Periodontal ligament and intraosseous anesthetic injection techniques

Moore, Paul A.; Cuddy, Michael A.; Cooke, Matthew; Sokolowski, Chester J.

doi:10.14219/jada.archive.2011.0342

Cited by 46 publications

(35 citation statements)

References 27 publications

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“… 14 , 18 A study found that both intraligamentary and intraosseous injections are effective techniques and can be used as an alternative when other techniques fail. 19 In a randomized trial comparing different techniques of anesthesia for mandibular teeth in patients experiencing pulpitis, IA allowed more pain-free treatment than ILA. 20 …”

Section: Discussionmentioning

confidence: 99%

Efficacy of intraligamentary anesthesia in maxillary first molar extraction

Ryalat¹,

Al-Shayyab²,

Amin³

et al. 2018

JPR

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IntroductionInfiltration anesthesia (IA) is the method to anaesthetize maxillary teeth successfully. In contrast, intraligamentary anesthesia (ILA) has been used as supplementary anesthesia during tooth extraction, particularly when regional block anesthesia has failed. In this study, we compare the efficacy of and patient satisfaction with ILA vs IA when extracting maxillary first molar teeth.MethodsForty patients were enrolled in this study and 80 maxillary first molars extracted. All patients served as their own control, with ILA as the experimental side and IA as the control side. The two techniques were compared for efficacy using a visual analog scale (VAS) and patient satisfaction compared using a verbal rating scale (VRS).ResultsThe mean VAS pain score for extraction using ILA was lower than that for IA (20.30±3.18 and 13.93±1.95 mm, respectively; P<0.001). For injection pain, the mean VAS pain score in the ILA side was higher than the IA side (42.28±4.51 and 31.73±3.1 mm, respectively; P<0.001). VRS results showed a higher number of patients who felt that pain during ILA was greater than expected compared with IA.ConclusionIA appears less painful during injection compared with ILA, and provides sufficient pain relief during extraction. However, ILA can be used when IA fails to achieve the desired pain suppression, as it provides higher extraction-pain relief.

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Section: Discussionmentioning

confidence: 99%

Efficacy of intraligamentary anesthesia in maxillary first molar extraction

Ryalat¹,

Al-Shayyab²,

Amin³

et al. 2018

JPR

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show abstract

“…Also, the author has stated that the PDL technique could be used for conservative treatment of the primary teeth. But the article cited by the author has clearly mentioned that the PDL anesthetic injection technique is not recommended for the primary teeth because of the chance of enamel hypoplasia and hypomineralization of the permanent tooth in relation to the injection site [2]. We would once again like to compliment the author for conducting a very useful study and hope my suggestions can be used in further similar studies.…”

Section: Dear Editormentioning

confidence: 94%

Lingual anesthesia of the lower anterior teeth, which technique is better?

Rilna

2019

Oral Maxillofac Surg

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“…[ 31 32 ] Lower success rates in the mandible could be as the results of the greater density of the buccal alveolar plate (which prevents supraperiosteal infiltration), limited access to the inferior alveolar nerve and a wide variation in neuroanatomy. [ 33 ]…”

Section: Failure Of Conventional Local Anesthetic Techniquesmentioning

confidence: 99%

Role of intraseptal anesthesia for pain-free dental treatment

2016

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Pain control during the dental procedure is essentials and challenging. A complete efficacious pulp anesthesia has not been attained yet. The regional anesthesia such as inferior alveolar nerve block (IANB) only does not guarantee the effective anesthesia with patients suffering from irreversible pulpitis. This main aim of this review was to discuss various aspects of intraseptal dental anesthesia and its role significance in pain-free treatment in the dental office. In addition, reasons of failure and limitations of this technique have been highlighted. Literature search was conducted for peer-reviewed articles published in English language in last 30 years. Search words such as dental anesthesia, pain control, intraseptal, and nerve block were entered using a web of knowledge and Google scholar databases. Various dental local anesthesia techniques were reviewed. A combination of block anesthesia, buccal infiltration and intraligamentary injection resulted in deep anesthesia (P = 0.003), and higher success rate compared to IANB. For pain-free management of conditions such as irreversible pulpitis, buccal infiltration (4% articaine), and intraosseous injection (2% lidocaine) are better than intraligamentary and IANB injections. Similarly, nerve block is not always effective for pain-free root canal treatment hence, needing supplemental anesthesia. Intraseptal anesthesia is an efficient and effective technique that can be used in maxillary and mandibular adult dentition. This technique is also beneficial when used in conjunction to the regional block or local dental anesthesia.

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Periodontal ligament and intraosseous anesthetic injection techniques

Cited by 46 publications

References 27 publications

Efficacy of intraligamentary anesthesia in maxillary first molar extraction

Efficacy of intraligamentary anesthesia in maxillary first molar extraction

Lingual anesthesia of the lower anterior teeth, which technique is better?

Role of intraseptal anesthesia for pain-free dental treatment

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