. The risk of developing chronic fatigue syndrome was assessed as high in 11,43% of all cases. Conclusion: Given the absence of prophylaxis in 45,71% of cases related to anesthetic injection and the increased concentration of vasoconstrictor in the anesthetic in 88,57% of all instances, keeping records of complications caused by injection anesthesia is recommended.
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Saxen, Mark A., Richard D. Urman, Juan F. Yepes, Rodney A. Gabriel, and James E. Jones. "Comparison of Anesthesia for Dental/Oral Surgery by Office-based Dentist Anesthesiologists versus Operating Room-based Physician Anesthesiologists." Anesthesia Progress 64, no. 4 (December 1, 2017): 212–20. http://dx.doi.org/10.2344/anpr-65-01-04.
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Few studies have examined the practice characteristics of dentist anesthesiologists and compared them to other anesthesia providers. Using outcomes from the National Anesthesia Clinical Outcomes Registry and the Society for Ambulatory Anesthesia Clinical Outcomes Registry for dental/oral surgery procedures, we compared 7133 predominantly office-based anesthetics by dentist anesthesiologists to 106,420 predominantly operating room anesthetics performed by physician anesthesia providers. These encounters were contrasted with 34,191 previously published encounters from the practices of oral and maxillofacial surgeons. Children younger than 6 years received the greatest proportion of general anesthetic services rendered by both dentist anesthesiologists and hospital-based anesthesia providers. These general anesthesia services were primarily provided for complete dental rehabilitation for early childhood caries. Overall treatment time for complete dental rehabilitation in the office-based setting by dentist anesthesiologists was significantly shorter than comparable care provided in the hospital operating room and surgery centers. The anesthesia care provided by dentist anesthesiologists was found to be separate and distinct from anesthesia care provided by oral and maxillofacial surgeons, which was primarily administered to adults for very brief surgical procedures. Cases performed by dentist anesthesiologists and hospital-based anesthesia providers were for much younger patients and of significantly longer duration when compared with anesthesia administered by oral and maxillofacial surgeons. Despite the limited descriptive power of the current registries, office-based anesthesia rendered by dentist anesthesiologists is clearly a unique and efficient mode of anesthesia care for dentistry.
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Rivas, Jorge, and Valeria Campos. "Risk factors for anesthesia failure in the mandible." International Journal of Medical and Surgical Sciences 4, no. 2 (October 27, 2018): 1178–85. http://dx.doi.org/10.32457/ijmss.2017.015.
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Local anesthesia is a common procedure in the daily dental practice, however, there are multiple factors affecting the effectiveness of this procedure. Correct identification of the causes of the failure is essential at the time of taking the necessary measures to achieve the anesthetic success. Most problems in the anesthesia of the mandible are due to limited access and anatomical variants, such as: bifid Inferior Alveolar Nerve, Retromolar Foramen, Accessory Mental Foramen, Accessory innervations and Cross Innervations. Moreover, inflammation increases the absorption of anesthetic, reducing its concentration at the site of action. The several techniques available for mandibular anesthesia does not guarantee 100% effectiveness, plus each individual techniques presents indications and complications. Psychological phenomena such as anxiety and fear to the dentist can also increase the perception of pain. The clinician should all aspects involved but also the psychological variables that negatively affect dental patient care in anesthetic procedures.
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Arapostathis, Konstantinos Nikolaos, Nikolaos Nestoras Dabarakis, Trilby Coolidge, Anastasios Tsirlis, and Nikolaos Kotsanos. "Comparison of Acceptance, Preference, and Efficacy Between Jet Injection INJEX and Local Infiltration Anesthesia in 6 to 11 Year Old Dental Patients." Anesthesia Progress 57, no. 1 (March 1, 2010): 3–12. http://dx.doi.org/10.2344/0003-3006-57.1.3.
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Abstract Needleless devices have been developed to provide anesthesia without injections. Little controlled research has examined the acceptability of needleless devices in pediatric patients. The aims of the study were to compare children’s acceptance and preference for one type of needleless jet injection with classical local infiltration as well as to evaluate the efficacy of the needleless anesthesia. Eighty-seven nonfearful children with no previous experience of dental anesthesia were studied using a split-mouth design. The first dental procedure was performed with the classical infiltration anesthesia. The same amount of anesthetic was administered using the INJEX needleless device in a second session 1 week later, during which a second dental procedure was performed. Patients rated their acceptance and preference for the 2 methods, and the dentist recorded data about the need for additional anesthesia. More negative experiences were reported for the INJEX method. Most (73.6%) of the children preferred the traditional method. Among the 87 treatment procedures attempted following the use of INJEX, 80.5% required additional anesthesia, compared with 2.3% of those attempted following traditional infiltration. Traditional infiltration was more effective, acceptable, and preferred, compared with the needleless INJEX.
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Maeda, Shigeru, Yumiko Tomoyasu, Hitoshi Higuchi, Minako Ishii-Maruhama, Masahiko Egusa, and Takuya Miyawaki. "Independent Predictors of Delay in Emergence From General Anesthesia." Anesthesia Progress 62, no. 1 (March 1, 2015): 8–13. http://dx.doi.org/10.2344/0003-3006-62.1.8.
