Anesthetic technique for inferior alveolar nerve block: a new approach

Detalhes bibliográficos
Autor(a) principal: Palti, Dafna Geller
Data de Publicação: 2011
Outros Autores: Almeida, Cristiane Machado de, Rodrigues, Antonio de Castro, Andreo, Jesus Carlos, Lima, José Eduardo Oliveira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of applied oral science (Online)
Texto Completo: https://www.revistas.usp.br/jaos/article/view/3863
Resumo: BACKGROUND: Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibular canal, namely indirect and direct; these techniques differ in the number of movements required. Data demonstrate that the indirect technique is considered ineffective in 15% of cases and the direct technique in 13-29% of cases. OBJECTIVE: The aim of this study was to describe an alternative technique for inferior alveolar nerve block using several anatomical points for reference, simplifying the procedure and enabling greater success and a more rapid learning curve. MATERIAL AND METHODS: A total of 193 mandibles (146 with permanent dentition and 47 with primary dentition) from dry skulls were used to establish a relationship between the teeth and the mandibular foramen. By using two wires, the first passing through the mesiobuccal groove and middle point of the mesial slope of the distolingual cusp of the primary second molar or permanent first molar (right side), and the second following the oclusal plane (left side), a line can be achieved whose projection coincides with the left mandibular foramen. RESULTS: The obtained data showed correlation in 82.88% of cases using the permanent first molar, and in 93.62% of cases using the primary second molar. CONCLUSION: This method is potentially effective for inferior alveolar nerve block, especially in Pediatric Dentistry.
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spelling Anesthetic technique for inferior alveolar nerve block: a new approach AnesthesiadentalNerve blockInferior alveolar nerve BACKGROUND: Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibular canal, namely indirect and direct; these techniques differ in the number of movements required. Data demonstrate that the indirect technique is considered ineffective in 15% of cases and the direct technique in 13-29% of cases. OBJECTIVE: The aim of this study was to describe an alternative technique for inferior alveolar nerve block using several anatomical points for reference, simplifying the procedure and enabling greater success and a more rapid learning curve. MATERIAL AND METHODS: A total of 193 mandibles (146 with permanent dentition and 47 with primary dentition) from dry skulls were used to establish a relationship between the teeth and the mandibular foramen. By using two wires, the first passing through the mesiobuccal groove and middle point of the mesial slope of the distolingual cusp of the primary second molar or permanent first molar (right side), and the second following the oclusal plane (left side), a line can be achieved whose projection coincides with the left mandibular foramen. RESULTS: The obtained data showed correlation in 82.88% of cases using the permanent first molar, and in 93.62% of cases using the primary second molar. CONCLUSION: This method is potentially effective for inferior alveolar nerve block, especially in Pediatric Dentistry. Universidade de São Paulo. Faculdade de Odontologia de Bauru2011-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/386310.1590/S1678-77572011000100004Journal of Applied Oral Science; Vol. 19 No. 1 (2011); 11-15 Journal of Applied Oral Science; Vol. 19 Núm. 1 (2011); 11-15 Journal of Applied Oral Science; v. 19 n. 1 (2011); 11-15 1678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/3863/4553Copyright (c) 2011 Journal of Applied Oral Scienceinfo:eu-repo/semantics/openAccessPalti, Dafna GellerAlmeida, Cristiane Machado deRodrigues, Antonio de CastroAndreo, Jesus CarlosLima, José Eduardo Oliveira2012-04-27T12:12:04Zoai:revistas.usp.br:article/3863Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2012-04-27T12:12:04Journal of applied oral science (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Anesthetic technique for inferior alveolar nerve block: a new approach
title Anesthetic technique for inferior alveolar nerve block: a new approach
spellingShingle Anesthetic technique for inferior alveolar nerve block: a new approach
Palti, Dafna Geller
Anesthesia
dental
Nerve block
Inferior alveolar nerve
title_short Anesthetic technique for inferior alveolar nerve block: a new approach
title_full Anesthetic technique for inferior alveolar nerve block: a new approach
title_fullStr Anesthetic technique for inferior alveolar nerve block: a new approach
title_full_unstemmed Anesthetic technique for inferior alveolar nerve block: a new approach
title_sort Anesthetic technique for inferior alveolar nerve block: a new approach
author Palti, Dafna Geller
author_facet Palti, Dafna Geller
Almeida, Cristiane Machado de
Rodrigues, Antonio de Castro
Andreo, Jesus Carlos
Lima, José Eduardo Oliveira
author_role author
author2 Almeida, Cristiane Machado de
Rodrigues, Antonio de Castro
Andreo, Jesus Carlos
Lima, José Eduardo Oliveira
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Palti, Dafna Geller
Almeida, Cristiane Machado de
Rodrigues, Antonio de Castro
Andreo, Jesus Carlos
Lima, José Eduardo Oliveira
dc.subject.por.fl_str_mv Anesthesia
dental
Nerve block
Inferior alveolar nerve
topic Anesthesia
dental
Nerve block
Inferior alveolar nerve
description BACKGROUND: Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibular canal, namely indirect and direct; these techniques differ in the number of movements required. Data demonstrate that the indirect technique is considered ineffective in 15% of cases and the direct technique in 13-29% of cases. OBJECTIVE: The aim of this study was to describe an alternative technique for inferior alveolar nerve block using several anatomical points for reference, simplifying the procedure and enabling greater success and a more rapid learning curve. MATERIAL AND METHODS: A total of 193 mandibles (146 with permanent dentition and 47 with primary dentition) from dry skulls were used to establish a relationship between the teeth and the mandibular foramen. By using two wires, the first passing through the mesiobuccal groove and middle point of the mesial slope of the distolingual cusp of the primary second molar or permanent first molar (right side), and the second following the oclusal plane (left side), a line can be achieved whose projection coincides with the left mandibular foramen. RESULTS: The obtained data showed correlation in 82.88% of cases using the permanent first molar, and in 93.62% of cases using the primary second molar. CONCLUSION: This method is potentially effective for inferior alveolar nerve block, especially in Pediatric Dentistry.
publishDate 2011
dc.date.none.fl_str_mv 2011-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/jaos/article/view/3863
10.1590/S1678-77572011000100004
url https://www.revistas.usp.br/jaos/article/view/3863
identifier_str_mv 10.1590/S1678-77572011000100004
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/jaos/article/view/3863/4553
dc.rights.driver.fl_str_mv Copyright (c) 2011 Journal of Applied Oral Science
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2011 Journal of Applied Oral Science
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia de Bauru
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia de Bauru
dc.source.none.fl_str_mv Journal of Applied Oral Science; Vol. 19 No. 1 (2011); 11-15
Journal of Applied Oral Science; Vol. 19 Núm. 1 (2011); 11-15
Journal of Applied Oral Science; v. 19 n. 1 (2011); 11-15
1678-7765
1678-7757
reponame:Journal of applied oral science (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Journal of applied oral science (Online)
collection Journal of applied oral science (Online)
repository.name.fl_str_mv Journal of applied oral science (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||jaos@usp.br
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