Comparative study of the novel and conventional injection approach for inferior alveolar nerve block

Boonsiriseth, Kiatanant; Sirintawat, Nattapong; Arunakul, Kanin; Wongsirichat, Natthamet

doi:10.1016/j.ijom.2012.11.017

Cited by 17 publications

(21 citation statements)

References 12 publications

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“…About 5 minutes after the patients were injected, ensuring the success of block injection by controlling anesthesia around the lower lip, anesthesia was detected at each point at primary canine and molars buccal gingival with a sharp probe calibrated by instrument weight about 20 to 40 gm at the same side. 5 - 7 14 For this purpose, the buccal gingival of primary molars was examined in three mesiobuccal (3 mm below the free gingival margin along with mesiobuccal line angle), midbuccal (3 mm below the free gingival margin along the buccal groove), and distobuccal (3 mm below the free gingival margin along with distobuccal line angle) of primary molars. Buccal gingiva of primary canine was examined in midbuccal respectively.…”

Section: Methodsmentioning

confidence: 99%

“… 3 4 The most common method of anesthesia in the mandible is inferior alveolar nerve block. 5 Incisive, mental, and lingual nerve (in most cases) are branches of the inferior alveolar nerve anesthetized following inferior alveolar nerve block injection, but the long buccal branch is not anesthetized in this method. 6 7 So, in cases where surgery is done on the soft tissue on the buccal surface of the mandibular permanent molars, immediately after inferior alveolar nerve block injection, buccal nerve should be anesthetized.…”

Section: Introductionmentioning

confidence: 99%

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Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?

Pourkazemi

Erfanparast

Sheykhgermchi

et al. 2017

International Journal of Clinical Pediatric Dentistry

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Introduction: Pain control is one of the most important aspects of behavior management in children. The most common way to achieve pain control is by using local anesthetics (LA). Many studies describe that the buccal nerve innervates the buccal gingiva and mucosa of the mandible for a variable extent from the vicinity of the lower third molar to the lower canine. Regarding the importance of appropriate and complete LA in child-behavior control, in this study, we examined the frequency of buccal gingiva anesthesia of primary mandibular molars and canine after inferior alveolar nerve block injection in 4-to 6-year-old children.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?

Pourkazemi

Erfanparast

Sheykhgermchi

et al. 2017

International Journal of Clinical Pediatric Dentistry

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“…A 27-gauge needle (30 mm) and self-aspirating syringes with a local anesthetic solution (4% articaine with adrenaline 1:100,000 [1 cartridge = 1.7 ml]) were used. The standard IANB technique was followed [ 3 4 5 ]. The anesthetic was injected into the pterygomandibular space, while the axis of the syringe barrel was parallel and was placed on the occlusal surfaces of the mandibular teeth.…”

Section: Methodsmentioning

confidence: 99%

Success rates of the first inferior alveolar nerve block administered by dental practitioners

Kriangcherdsak

Raucharernporn

Chaiyasamut

et al. 2016

J Dent Anesth Pain Med

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BackgroundInferior alveolar nerve block (IANB) of the mandible is commonly used in the oral cavity as an anesthetic technique for dental procedures. This study evaluated the success rate of the first IANB administered by dental practitioners.MethodsVolunteer dental practitioners at Mahidol University who had never performed an INAB carried out 106 INAB procedures. The practitioners were divided into 12 groups with their advisors by randomized control trials. We recorded the success rate via pain visual analog scale (VAS) scores.ResultsA large percentage of the dental practitioners (85.26%) used the standard method to locate the anatomical landmarks, injecting the local anesthetic at the correct position, with the barrel of the syringe parallel to the occlusal plane of the mandibular teeth. Further, 68.42% of the dental practitioners injected the local anesthetic on the right side by using the left index finger for retraction. The onset time was approximately 0-5 mins for nearly half of the dental practitioners (47.37% for subjective onset and 43.16% for objective onset), while the duration of the IANB was approximately 240-300 minutes (36.84%) after the initiation of numbness. Moreover, the VAS pain scores were 2.5 ± 1.85 and 2.1 ± 1.8 while injecting and delivering local anesthesia, respectively.ConclusionsThe only recorded factor that affected the success of the local anesthetic was the administering practitioner. This reinforces the notion that local anesthesia administration is a technique-sensitive procedure.

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“…A 30 mm needle is used and, with the rubber stop positioned at 20 mm, the needle is advanced until the rubber stop makes contact. As the needle does not contact the periosteum, this technique provides less pain compared to the conventional technique and reduces the frequency of positive aspiration and the risk of neural or vascular injury [ 19 20 ].…”

Section: Inferior Alveolar Nerve Block Techniquesmentioning

confidence: 99%

Local anesthesia for mandibular third molar extraction

Kim

Hwang

Park

2018

J Dent Anesth Pain Med

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Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. However, its success rate is not high and it may lead to complications, such as aspiration and nerve injury. Therefore, various anesthesia methods are being investigated. Articaine has been proven to be efficacious in a number of studies and is being used with increasing frequency in clinical practice. In this review article, we will briefly review various local anesthesia techniques, anesthetics, and a computer-controlled local anesthetic delivery (CCLAD) system, which reduces pain by controlling the speed of drug injection, for mandibular third molar extraction.

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Comparative study of the novel and conventional injection approach for inferior alveolar nerve block

Cited by 17 publications

References 12 publications

Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?

Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?

Success rates of the first inferior alveolar nerve block administered by dental practitioners

Local anesthesia for mandibular third molar extraction

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