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Abstract Some patients with intellectual disabilities spend longer than others in emergence from ambulatory general anesthesia for dental treatment. Although antiepileptic drugs and anesthetics might be involved, an independent predictor for delay of the emergence remains unclear. Thus, a purpose of this study is to identify independent factors affecting the delay of emergence from general anesthesia. This was a retrospective cohort study in dental patients with intellectual disabilities. Patients in need of sedative premedication were removed from participants. The outcome was time until emergence from general anesthesia. Stepwise multivariate regression analysis was used to extract independent factors affecting the outcome. Antiepileptic drugs and anesthetic parameters were included as predictor variables. The study included 102 cases. Clobazam, clonazepam, and phenobarbital were shown to be independent determinants of emergence time. Parameters relating to anesthetics, patients' backgrounds, and dental treatment were not independent factors. Delay in emergence time in ambulatory general anesthesia is likely to be related to the antiepileptic drugs of benzodiazepine or barbiturates in patients with intellectual disability.
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Anisimova, E. N., N. Y. Anisimova, N. A. Ryazantsev, A. V. Dayan, and I. V. Orekhova. "The study and analysis of the prognosis criteria for a safe local anesthesia in patients with arterial hypertension." Parodontologiya 26, no. 2 (June 30, 2021): 119–23. http://dx.doi.org/10.33925/1683-3759-2021-26-2-119-123.
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Relevance. To develop the algorithm for a safe and effective local anesthesia in dental outpatients with arterial hypertension.Materials and methods. The study was conducted in the laboratory of functional and clinical studies of Moscow State University of Medicine and Dentistry. Electric pulp testing (µA) was performed and pulp microcirculation (PU) was assessed in the intact teeth of patients with hypertension before and 5, 10, 15, 30 and 60 minutes after the administration of local anesthesia. We used 4% articaine solutions without a vasoconstrictor and with its minimal concentration 1:200 000 and 1:400 000, and 3% mepivacaine solution. The safety of the administered local anesthetic was assessed by the continuous hemodynamic monitoring.Results. 4% articaine solution without epinephrine had a shallow anesthetic effect in the maxilla and anterior mandible. 1:400 000 and 1:200 000 vasoconstrictor concentrations in 4% articaine solution increase the depth and duration of the anesthesia from 20 to 30 minutes respectively. Changes in the pulp sensibility but not in blood microcirculation were demonstrated by the functional parameters of the intact dental pulp in patients with hypertension after the administration of 3% mepivacaine solution at the mandibular foramen. The continuous hemodynamic monitoring data showed no changes in arterial blood pressure, heart rate, oxygen saturation on administration of either of the studied local anesthetic solutions or techniques.Conclusion. The analysis of the prognosis criteria for a safe local anesthesia allowed us to ground the choice of anesthetic in dental outpatients with arterial hypertension.
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Rosa, Andrei, Isabella Candido, Alex Semenoff-Segundo, Ivan Onone Gialain, and Alexandre Meireles Borba. "Use of local anesthetics in individuals with chronic renal failure." Concilium 24, no. 3 (March 1, 2024): 422–35. http://dx.doi.org/10.53660/clm-2915-24d07.
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Individuals with chronic renal failure (CRF) undergoing hemodialysis often develop systemic arterial hypertension (SAH) and have to consider which anesthetic should be used in dental interventions. The objective of this study was to evaluate the action of anesthetics with (AV) and without vasoconstrictor (AWV) in individuals with CRF, in need of dental treatment. Randomly, dental hemiarchs were subjected to anesthetic infiltration with a 1.8 mL tube (for one moment with AV and another moment AWV). Oxygen saturation (SaO2), heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured before and after anesthesia. The results demonstrated a statistical difference only in SaO2 5 minutes after anesthesia in comparison with the AV and AWV groups, highlighting the safety of its use, as long as in small quantities, in individuals with CRF.
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Campbell, Robert L., Navin S. Shetty, Kaavya S. Shetty, Herbert L. Pope, and Jeffrey R. Campbell. "Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children." Anesthesia Progress 65, no. 4 (December 1, 2018): 225–30. http://dx.doi.org/10.2344/anpr-65-03-04.
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Dental treatment of young pediatric patients can be confounded by lack of cooperation for dental rehabilitation procedures and even examination and/or radiographs. With the recent US Food and Drug Administration warning applied to many anesthetic/sedative agents for children less than 3 years old, a retrospective review of general anesthesia (GA) cases from 1 private pediatric dental practice was studied for age, gender, body mass index, anesthetic duration, airway management used, extent of dental surgical treatment, recovery time, and cardiac/pulmonary complications. For the 2016 calendar year, 351 consecutive GA cases were identified with patients aged 2–13 years. Of these, 336 underwent nasal endotracheal intubation. Forty-six of 351 patients (13%) were younger than 3 years. Median anesthesia duration was approximately 1.7 hours for all age groups. Dental treatment consisting of 8–9 teeth including crowns, fillings, and extractions was most frequently encountered. One hundred sixty-eight patients (48%), however, required care for 10–18 teeth. There were no episodes of significant oxygen desaturation. The overall complication rate was 1.1%, with 2 cases of postextubation croup, 1 case of mild intraoperative bronchospasm, and 1 case of intraoperative bradycardia. Complications did not correlate with children being overweight or obese.
