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Editorial

The Increasing Use of Alcohol-Based Hand Sanitizers

DDS, PhD

DOI: 10.2344/0003-3006(2005)52[85:TIUOAH]2.0.CO;2

We all know that frequent hand washing is important to prevent the spread of infectious agents to and from those with whom we have both direct and indirect contact. However, it is not always convenient to wash. Having traveled this past winter to anesthesia board meetings in Australia, Charleston, and Scottsdale, I found that eating on a plane during turbulent weather when seat belts should not be removed prevented me from always washing up first. These incidences were perfect for using alcohol-based hand sanitizers. One merely places a small amount on the hands and then rubs them together until dry.

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Special Report

Office-Based Anesthesia: Requirements for Patient Safety

DOI: 10.2344/0003-3006(2005)52[86:OARFPS]2.0.CO;2

INTRODUCTION

Thank you for honoring me with your Society's Heid-brink Award. It is a humbling truth, however, that as I look back on my 45 years of practicing anesthesia, I feel ill prepared to become clairvoyant regarding the newest and latest things that will advance our practices to the next level of patient care. Many changes have occurred in our practices over the past decades. These include technical, socioeconomic, and cultural changes. Also, for the most part, each subsequent change is a little more complex than its predecessor. However, the question remains: have changes been made for the betterment of

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Scientific Reports

Factors Influencing the Discomfort of Intraoral Needle Penetration

PhD, FDSRCPS,

BDS, MFDS, and

BDS, MFDS

DOI: 10.2344/0003-3006(2005)52[91:FITDOI]2.0.CO;2

Abstract

This study with 24 volunteers compared the discomfort produced by needle penetration in different parts of the palatal mucosa. In addition, comparing a fresh needle to one that was used for a previous penetration in the same patient, we assessed the influence of the status of the needle on insertion discomfort during buccal mucosal penetration. The results showed that needle penetration in the anterior hard palate was more uncomfortable than in the posterior palate. Although men could not differentiate between fresh and used needles for a second buccal mucosal penetration, women reported a significant increase in discomfort with used needles.

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Initial Injection Pressure for Dental Local Anesthesia: Effects on Pain and Anxiety

DDS, PhD

DOI: 10.2344/0003-3006(2005)52[95:IIPFDL]2.0.CO;2

Abstract

This study quantitatively assessed injection pressure, pain, and anxiety at the start of injection of a local anesthetic into the oral mucosa, and confirmed the relationship between injection pressure and pain, as well as between injection pressure and anxiety. Twenty-eight healthy men were selected as subjects and a 0.5-inch (12 mm) 30-gauge disposable needle attached to a computer-controlled local anesthetic delivery system (the Wand) was used. A 0.5 mL volume of local anesthetic solution was injected submucosally at a speed of either 30 or 160 s/mL. Three seconds after the start of local anesthetic injection, injection pressure was measured and pain and anxiety were assessed. Injection pressure was measured continuously in real time by using an invasive sphygmomanometer and analytical software, and pain was assessed on the Visual Analogue Scale and anxiety on the Faces Anxiety Scale. A significant correlation was evident between injection pressure and pain (rs = .579, P = .00124) and between intensity of injection pressure and state anxiety (rs = .479, P = .00979). It is therefore recommended that local anesthetic be injected under low pressure (less than 306 mm Hg) to minimize pain and anxiety among dental patients.

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Case Report

Tiagabine May Reduce Bruxism and Associated Temporomandibular Joint Pain

DOI: 10.2344/0003-3006(2005)52[102:TMRBAA]2.0.CO;2

Abstract

Tiagabine is an anticonvulsant gamma-aminobutyric acid reuptake inhibitor commonly used as an add-on treatment of refractory partial seizures in persons over 12 years old. Four of the 5 cases reported here indicate that tiagabine might also be remarkably effective in suppressing nocturnal bruxism, trismus, and consequent morning pain in the teeth, masticatory musculature, jaw, and temporomandibular joint areas. Tiagabine has a benign adverse-effect profile, is easily tolerated, and retains effectiveness over time. Bed partners of these patients report that grinding noises have stopped; therefore, the tiagabine effect is probably not simply antinociceptive. The doses used to suppress nocturnal bruxism at bedtime (4–8 mg) are lower than those used to treat seizures.

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Departments

Literature Abstracts

DOI: 10.2344/0003-3006(2005)52[105:LA]2.0.CO;2

A. KainA. Caldwell-AndrewsD. KrivutzaM. WeinbergS. WangD. Gaal

Pediatric Anesthesia

Trends in the practice of parental presence during induction of anesthesia and the use of preoperative premedication in the United States, 1995–2002: results of a follow-up national survey

Abstract

In a repeat of a 1995 survey that indicated that most children were taken into the operating room without a sedative premedication or the presence of parents, this follow-up study was conducted in 2002 by initially targeting 5000 anesthesiologists. The results demonstrated a change in practice with many more children receiving a premedication (50% vs 30%), a

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JDSA Journal Abstracts

DOI: 10.2344/0003-3006(2005)52[106:JJA]2.0.CO;2

M. Haraguchi,

Address correspondence to Mitsuhiro Haraguchi, Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, 2-1-3, Tsurumi, Tsurumiku, Yokohama 230-8501, Japan.

M. SasaoI. Noguchi

Effects of 0.75% Ropivacaine on Infiltration Anesthesia Assessed by Somatosensory Evoked Potentials in Rats: Addition of Sodium Chondroitin Sulfate to Enhance Anesthetic Effect

Abstract

This study was designed to examine the effects of infiltration anesthesia of 0.75% ropivacaine and 0.75% ropivacaine containing sodium chondroitin sulfate (SCS) assessed by using somatosensory evoked potentials (SEP) in rats.

A bipolar stimulating electrode was inserted into the upper incisor pulp. The tooth pulp was stimulated electrically, and

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IFDAS Newsletter

DOI: 10.2344/0003-3006(2005)52[111:NM]2.0.CO;2

The Council of the Federation met in Adelaide South Australia on March 6, 2005. The meeting coincided with the Australian Dental Association Congress. A fruitful meeting took place and a pleasant social get together followed at one of Adelaide's most scenic locations in the hills behind the city.

The President Chris Holden presented his report in which he highlighted the need for better communication. He has recommended a 3-month update from Component Societies to the Secretary General. I will be requesting a short email from Component Societies in a few months time. It is clear that we need to expand

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The Increasing Use of Alcohol-Based Hand Sanitizers

Office-Based Anesthesia: Requirements for Patient Safety

INTRODUCTION

Factors Influencing the Discomfort of Intraoral Needle Penetration

Abstract

Initial Injection Pressure for Dental Local Anesthesia: Effects on Pain and Anxiety

Abstract

Tiagabine May Reduce Bruxism and Associated Temporomandibular Joint Pain

Abstract

Literature Abstracts

Pediatric Anesthesia

JDSA Journal Abstracts

Effects of 0.75% Ropivacaine on Infiltration Anesthesia Assessed by Somatosensory Evoked Potentials in Rats: Addition of Sodium Chondroitin Sulfate to Enhance Anesthetic Effect

IFDAS Newsletter

The Temporo-Masseteric Nerve Block (TMNB) for Alleviating Acute Postextraction Masticatory Myalgia: A Case Series

Time Limits for Anesthesia in Dentistry?

Book Review

Obtaining Written Informed Consent for the Administration of Local Anesthetics in Dentistry in 2024, a 20-Year Follow-Up Study

Local Perfusion Failure Caused by the Incorrect Attachment of an SpO₂ Sensor During General Anesthesia