The efficacy of local anaesthetics administered by general dental practitioners

Matthews, R. E. P.; Ball, R; Goodley, A; Lenton, John P.; Riley, Cara J.; Sanderson, Sonya; Singleton, Earl F.

doi:10.1038/sj.bdj.4809337

Cited by 10 publications

(7 citation statements)

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“…This requires valid and reliable measures of pain [8]. There have been few attempts to establish such measures in adults [9]; even fewer in children [10]. Children have been asked in dentistry to use rating scales based on ‘sore’[11], ‘hurt’[10] and ‘pain’[12], but there is no evidence that these are the most suitable.…”

Section: Introductionmentioning

confidence: 99%

An investigation of language used by children to describe discomfort during dental pulp‐testing

Toole

Lindsay

Johnstone

et al. 2000

Int J Paed Dentistry

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Section: Introductionmentioning

confidence: 99%

An investigation of language used by children to describe discomfort during dental pulp‐testing

Toole

Lindsay

Johnstone

et al. 2000

Int J Paed Dentistry

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“…While patients' fears and expectations concerning pain may appear to be exaggerated, they are not entirely unreasonable. Although local anaesthetics are very effective in rendering most dental treatment largely pain‐free, clinical studies have indicated failure rates of 5–15% (8, 9). Kaufman et al.…”

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confidence: 99%

Psychological factors and perceptions of pain associated with dental treatment

Maggirias¹,

Locker²

2002

Comm Dent Oral Epid

159

149

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Although pain during dental treatment has been identified as playing a major role in the onset of dental anxiety and is a major concern of patients when seeking dental care, there have been very few studies of the prevalence of pain during dental treatment and the factors associated with patients' perceptions of pain. This study used data from a longitudinal population-based study to assess the proportion of dental attenders who experienced pain while having dental treatment and the psychological characteristics which predisposed them to experience pain. Of 1422 subjects who completed questionnaires at baseline and five-year follow-up, 96.4% had visited a dentist over the observation period. Two fifths, 42.5%, reported having pain during treatment and one-fifth, 19.1%, had pain that was moderate to severe in intensity. Reports of pain were associated with the types of treatment received, and a number of baseline sociodemographic and psychological factors. In a logistic regression analysis predicting the probability of pain, a variable documenting the number of types of invasive treatment received (restorations, extractions, crowns/bridges, root canal therapy and periodontal treatment/surgery) had the strongest independent effect. Pain was also more likely to be reported by those with previous painful experiences and those who were anxious about dental treatment, expected treatment to be painful and felt that they had little control over the treatment process. Pain was less likely to be reported by those who said they were unwilling to accept or tolerate pain. Younger subjects and those with higher levels of education were more likely to report pain than older subjects and those with a lower educational level. These results indicate that pain is as much a cognitive and emotional construct as a physiological experience. They also have implications for dentists' behaviour when providing dental care.

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“…Published studies on local anaesthetic efficacy do not report 100% success; [1][2][3][4] normally, failures are readily rectified. However, sometimes a simple remedy, such as repeating the original injection, does not overcome the problem.…”

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How to overcome failed local anaesthesia

Meechan

1999

Br Dent J

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Local anaesthetic failure is an unavoidable aspect of dental practice. A number of factors contribute to this, which may be related to either the patient or the operator. Patient-dependent factors may be anatomical, pathological or psychological. This paper considers the reasons for unsuccessful dental local anaesthetic injections and describes techniques which may be useful in overcoming failure. How to overcome failed local anaesthesia J. G. Meechan 1 This paper:q Explains the reasons for local anaesthetic failure q Describes injection techniques to overcome failure q Offers a rational approach to the failed local anaesthetic case PRACTICE anaesthesia

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The efficacy of local anaesthetics administered by general dental practitioners

Abstract: Some variations in success rate exist between dentists the most dental procedures under local anaesthetic in general practice were assessed as being comfortable or better by both dentists and patients.

Cited by 10 publications

References 0 publications

An investigation of language used by children to describe discomfort during dental pulp‐testing

An investigation of language used by children to describe discomfort during dental pulp‐testing

Psychological factors and perceptions of pain associated with dental treatment

How to overcome failed local anaesthesia

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