799 results match your criteria Nerve Block Inferior Alveolar


Stumbling block for inferior alveolar nerve block in predoctoral students: An analytical observational study and review of literature of mandibular nerve block techniques.

J Family Med Prim Care 2021 Apr 29;10(4):1633-1638. Epub 2021 Apr 29.

General Dentist, Ministry of Health, Kingdom of Saudi Arabia.

Introduction: Dentists earnestly try to practice painless treatment. Conventional inferior alveolar nerve block technique is preferred by most of the dentists despite its various modifications.However its failure rate as per literature is quite high. Read More

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An in vivo, randomized, controlled comparative evaluation of efficacy, hemodynamic changes, and postoperative complications of 4% articaine using buccal infiltration and 2% lidocaine using inferior alveolar nerve block in mandibular primary molars of children aged 6 to 8 years.

Quintessence Int 2021 Jun 2;0(0). Epub 2021 Jun 2.

Objective: To compare and evaluate the efficacy, hemodynamic changes, and postoperative complications of 4% articaine using buccal infiltration and 2% lidocaine using inferior alveolar nerve block in mandibular primary molars of children aged 6 to 8 years.

Method And Materials: 100 participants were randomly distributed to receive either 4% articaine using infiltration anesthesia or 2% lidocaine using inferior alveolar nerve block on each side of the mandibular arch, in two different appointments, after a 1-week interval. The pain perception was evaluated using visual analog scale (VAS) and Wong-Baker Faces pain rating scale (WBFPRS). Read More

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Anaesthetic Efficacy of 4% Articaine in Comparison with 2% Lidocaine as Intraligamentary Injections after an Ineffective Inferior Alveolar Nerve Block in Mandibular Molars with Irreversible Pulpitis: A Prospective Randomised Triple-Blind Clinical Trial.

Pain Res Manag 2021 11;2021:6668738. Epub 2021 May 11.

Iranian Centre for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

The objective of the current study was to compare the anaesthetic efficacy of supplemental intraligamentary (IL) injection of 4% articaine with that of 2% lidocaine in the mandibular first and second molars with irreversible pulpitis after an ineffective inferior alveolar nerve block injection (IANB) using the same anaesthetic in a randomised triple-blind clinical trial. Seventy-six adult patients, who were diagnosed with irreversible pulpitis in the mandibular first or second molars, were divided into 2 groups and received IANB randomly. In patients with lip numbness, anaesthesia was evaluated with the cold and electrical pulp (EPT) tests, and if the reported number on EPT was below 100, supplemental IL injection was administered using the same anaesthetic. Read More

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Inferior alveolar nerve block: is articaine better than lidocaine?

Authors:
Hannah Hook

Br Dent J 2021 May 14;230(9):579-582. Epub 2021 May 14.

Browns Dental Practice, Cedar Rise, Fore Street, Ivybridge, PL21 9AE, UK.

This opinion article seeks to analyse current literature surrounding the question: is articaine better than lidocaine for inferior alveolar nerve blocks? It does so with regards to efficacy and risk of paraesthesia associated with administration. Read More

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Comparative Analysis of the Anesthetic Efficacy of 0.5% Ropivacaine Versus 2% Lignocaine Hydrochloride with Adrenaline (1:80,000) for Inferior Alveolar Nerve Block in Surgical Removal of Impacted Mandibular Third Molars.

J Maxillofac Oral Surg 2021 Jun 31;20(2):234-239. Epub 2020 Jul 31.

Department of Oral and Maxillofacial Surgery, D.A.V. (C) Dental College and Hospital, Yamunanagar, India.

Objective: To compare the onset, duration and depth of anesthesia, postoperative pain, duration of analgesia and adverse reaction between 0.5% ropivacaine and 2% Lignocaine hydrochloride with adrenaline (1:80,000) in 40 patients having bilaterally impacted mandibular third molars.

Patients And Methods: A prospective, randomized, single blind study was carried out among 40 patients requiring surgical removal of bilaterally impacted mandibular third molars having similar "difficulty index. Read More

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Assessment of the Need for Routine Distolingual Local Anesthetic Infiltration in Addition to Traditional Inferior Alveolar, Lingual and Long Buccal Nerve Blocks in Mandibular Third Molar Extractions.

Contemp Clin Dent 2020 Oct-Dec;11(4):367-370. Epub 2020 Dec 20.

Department of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, Mysuru, Karnataka, India.

Background And Objectives: Persistent pain during the removal of mandibular third molars is often due to accessory nerve supply causing inadequate local anesthesia. This study aims to assess the requirement of routine distolingual infiltration anesthesia in addition to traditional inferior alveolar, lingual, and long buccal nerve block in mandibular third molar extractions.