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Lazarev, Vladimir V., and Dinar M. Khaliullin. "Inhalation anesthesia in children in outpatient dentistry: xenon or sevoflurane?" Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 10, no. 4 (December 29, 2020): 435–43. http://dx.doi.org/10.17816/psaic721.
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Abstract. The choice of optimal anesthetic in outpatient dental practice is an important stage in treatment plan preparation for children who need oral sanitation under general anesthesia. Few works were devoted to the comparative characterization of sevoflurane and xenon, especially in conditions of outpatient dental practice.
Aim. This study aimed to compare the characteristics of xenon and sevoflurane inhalation anesthesia at the stage of maintaining anesthesia in outpatient dental practice.
Materials and methods. This is an open, comparative, and randomized study, in parallel groups with random sampling. A total of 103 patients of both sexes aged 212 years were included. Children were divided into 2 groups: group 1 (35 children), with sevoflurane anesthesia and group 2 (68 children), with xenon anesthesia. In each and between groups at stages of anesthesia, data from the bispectral (BIS) index, heart rate, blood pressure, lung ventilation, glucose, acid-base status, and ionic composition of venous blood were monitored.
Results. Significant differences between groups were observed in the BIS-index values at the end of anesthesia, indicating a faster awakening of patients under xenon anesthesia. Blood pressure and heart rate indicators in the xenon group at the beginning and end of the study are not statistically significant compared to the sevoflurane group. Remaining indicators did not show significant differences between groups.
Conclusion. The use of sevoflurane and xenon during general anesthesia in outpatient dental practice characterized by the stability of the acid-base state, ion composition, and glucose concentration allows adequate conditions for spontaneous ventilation with pressure support. However, a faster awakening of the patient at the end was observed when using xenon. Diastolic blood pressure and heart rate in the xenon group after the end of anesthesia are close to baseline values.
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Esmaeili, Hadi, Mohammad Malekzadeh, Davood Esmaeili, and Farid Nikeghbal. "Dental anxiety and the effectiveness of local anesthesia." Brazilian Journal of Oral Sciences 19 (August 14, 2020): e208127. http://dx.doi.org/10.20396/bjos.v19i0.8658127.
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Aim: The successful anesthesia is an essential factor for dental treatment. This study aimed at determining the effectiveness of local anesthesia and it’s relationship with dental Anxiety. Methods: This cross-sectional study was carried out on 256 dental patients, in 2017. Dental Anesthesia was administered after completing the Modified Dental Anxiety Scale by the patients. The level of anesthesia was recorded in one of three states (successful, difficult, and failed). Collected data was analyzed using SPSS version 22 and tests of, Chi-square, independent t-test, analysis of variance, and logistic regression model. Results: About 60.5% subjects had moderate-severe dental anxiety. The mean of dental anxiety significantly was lower in the successful anesthesia group (P<0.01). Patients with elementary education had a significantly higher level of dental anxiety (P<0.01). Dental anxiety was significantly higher in the age group of ≥59 years, compared to the other age groups, except for 49-58 years (P<0.05). Subjects with a significantly higher level of dental anxiety more delayed their visits to the dentist. The logistic regression model showed that the dental anxiety (high anxiety) and literacy level (elementary) were the most important predictors of failed or difficult anesthesia. Conclusion: Informing patients about dental treatment procedures, regular and periodic visits to the dentist, using psychotherapeutic techniques to reduce dental anxiety before anesthesia, could play an important role in the success of anesthesia.
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Beegum, Fahanna, Eman Monier, Shaimaa N. Elshaboury, Abeer I. Alghofaili, Mohammed A. Habibullah, and S. Karthika. "Comparison of Automatically Controlled Injection System with a Traditional. Syringe for Multiple Infiltrations in Children Aged 6–12 Years: A Randomized Controlled Trial." Journal of Pharmacy and Bioallied Sciences 16, Suppl 2 (April 2024): S1535—S1538. http://dx.doi.org/10.4103/jpbs.jpbs_1214_23.
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ABSTRACT Children’s conduct is significantly impacted by pain during dental procedures. Children’s pain and discomfort can be reduced using computer-controlled local anesthetic delivery, which applies a steady, gradual flow of the anesthetic solution into the tissues. Using a self-report anxiety scale, the study aimed to assess and compare children’s perceptions of discomfort following a new auto-controlled injection method to a traditional local anesthetic procedure. A total of 25 children, ages 6–12 requiring the use of local anesthesia for treatment on both sides of the arch were selected. It was a split-mouth design, in which each participating child received both types of infiltrations in two separate, consecutive visits, using a metallic syringe in one session, and using the I-Ject device in the other. Before administering anesthesia, all the children’s anxiety scales were recorded using the Modified Child Dental Anxiety Faces Scale simplified to assess the anxiety level of a child. In the first appointment, Conventional anesthetic technique was and in the second appointment anesthesia was delivered using a computer-controlled device. Faces pain scaleRevised, a selfreport measure of pain was recorded immediately after completion of both types of local anesthesia (LA) administration. Patients reported greater comfort with the I-Ject computer-controlled device than with conventional anesthesia. Together with the practitioner, the computer system produced a pleasant and cozy environment for the youngster.
