Abstract

Intraoral local anesthesia is essential for delivering dental care. However, it is often perceived by some patients as the most painful and in some instances as the only painful part of the treatment, leading in extreme cases to avoidance of dental care. The present study measured the variables of pain, pressure, and discomfort caused by 4 commonly used local anesthesia injections: local infiltration, mental nerve block, inferior alveolar nerve block, and periodontal ligament injections. Patients were asked to grade pain, discomfort, and pressure on a visual analog scale as associated with needle insertion, operator finger position in the mouth, and pressure at injection. The inferior alveolar injection was graded to be the most painful followed by periodontal ligament and then mental nerve block injections. The periodontal ligament injections yielded the highest pressure scores. The inferior alveolar block injection yielded significantly more discomfort than local infiltration and mental nerve block injections when comparing finger and needle position. Local infiltration in the anterior maxillary region yielded the highest needle insertion and finger position discomfort scores. The present study suggests that the dental operator should be aware of local anesthesia injection pain, pressure, and discomfort together with efficacy of technique.

Abstract

Zalpelon was compared with triazolam for oral sedation in a third molar surgery model using a double-blind crossover design. Factors such as anxiolysis, amnesia, and quality of sedation were assessed. Of the 14 participants who completed the study, zaleplon sedation was found to be similar to triazolam sedation in all regards except that recovery from zaleplon was more rapid.

Abstract

The purpose of this study was to compare the anesthetic efficacy of 2 bupivacaine solutions. Twenty-two volunteers randomly received in a crossover, double-blinded manner 2 inferior alveolar nerve blocks with 1.8 mL of racemic bupivacaine and a mixture of 75% levobupivacaine and 25% dextrobupivacaine, both 0.5% and with 1 : 200,000 epinephrine. Before and after the injection, the first mandibular pre-molar was evaluated every 2 minutes until no response to the maximal output (80 reading) of the pulp tester and then again every 20 minutes. Data were analyzed using the Wilcoxon paired test and the paired t test. No differences were found between the solutions for onset and duration of pulpal anesthesia and duration of soft tissue anesthesia (P > .05). It was concluded that the solutions have similar anesthetic efficacy.

K. Ogata,

Address correspondence to Akiko Shiki, Ogata Dental Clinic, 1-13-17, Hakata-eki, Higashi, Kakata-ku, Fukuoka 812-0013, Japan.

A. Shiki,

Address correspondence to Akiko Shiki, Ogata Dental Clinic, 1-13-17, Hakata-eki, Higashi, Kakata-ku, Fukuoka 812-0013, Japan.

K. Ogata,

Address correspondence to Akiko Shiki, Ogata Dental Clinic, 1-13-17, Hakata-eki, Higashi, Kakata-ku, Fukuoka 812-0013, Japan.

Evaluation of Day-care Propofol Anesthesia with Low-dose Sevoflurane for Dental Treatment of the Mentally Handicapped

Abstract

Propofol is considered a suitable anesthetic to dental treatments of the mentally handicapped for the reason that it has an antiemetic effect and seldom leads to postoperative agitation. However, limiting the anesthetics to

A Case in Which the Hole in the Inflation Line Was Not Closed at the Tip of the Tracheal Tube

Yoshinari MorimotoDDS, PhD,

Megumi HayashiDDS, PhD,

Kanae TsukawakiDDS,

Kouji TakanoDDS, PhD,

Hiroko KuboDH, and

Eri IidaDH

Earning Continuing Education Credits From Anesthesia Progress

A Survey of Pain, Pressure, and Discomfort Induced by Commonly Used Oral Local Anesthesia Injections

Abstract

Zaleplon (Sonata) Oral Sedation for Outpatient Third Molar Extraction Surgery

Abstract

Anesthetic Efficacy of Bupivacaine Solutions in Inferior Alveolar Nerve Block

Abstract

Benzocaine-induced Methemoglobinemia

Abstract

Drug Therapy in Dental Practice: Nonopioid and Opioid Analgesics

Abstract

A Textbook of Anaesthesia, 4th Edition

JDSA Journal Abstracts

Evaluation of Day-care Propofol Anesthesia with Low-dose Sevoflurane for Dental Treatment of the Mentally Handicapped

A Case in Which the Hole in the Inflation Line Was Not Closed at the Tip of the Tracheal Tube

Comparison of the Length and Shape of Various Preformed Nasotracheal Tubes

Virtual Reality Distraction vs Nitrous Oxide for Reducing Anxiety and Injection Pain

Single-Agent Total Intravenous Anesthesia With Remimazolam for an Elderly Man Undergoing Ambulatory Oral Surgery: A Case Report

Commentary: Are Anesthesiologists Still “Darting” Their Patients?

Tissue Blood Flow During Remifentanil Infusion With Carbon Dioxide Loading

Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery

Pulseless Ventricular Tachycardia During Office-Based Anesthetic in a Four-Year-Old Child

Partially Withdrawn Nasotracheal Tube: An Alternative to the Nasal Trumpet

Hair Tourniquet Syndrome in the Dental Patient