Methodology: Sixty patients requiring mandibular third molar extraction were randomly divided into two equal groups; Group A (Classic inferior alveolar, lingual, and buccal nerve block) and Group B (with an additional 0. Read More

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December 2020

Accidental Intravascular Local Anesthetic Injection of the Facial Artery.

Anesth Prog 2021 03;68(1):29-32

Department of Endodontics, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina.

Local anesthesia techniques are widely used in dentistry because of their numerous advantages, including safety. Several articles have been published on local and systemic complications stemming from the use of local anesthesia, one of which is accidental intravascular injection, usually reported during inferior alveolar nerve blocks. A 58-year-old man presented to the dental office for extraction of the lower left first molar. Read More

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Direct and imaging morphometry for the localization of the mandibular foramen (MF) in dentate and edentulous human subjects.

Rom J Morphol Embryol 2020 Jul-Sep;61(3):783-791

Department of Oral Rehabilitation, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania;

Background: The mandibular foramen (MF) is the anatomic landmark where the interior alveolar nerve enters the mandibular ramus, and the area of choice where anesthesia of this nerve is performed. The position of the MF can vary, and accurately establishing its location and topographic variations is of great importance for the successful anesthesia of the inferior alveolar nerve.

Materials And Methods: We carried out two morphometric ex vivo studies concerning the topography of the MF, on dry human mandibles coming from dentate and completely edentulous human subjects of known age and gender and an in vivo morphometric study, through cone-beam computed tomography (CBCT) scans, concerning the topography of the MF in human subjects having Kennedy Class I mandibular edentulism. Read More

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How can local anaesthesia be improved in the management of irreversible pulpitis?

Evid Based Dent 2021 01;22(1):26-27

StR Restorative, Dundee Dental School, Dundee, UK.

Background Pain management in endodontic treatment is often managed with local anaesthetic, occasionally supplemented with oral medication. Currently, there is little evidence to suggest the best combination of local anaesthetic and oral medication to provide optimal pain control in symptomatic irreversible pulpits. A network meta-analysis was carried out to identify the best agent/technique for pulpal anaesthesia in both the maxilla and mandible in irreversible pulpits. Read More

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January 2021

Intravenous cannula used for continuous intraoral mandibular nerve block in trigeminal neuralgia.

BMJ Case Rep 2021 Mar 18;14(3). Epub 2021 Mar 18.

Department of Oral and Maxillofacial Surgery, Western Sussex Hospital Foundation Trust, St Richards Hospital and Worthing Hospital, Chichester and Worthing, UK

Trigeminal neuralgia is a chronic pain condition affecting one or more distributions of the trigeminal nerve. Patients with this condition experience short, sharp, shooting pain attacks, which can progress to longer, more frequent durations. The pain is often difficult to control. Read More

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Comparison of anaesthetic efficacy of ropivacaine (0.75% & 0.5%) with 2% lignocaine with adrenaline (1:200000) in surgical extraction of bilateral mandibular 3 molars using IANB:a prospective, randomized, single blind study.

J Oral Biol Craniofac Res 2021 Apr-Jun;11(2):263-268. Epub 2021 Feb 9.

Dept of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India.

Aim: To evaluate and compare the anaesthetic efficacy of 0.75% ropivacaine and 0.5% ropivacaine with 2% lignocaine with 1:200000 Adrenaline (LWA) for surgical extraction of bilateral mandibular 3rd molars using Direct inferior alveolar nerve block (IANB). Read More

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February 2021

Mandibular Retromolar Foramen and Canal - A Systematic Review and Meta-Analysis.

Ann Maxillofac Surg 2020 Jul-Dec;10(2):444-449. Epub 2020 Jun 18.

Department of Oral and Maxillofacial Surgery, College of Dental Sciences and Research Centre, Manipur, Ahmedabad, Gujarat, India.

Introduction: The retromolar fossa is a small triangular area posterolateral to 3rd molar region in the mandible. The retromolar fossa often contains the retromolar foramen (RMF) as an anatomical variant. When the RMF is present, the foramen is connected with the mandibular canal (MC) through another canal known as the retromolar canal (RMC). Read More

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Changes in Blood Pressure and Pulse Rate of Patients without Systemic Diseases Following the Injection of 2% Lidocaine Plus Epinephrine 1:80000 in an Inferior Alveolar Nerve Block - A Prospective Study.