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Solomon, Alvin. "Indications for Dental Anesthesia." Dental Clinics of North America 31, no. 1 (January 1987): 75–80. http://dx.doi.org/10.1016/s0011-8532(22)00395-0.
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Daymude, Marc L., and Michael W. Hilliard. "Emergency Dental Anesthesia Blocks." Advanced Emergency Nursing Journal 29, no. 2 (April 2007): 172–79. http://dx.doi.org/10.1097/01.tme.0000270340.13542.2f.
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Rosenberg, Morton B. "ANESTHESIA-INDUCED DENTAL INJURY." International Anesthesiology Clinics 27, no. 2 (1989): 120–25. http://dx.doi.org/10.1097/00004311-198902720-00010.
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Abbas, Beenish, Sana Abbas, Muhammad Umair, Ramesha Azam, Majida Rahim, and Batool Zara. "Perceptions and Anxiety Level of Students during Administration of Local Anesthesia." Journal of Bahria University Medical and Dental College 12, no. 01 (December 29, 2021): 41–45. http://dx.doi.org/10.51985/jbumdc2021089.
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Objective: To assess perceptions and anxiety levels of dental students during administration of local anesthesia Study Design & Setting: This comparative cross sectional study was conceived in Foundation University Dental College and conducted in multiple institutes after endorsement from the ethical committee of the university from August – October 2021. Methodology: The questionnaire comprised of three sections which included demographic profile section, perceptions, and experience of administration of mandibular, maxillary, or inferior alveolar nerve block on the 5-point Likert’s scale and comparative anxiety analysis before, during or after local anesthetic administration with interval scale of anxiety response. Results: It was found that 311 (81.8%) dental students/professionals were anxious (cumulative response of “little nervous” and above) before administrating local anesthesia injection. It was found that students were significantly more anxious during and after local anesthesia administration as compared to clinical practitioners (p<0.001). About 89% of the responders agreed to the usefulness of video demonstration while 98% agreed to the usefulness of hands-on practice of local anesthesia administration techniques Conclusion: Students were significantly more anxious during and after local anesthesia administration as compared to clinical practitioners. Video demonstration and hands-on practice are useful adjuvants in the reduction of local anesthesia administration anxiety
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Nakajima, Atsushi, Akira Ohshima, Haruhisa Fukayama, and Tatsuki Kinoshita. "Perioperative Management of a Patient With Cornelia de Lange Syndrome and Tetralogy of Fallot." Anesthesia Progress 66, no. 3 (September 1, 2019): 159–61. http://dx.doi.org/10.2344/anpr-66-04-02.
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This is a case report of a 21-year-old male patient with Cornelia de Lange syndrome (CdL) and unrepaired tetralogy of Fallot scheduled for dental treatment under general anesthesia. Anticipated dental care consisted of restorative treatment and extractions. Surgical correction of the patient's congenital cardiac abnormalities had not occurred by the time of dental treatment. As such, the developed anesthetic plan included the following goals: prevention of any anoxic episodes or spell and preparation for difficult airway management due to micrognathia secondary to CdL. To help ensure adequacy of oxygenation during induction, the normal anesthetic face mask was specially modified with a hole to permit use of the fiberoptic scope during induction and intubation. With preoperative consultation involving a cardiologist as well as the use of the modified mask, general anesthesia was safely administered without any complications.
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Duka, Milos, Zoran Lazic, Novak Stamatovic, Zoran Tatic, Marija Bubalo, and Milic Veljovic. "Clinical parameters of the local anesthetic effects of bupivacaine applied with and without a vasoconstrictor in oral implantology." Vojnosanitetski pregled 64, no. 9 (2007): 611–15. http://dx.doi.org/10.2298/vsp0709611d.
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Background/Aim. Bupivacaine (Marcaine?), homologue of mepivacaine, chemically related to lidocaine, is used as a local anesthetic for local infiltration, peripheral nerve block, retrobulbar block, symphathetic block, and caudal and epidural anesthesia. The aim of this investigation was to determine and to compare clinical parameters of the local anesthetic effects of bupivacaine applied with and without a vasoconstrictor. Methods. This investigation included a total of 30 randomly selected patients, who ranged in age from 30?60 years, with partial or total anodontia in the molar region of the mandible. These patients with total or partial edentulous molar part of the mandible, scheduled for dental implantation placement, were asked to participate in the study. In the first phase of the investigation, the patients were subjected to local anesthesia with 3.5 cm3 of 0.5% bupivacaine with a vasoconstrictor (adrenalin, 1: 200 000) in the right side of the mandible. After administering local anesthesia, the placement of blade, cylindrical, transdental (B.C.T.) implants was performed. In the second stage of the investigation, in 7?10 days period after the first oral surgery, the patients were subjected to local anesthesia with 3.5 cm3 of 0.5% bupivacaine, but without a vasoconstrictor, in the left side of the mandible. After administering local anesthesia, the placement of B.C.T. implants was performed. During the performance of both oral surgery procedures, the following clinical parameters of the local anesthetic effects were monitored: latent period, duration and the potency of anesthesia, and the evaluation of the postoperative pain level. Results. The latent period under local anesthesia with 3.5 cm3 of 0.5% bupivacaine and vasoconstrictor was statistically significantly shorter than without vasoconstrictor. The duration of local anesthesia was longer without vasoconstrictor. There was no difference in the potency of anesthesia with or without a vasoconstrictor, while the lowest level of postoperative pain was found after administering bupivacaine without a vasoconstrictor use. Conclusion. The results of this investigation show that bupivacaine without a vasoconstrictor is efficient when used for local anesthesia in placing dental implants since it provides better blood circulation required for good dental implant osseointegration. .
