Role of intraseptal anesthesia for pain-free dental treatment

Abstract

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.

2% lidocaine versus 3% prilocaine for oral and maxillofacial surgery

“…Building-up pressure arising from the deposition of LA solution under sticky gingiva will generate painful sensations in addition to the pain coming from the insertion of the needle. [ 1 ] So, the pain associated with such an anesthetic technique is coming from the perforation of the periosteum and the speed of the pressure of the fast injection. [ 1 30 ]…”

“…[ 1 ] So, the pain associated with such an anesthetic technique is coming from the perforation of the periosteum and the speed of the pressure of the fast injection. [ 1 30 ]…”

“…They have been used for over 100 years for the management of perioperative dental pain in both adults and children. [ 1 2 ] The availability of a variety of LAs for the provision of dental care enables dental practitioners to select the LA based on the patient's medical history and the requirements of the treatment to be performed. [ 3 ] As with every medication, each LA has unique pharmacological properties and specific benefits and risks when selected for use in dental treatment.…”

Comparison of onset anesthesia time and injection discomfort of 4% articaine and 2% mepivacaine during teeth extractions

“…[41516] On the other hand, this study revealed that articaine has slightly faster onset time than mepivacaine. Although the tissue diffusion characteristics of articaine are not well-understood,[1] there is one possible account for the superiority of articaine over mepivacaine in terms of onset time of action. The great lipid solubility of articaine in additional to its high concentration formula as a 4% solution could be the reason for increasing the number of uncharged local anesthetic molecules crossing the nerve membrane.…”

Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth

“…[ 4 ] The dental practitioners' point of view about the optimal local anesthetic for use in dentistry is the fastest in action and least toxic. [ 5 6 7 8 ] Choosing the best local anesthetic agents regarding safety and speed of action is still unapproachable. [ 2 3 4 5 6 ] Most of the local anesthetic agents are producing vasodilation in particular amide group.…”