Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/20.500.11816/4187 |
Resumo: | INTRODUCTION: In patients with irreversible pulpitis, pain management is a challenge due to the higher failure rate that occurs in healthy patients. Conventional techniques are sometimes not sufficient and other anaesthesia systems could be needed. Intraosseous anaesthesia (IOA) is a more efficient technique that delivers the anaesthetic solution into the cancellous bone directly in contact with the apex of the tooth. OBJECTIVES: Primary is to evaluate the efficacy of IOA in root canal treatment of teeth with irreversible pulpitis. Secondary are: - To evaluate the precautions and the contraindications of IOA. - To compare the side effects with conventional systems. MATERIALS AND METHODS: A bibliographic search was conducted in PubMed from 2012 to 2022 of articles in English using the following keywords: "Anesthesia”; “Intraosseous”; “Dental”; “Irreversible Pulpitis”; “mandibular molar”. RESULTS: 14 articles were selected. Of the 14 articles, 6 evaluated the efficacy of IOA as a first injection, and 4 as a secondary injection. The remaining 4 articles evaluated other variables. DISCUSSION: In the first injection, depending on the study, the effectiveness of IOA is either equal or superior to conventional techniques. In the reinforcement anaesthesia, IOA was more effective than conventional. Side effects were observed, the main one being an increase in heart rate. Other side effects are rare, and most can be avoided with precautions. In terms of comfort, IOA was preferred by patients. CONCLUSION: IOA as supplementary anaesthesia is a good alternative to conventional anaesthesia in patients with IP. It is recommended for patient’s comfort. |
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Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative reviewAnesthesiaIntraosseousDentalIrreversible PulpitisMandibular molarINTRODUCTION: In patients with irreversible pulpitis, pain management is a challenge due to the higher failure rate that occurs in healthy patients. Conventional techniques are sometimes not sufficient and other anaesthesia systems could be needed. Intraosseous anaesthesia (IOA) is a more efficient technique that delivers the anaesthetic solution into the cancellous bone directly in contact with the apex of the tooth. OBJECTIVES: Primary is to evaluate the efficacy of IOA in root canal treatment of teeth with irreversible pulpitis. Secondary are: - To evaluate the precautions and the contraindications of IOA. - To compare the side effects with conventional systems. MATERIALS AND METHODS: A bibliographic search was conducted in PubMed from 2012 to 2022 of articles in English using the following keywords: "Anesthesia”; “Intraosseous”; “Dental”; “Irreversible Pulpitis”; “mandibular molar”. RESULTS: 14 articles were selected. Of the 14 articles, 6 evaluated the efficacy of IOA as a first injection, and 4 as a secondary injection. The remaining 4 articles evaluated other variables. DISCUSSION: In the first injection, depending on the study, the effectiveness of IOA is either equal or superior to conventional techniques. In the reinforcement anaesthesia, IOA was more effective than conventional. Side effects were observed, the main one being an increase in heart rate. Other side effects are rare, and most can be avoided with precautions. In terms of comfort, IOA was preferred by patients. CONCLUSION: IOA as supplementary anaesthesia is a good alternative to conventional anaesthesia in patients with IP. It is recommended for patient’s comfort.2023-01-24T11:25:51Z2022-01-01T00:00:00Z2022info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/20.500.11816/4187TID:203121708engBédé, Matthieu Hilaire Antoineinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-05-31T14:06:29Zoai:repositorio.cespu.pt:20.500.11816/4187Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:59:27.388951Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
title |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
spellingShingle |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review Bédé, Matthieu Hilaire Antoine Anesthesia Intraosseous Dental Irreversible Pulpitis Mandibular molar |
title_short |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
title_full |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
title_fullStr |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
title_full_unstemmed |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
title_sort |
Effectiveness of intraosseous anaesthesia in irreversible pulpitis Systematic integrative review |
author |
Bédé, Matthieu Hilaire Antoine |
author_facet |
Bédé, Matthieu Hilaire Antoine |
author_role |
author |
dc.contributor.author.fl_str_mv |
Bédé, Matthieu Hilaire Antoine |
dc.subject.por.fl_str_mv |
Anesthesia Intraosseous Dental Irreversible Pulpitis Mandibular molar |
topic |
Anesthesia Intraosseous Dental Irreversible Pulpitis Mandibular molar |
description |
INTRODUCTION: In patients with irreversible pulpitis, pain management is a challenge due to the higher failure rate that occurs in healthy patients. Conventional techniques are sometimes not sufficient and other anaesthesia systems could be needed. Intraosseous anaesthesia (IOA) is a more efficient technique that delivers the anaesthetic solution into the cancellous bone directly in contact with the apex of the tooth. OBJECTIVES: Primary is to evaluate the efficacy of IOA in root canal treatment of teeth with irreversible pulpitis. Secondary are: - To evaluate the precautions and the contraindications of IOA. - To compare the side effects with conventional systems. MATERIALS AND METHODS: A bibliographic search was conducted in PubMed from 2012 to 2022 of articles in English using the following keywords: "Anesthesia”; “Intraosseous”; “Dental”; “Irreversible Pulpitis”; “mandibular molar”. RESULTS: 14 articles were selected. Of the 14 articles, 6 evaluated the efficacy of IOA as a first injection, and 4 as a secondary injection. The remaining 4 articles evaluated other variables. DISCUSSION: In the first injection, depending on the study, the effectiveness of IOA is either equal or superior to conventional techniques. In the reinforcement anaesthesia, IOA was more effective than conventional. Side effects were observed, the main one being an increase in heart rate. Other side effects are rare, and most can be avoided with precautions. In terms of comfort, IOA was preferred by patients. CONCLUSION: IOA as supplementary anaesthesia is a good alternative to conventional anaesthesia in patients with IP. It is recommended for patient’s comfort. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01T00:00:00Z 2022 2023-01-24T11:25:51Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/20.500.11816/4187 TID:203121708 |
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http://hdl.handle.net/20.500.11816/4187 |
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TID:203121708 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131664214917120 |