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Dos Santos, Antônio José Silva, Rangel Teles Freire, Klinger de Souza Amorim, Francisco Carlos Groppo, and Liane Maciel de Almeida Souza. "ANESTHETIC PROPERTIES OF TWO SOLUTIONS ADMINISTERED BY A COMPUTERIZED INJECTOR USING THE ALVEOLAR CREST SPONGY BONE AREA TECHNIQUE: A RANDOMIZED CLINICAL TRIAL." Revista Contemporânea 3, no. 07 (July 28, 2023): 9445–65. http://dx.doi.org/10.56083/rcv3n7-108.
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Most dental procedures require the use of local anesthetics. The Morpheus™ anesthetic computerized injector (Morpheus™ injector) provides painless needle insertion and satisfactory anesthesia with lower volumes of local anesthetic. The use of the intraseptal Alveolar Crest Spongy Bone Area (ACSBA) anesthesia technique with the Morpheus™ injector is an alternative to painless treatment. Thus, the objective of this study was to evaluate the anesthetic properties of the ACSBA technique using two different anesthetics, lidocaine and articaine. This randomized, split-mouth, triple-blind clinical trial included 31 volunteers who required restorative treatment of the lower first molars. In two sessions, 2% lidocaine with 1:100000 epinephrine and 4% articaine with 1:100000 epinephrine solutions were administered using the ACSBA technique. Patient physical parameters, pain perception, and degree of anxiety as well as anesthetic properties were evaluated. There were no statistically significant differences between the groups or time points for systolic (p = 0.928) and diastolic (p = 0.450) blood pressure or heart rate (p = 0.624). Moreover, there were no statistically significant differences between the treatments for needle insertion (p = 0.741) or anesthetic deposition (p = 0.810). Both of the anesthetic protocols had a 9.7% failure rate. The Mann-Whitney test showed no statistically significant differences between the groups in anesthesia latency (p = 0.758) or duration (p = 0.791). Articaine and lidocaine were safe drugs, and there was no change in their influence on the evaluated physical parameters. Articaine was similar to lidocaine for anesthesia duration with means of 70.7 and 61.1 min, respectively. The intraseptal ACSBA anesthesia technique was effective, provided sufficient anesthesia duration to perform medium-term dental procedures with articaine and lidocaine, and produced painless anesthesia that provided greater patient comfort.
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Иощенко, Е., E. Ioschenko, Е. Брусницына, E. Brusnitsyna, Н. Ожгихина, N. Ozhgihina, Т. Закиров, T. Zakirov, П. Нерсесян, and P. Nersessian. "USING 4% ARTICAINE COMBINED WITH EPINEPHRINE (1: 100,000 AND 1: 200,000) IN THE PRACTICE OF PEDIATRIC DENTISTRY: CLINICAL CASES DESCRIPTION." Actual problems in dentistry 10, no. 6 (December 25, 2014): 48–51. http://dx.doi.org/10.18481/2077-7566-2014-0-6-48-51.
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<p> Dental care for children at the moment is an important task. A high-quality dental care is impossible without the use of safe and effective anesthesia. One of the main local anesthetics of high-performance dental services is the amide anesthetic articaine. This article discusses two clinical cases using in clinical practice of pediatric dentistry of articaine-containing drug Ultracaine®. </p>
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Maeno, Makoto, Ken-ichi Fukuda, Toyoaki Sakamoto, Yoshihiko Koukita, and Tatsuya Ichinohe. "Remifentanil in Combination With Propofol Is Suitable for Use in the Dental Outpatient Setting." Anesthesia Progress 63, no. 3 (September 1, 2016): 116–21. http://dx.doi.org/10.2344/15-00011.1.
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Although several adjuncts to the general anesthetic propofol have been proposed, there is insufficient research identifying the ideal agent, and in what dosage, to combine with propofol in dental outpatient anesthesia. Here we examined the combination of remifentanil or nitrous oxide and propofol in patients with severe dental avoidance undergoing dental treatment in the outpatient setting. Eighty patients were randomized to 4 groups and administered propofol/saline solution (PS; n = 20), propofol/remifentanil 0.25 μg/kg/min (PRe-0.25; n = 20), propofol/remifentanil 0.125 μg/kg/min (PRe-0.125; n = 20), or propofol/66% nitrous oxide (PN; n = 20). During anesthesia, the bispectral index value was kept between 40 and 60. Body movements and hemodynamic changes during anesthesia, emergence, and recovery as well as anesthetic cost were compared between the combinations. Body movements were observed in all patients administered PS but in no patients administered PRe-0.25, PRe-0.125, or PN. Postoperative nausea was observed in 5 patients (25%) administered PRe-0.25 and in 1 patient (5%) administered PN. Although both PRe-0.125 and PN were useful clinically, PRe-0.125 was the least expensive combination.
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Boynes, Sean G., Paul A. Moore, Peter M. Tan, and Jayme Zovko. "Practice Characteristics Among Dental Anesthesia Providers in the United States." Anesthesia Progress 57, no. 2 (June 1, 2010): 52–58. http://dx.doi.org/10.2344/0003-3006-57.2.52.
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Abstract General descriptions or “snapshots” of sedation/general anesthesia practices during dental care are very limited in reviewed literature. The objective of this study was to determine commonalities in dental sedation/anesthesia practices, as well as to accumulate subjective information pertaining to sedation/anesthesia care within the dental profession. This questionnaire-based survey was completed by participating anesthesia providers in the United States. A standardized questionnaire was sent via facsimile, or was delivered by mail, to 1500 anesthesia providers from a randomized list using an online database. Data from the returned questionnaires were entered onto an Excel spreadsheet and were imported into a JMP Statistical Discovery Software program for analyses. Quantitative evaluations were confined to summation of variables, an estimation of means, and a valid percent for identified variables. A total of 717 questionnaires were entered for data analysis (N = 717). Data from this study demonstrate the wide variation that exists in sedation/anesthesia care and those providing its administration during dental treatment in the United States. The demographics of this randomized population show anesthesia providers involved in all disciplines of the dental profession, as well as significant variation in the types of modalities used for sedation/anesthesia care. Data from this study reveal wide variation in sedation/anesthesia care during dental treatment. These distinctions include representation of sedation/anesthesia providers across all disciplines of the dental profession, as well as variations in the techniques used for sedation/anesthesia care.
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Felipe, Bianca, Sofia Chane, Antonio De Mello, and Gabriela Mayrink. "Knowledge of Dental Students in Relation to Local Anesthetics and Associated Complications." International Journal of Medical and Surgical Sciences 2, no. 2 (October 26, 2018): 461–67. http://dx.doi.org/10.32457/ijmss.2015.013.
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Local anesthesia is the most frequently performed procedure for all dentists and, despite their possible complications, often aspects such as dosage, contraindications and systemic effects are neglected. The objectives of this study are to evaluate prospectively the knowledge of undergraduate students for the technical, dosage and indication of local anesthetics in daily dental practice, in addition to clinical observation of possible complications from anesthesia. Questionnaires were distributed to students asking about the procedure undertaken, anesthetic volume used, because of the choice of the anesthetic, anesthetic dosage calculation, habit of relating the patient's weight dosage with the dosage being applied, habit of observing the reflux in cartridge in the anesthetic infiltration act and adverse effects on patients, type of anesthetic technique performed and expected time to onset of action of the drug. At the end of this study, we intend to be a greater awareness of students (undergraduates) about the systemic effects of local anesthetics in patients, and possibly decrease the expenses of the institution with excessive use of anesthetic cartridges arising from incorrect anesthetic technique. The vast majority of undergraduate students have no knowledge about the type of anesthesia to be used, the amount to be administered and the anesthetic action time. The awareness of students about the dosage of anesthetics and their systemic problems, reduces waste and the cost of the institution by the indiscriminate use of anesthetics, therebycontributing to improve the clinical management of students at graduation.
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Waxman, Bryan Neil. "A 13-Year-Old Girl in Trigeminy During Anesthesia for Outpatient Dental Surgery: A Case Report." Anesthesia Progress 62, no. 3 (September 1, 2015): 110–13. http://dx.doi.org/10.2344/0003-3006-62.3.110.
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Abstract A 13-year-old girl presented to a private office for dental rehabilitation under general anesthesia. The patient had a previous uneventful anesthetic 5 years prior in the same office by another dental anesthesiologist. The patient was highly anxious and would not allow monitors placed prior to induction. After an uneventful mask induction with sevoflurane, nitrous oxide, and oxygen, monitors were placed and a 22-gauge intravenous cannula inserted. The initial rhythm on the electrocardiogram was trigeminy interspersed with normal sinus rhythm. The volatile anesthetic sevoflurane was discontinued immediately, and intravenous anesthesia was started but still the patient was consistently entering trigeminy. The patient was always hemodynamically stable and never hypoxic. An in-depth discussion of the case and discussion of ventricular dysrhythmias is presented.
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Burić, Nina, Simona Stojanović, and Kristina Burić. "The clinical significance of intrapulpal anesthesia for painless dental procedure." Acta stomatologica Naissi 36, no. 82 (2020): 2117–23. http://dx.doi.org/10.5937/asn2082117b.
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Introduction:The elimination of odontalgia and all other forms of oral pain that occurs on dental tissues during dental interventions is still one of the main goals in the dental profession. Aim: The aim of this paper wasto perform an analysis of the literature data on the use of supplementary intrapulpal anesthesia in clinical dental practice. Material and methods: Literature data on the use of intrapulpal anesthesia, the characteristics of this technique of supplementary anesthesia as well as the results of its application were collected. Various databases were used for this purpose, digital data from Google Scholar, Medline, Science-Direct, as well as traditional libraries with manuscripts in printed form were most often taken. Conclusion: The use of supplementary intrapulpal anesthesia in dental/endodontic practice represents a practical and successful type of local anesthesia, when standard mandibular anesthesia for the lower alveolar nerve does not provide a deep enough periinterventional analgesia for dental procedures.
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Mansuri, Samir, Ahmed Bhayat, Esam Omar, Fadi Jarab, and Mohammad Sami Ahmed. "A Randomized Controlled Trail Comparing the Efficacy of 0.5% Centbucridine to 2% Lignocaine as Local Anesthetics in Dental Extractions." International Journal of Dentistry 2011 (2011): 1–4. http://dx.doi.org/10.1155/2011/795047.
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The development of local anesthesia in dentistry has marked the beginning of a new era in terms of pain control. Lignocaine is the most commonly used local anesthetic (LA) agent even though it has a vasodilative effect and needs to be combined with adrenaline. Centbucridine is a non-ester, non amide group LA and has not been comprehensively studied in the dental setting and the objective was to compare it to Lignocaine. This was a randomized study comparing the onset time, duration, depth and cardiovascular parameters between Centbucridine (0.5%) and Lignocaine (2%). The study was conducted in the dental outpatient department at the Government Dental College in India on patients attending for the extraction of lower molars. A total of 198 patients were included and there were no significant differences between the LAs except those who received Centbucridine reported a significantly longer duration of anesthesia compared to those who received Lignocaine. None of the patients reported any side effects. Centbucridine was well tolerated and its substantial duration of anesthesia could be attributed to its chemical compound. Centbucridine can be used for dental procedures and can confidently be used in patients who cannot tolerate Lignocaine or where adrenaline is contraindicated.
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Kotani, Taichi, Satoki Inoue, and Masahiko Kawaguchi. "Perioperative Dental Injury Associated With Intubated General Anesthesia." Anesthesia Progress 69, no. 1 (April 1, 2022): 3–9. http://dx.doi.org/10.2344/anpr-68-03-02.
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Objective: Factors related to perioperative dental injury have likely changed as a variety of airway devices and preventive measures have been introduced. This retrospective chart review used data from an institutional registry to evaluate the incidence, timing, and contributing factors of patient self-reported dental injury and to assess the impact of dental injury on patient satisfaction. Methods: Multivariate logistic analysis was performed on the records of 14,820 patients using the incidence of dental injury as the dependent variable and covariates in the anesthesia registry and a postoperative questionnaire as independent variables to investigate factors significantly associated perioperative dental injury. In addition, satisfaction with the anesthesia service was compared between patients with and without injury using a matched-pair population. Results: A total of 101 dental injuries were identified. Of those, 25% were associated with intubation and extubation in the operating room, while most other injuries occurred postoperatively. Duration of anesthesia (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00–1.03) and emergency surgery (OR, 1.92; 95% CI, 1.11–3.30) were independently associated with perioperative dental injury. Dental injury did not significantly decrease a patient's satisfaction with the anesthesia service (P = .441). Conclusion: Most perioperative dental injuries are unrelated to anesthesia procedures. However, the duration of anesthesia and emergency surgery were significantly associated with perioperative dental injury, while decreased patient satisfaction was not.
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Saoji, Hrishikesh, Mohan Thomas Nainan, Naveen Nanjappa, Mahesh Ravindra Khairnar, Meeta Hishikar, and Vivek Jadhav. "Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial." Journal of Dental Research, Dental Clinics, Dental Prospects 13, no. 4 (December 23, 2019): 298–304. http://dx.doi.org/10.15171/joddd.2019.045.
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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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Nagano, Saki, Masanori Tsukamoto, and Takeshi Yokoyama. "Anesthetic Management of a Patient With Fanconi Anemia." Anesthesia Progress 66, no. 4 (December 1, 2019): 218–20. http://dx.doi.org/10.2344/anpr-66-02-06.
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Fanconi anemia (FA) is a type of bone marrow failure syndrome based on an autosomal recessive inherited trait with increased predisposition for other cancers. It is extremely rare and is characterized by short stature, polydactyly, and pancytopenia. At present, the only effective treatment for FA is allogeneic hematopoietic stem cell transplantation (SCT). Chemotherapy is necessary prior to allogeneic SCT. Dental treatment is usually performed before chemotherapy to reduce potential infections. We experienced the anesthetic management of a 4-year-old boy diagnosed with FA, who underwent extensive dental extractions before chemotherapy for SCT. In the preoperative examination, the platelet count was decreased to less than 3.0 × 104 cells/μL because of chronic pancytopenia. The patient received 20 units of platelet transfusion over 3 days prior to anesthesia. Dental surgery and multiple dental extractions were successfully completed under general anesthesia with sevoflurane, fentanyl, and remifentanil, and chemotherapy started 3 days postoperatively.
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Putri, Nurhayani, and Leny Sang Surya. "Use of local anesthesia in children: literature review." Makassar Dental Journal 10, no. 3 (December 13, 2021): 279–82. http://dx.doi.org/10.35856/mdj.v10i3.465.
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Local anesthetic agents are drugs used to relieve pain that may occur during dental procedures, one of them is tooth extraction. Lo-cal anesthetics are divided into two groups, namely esters and amides. Local anesthetics aim to immobilize the sensory nerves locally by administering drugs or other medical interventions so that the patient cannot feel pain for a certain duration of time. The use of local anesthesia is usually combined with topical anesthesia to relieve pain due to needle injection. Giving local anes-thesia to children is a psychological barrier for children because usually children are not tolerant of pain and fear. Providing good dental care without pain and comfort is the dentist's responsibility.
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Carter, Jennifer E., Alison A. Motsinger-Reif, William V. Krug, and Bruce W. Keene. "The Effect of Heart Disease on Anesthetic Complications During Routine Dental Procedures in Dogs." Journal of the American Animal Hospital Association 53, no. 4 (July 1, 2017): 206–13. http://dx.doi.org/10.5326/jaaha-ms-6512.
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ABSTRACT Dental procedures are a common reason for general anesthesia, and there is widespread concern among veterinarians that heart disease increases the occurrence of anesthetic complications. Anxiety about anesthetizing dogs with heart disease is a common cause of referral to specialty centers. To begin to address the potential effect of heart disease on anesthetic complications in dogs undergoing anesthesia for routine dental procedures, we compared anesthetic complications in 100 dogs with heart disease severe enough to trigger referral to a specialty center (cases) to those found in 100 dogs without cardiac disease (controls) that underwent similar procedures at the same teaching hospital. Medical records were reviewed to evaluate the occurrence of anesthetic complications. No dogs died in either group, and no significant differences were found between the groups in any of the anesthetic complications evaluated, although dogs in the heart disease group were significantly older with higher American Society of Anesthesiologists scores. Midazolam and etomidate were used more frequently, and alpha-2 agonists used less frequently, in the heart disease group compared to controls. This study suggests dogs with heart disease, when anesthetized by trained personnel and carefully monitored during routine dental procedures, are not at significantly increased risk for anesthetic complications.
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Mulyadi, Eko. "Kajian Pustaka: Potensi Hypnosis untuk Mengurangi Nyeri pada Pasien yang Mendapatkan Perawatan Gigi dan Mulut." STOMATOGNATIC - Jurnal Kedokteran Gigi 18, no. 2 (October 11, 2021): 47. http://dx.doi.org/10.19184/stoma.v18i2.28054.
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The purpose of this literature review is to find out whether hypnosis can be used to reduce pain in patients receiving dental and oral care. Hypnosis has been used to treat acute and chronic pain, anxiety, and other positive benefits before, during and after surgery. However, in the field, the use of hypnosis is still little used and even many who doubt its effectiveness. We reviewed articles in English using keywords: hypnosis, pain, anesthesia, dental, procedure with a time span from 1846 to 2019, with 20 selected articles on google scholars, pubmed, science direct, and the national library portal of the republic of Indonesia (PNRI). , Mesmerism hypnosis and Ericsonian hypnosis have been used for anesthesia for a long time before chemical anesthesia was discovered, the use of chemical anesthesia makes hypnosis no longer used as the main anesthetic in surgery, but in certain cases such as patients with multiple chemical sensitivity or patients with contraindications for general anesthesia, hypnosis still used as the primary anesthetic in surgery, currently hypnosis is widely used in perioperative surgery. The use of hypnosis with chemical anesthetics can increase the benefits and there are no reported side effects. Conclusion: hypnosis can be used as primary anesthesia, especially in certain cases, it needs well-designed research such as randomized control trials on the use of hypnosis with chemical anesthetics, both perioperatively and intraoperatively to obtain clearer and consistent scientific information about hypnosis and chemical anesthetics.
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Matsuda, Shinpei, Hisato Yoshida, and Hitoshi Yoshimura. "A preliminary study on the assessment of pain using figures among patients administered with dental local anesthesia for mandibular third molar extraction." Medicine 102, no. 31 (August 4, 2023): e34598. http://dx.doi.org/10.1097/md.0000000000034598.
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The aim of this study was to clarify or determine any possible association between pain reports with a visual analogue scale (VAS) and a figures based scale. This research was a preliminary study aimed at developing a new pain scale without any verbal description. Healthy Japanese patients aged 20 to 39 years who received anesthetic injections for mandibular third molar extraction at our department were enrolled. Regarding pain from dental local anesthetic injections, we recorded figures selected by participants (among options of a circle, triangle, square, bar, and cross), and VAS scores. Overall, 29 men and 31 women participated in the study. Pain caused by local dental anesthesia tended to remind both men and women of the triangle among the suggested figures. Furthermore, patients who chose a cross also reported higher VAS scores than those who chose other figures. Acute pain caused by local dental anesthesia was associated with triangles, and patients who selected a cross were associated with higher VAS scores. The results of this study provide clinicians with important information for dental practice, and could prove useful in developing new pain scales.