Ann Maxillofac Surg 2020 Jul-Dec;10(2):361-364. Epub 2020 Dec 23.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

Introduction: An inferior alveolar nerve block is dental anesthesia produced by the local injection of lidocaine plus epinephrine; however, its administration could cause cardiovascular side effects. We aimed to assess the changes in blood pressure and pulse rate following the injection of 2% lidocaine with epinephrine 1:80000 for an inferior alveolar nerve block.

Materials And Methods: Seventy-one patients without any systemic disease were enrolled in this study. Read More

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December 2020

Retromolar canal infiltration as a supplement to the inferior alveolar nerve block injection: an uncontrolled clinical trial.

Clin Oral Investig 2021 Mar 8. Epub 2021 Mar 8.

Clinical Dentistry, UWA Dental School, University of Western Australia, Perth, Australia.

Objectives: This study aimed to determine the success rate of retromolar canal (RMC) infiltration following the failure of inferior alveolar nerve block (IANB) injections for the anesthesia of mandibular first molars with acute irreversible pulpitis.

Materials And Methods: An IANB injection was administered for 50 patients with acute irreversible pulpitis. Lip numbness was set as the sign of anesthesia and further evaluated and confirmed with pulp sensibility tests after 10-15 min. Read More

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Efficacy of 2% Lignocaine and 4% Articaine in Oral Surgical Procedure: A Comparative Study.

J Contemp Dent Pract 2020 Oct 1;21(10):1146-1149. Epub 2020 Oct 1.

Department of Prosthodontics and Crown and Bridge, Sardar Patel Postgraduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India.

Aim And Objective: To compare the efficacy of 2% lignocaine and 4% articaine in the extraction of mandibular molars.

Materials And Methods: This study was conducted on 120 patients requiring surgical removal of tooth. Patients were categorized into 2 groups with 60 samples each. Read More

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October 2020

Efficacy of buccal piroxicam infiltration and inferior alveolar nerve block in patients with irreversible pulpitis: a prospective, double-blind, randomized clinical trial.

Restor Dent Endod 2021 Feb 26;46(1):e9. Epub 2021 Jan 26.

Department of Conservative Dentistry and Endodontics, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India.

Objectives: This randomized clinical trial aimed to assess the effectiveness of buccal infiltration with piroxicam on the anesthetic efficacy of inferior alveolar nerve block (IANB) with buccal infiltration in irreversible pulpitis, with pain assessed using the Heft-Parker visual analogue scale (HP-VAS).

Materials And Methods: This study included 56 patients with irreversible pulpitis in mandibular molars, randomly distributed between 2 groups ( = 28). After evaluating the initial pain score with the HP-VAS, each patient received IANB followed by buccal infiltration of 2% lignocaine with adrenaline (1:80,000). Read More

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February 2021

Comparison of Effects Exerted by 4% Articaine Buccal Infiltration and 2% Lidocaine Inferior Alveolar Nerve Block on Pain Perception and Behavioral Feedback of Children during Pulp Treatment of Mandibular Second Primary Molars.

Maedica (Bucur) 2020 Dec;15(4):477-483

Department of Pediatric Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

One of the most impressive factors discouraging many people from seeking dental treatment is the fear of experiencing pain during dental procedures. Thus, the use of an effective method for pain control is vital in this regard. Articaine, which has an additional ester and thiophene groups that increase its biosolubility and permeability compared to older anesthetic agents, can be more effective on inducing anesthesia during dental treatment. Read More

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December 2020

Anesthetic efficacy of single buccal infiltration of 4% articaine compared to routine inferior alveolar nerve block with 2% lidocaine during bilateral extraction of mandibular primary molars: a randomized controlled trial.

J Dent Anesth Pain Med 2021 Feb 29;21(1):61-69. Epub 2021 Jan 29.

Department of Pediatric Dentistry, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Background: Inferior alveolar nerve block (IANB) using lidocaine 2% is commonly used for anesthetizing primary mandibular molars; however, this technique has the highest level of patient discomfort compared to other local anesthesia techniques. Therefore, alternative anesthesia techniques are necessary. The aim of this study was to evaluate the efficacy of a single buccal infiltration of 4% articaine with IANB using 2% lidocaine, for the bilateral extraction of primary mandibular molars. Read More

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February 2021

DentalVibe reduces pain during the administration of local anesthetic injection in comparison to 2% lignocaine gel: results from a clinical study.

J Dent Anesth Pain Med 2021 Feb 29;21(1):41-47. Epub 2021 Jan 29.

Deputy Research Director, Dr. D. Y. Patil Vidyapeeth. Pimpri, Pune, India.

Background: This study was designed to compare the efficacy of DentalVibe against 2% lidocaine gel in reducing pain during the administration of local anesthetic injection in the adult population.

Methods: This was a split-mouth open-label, randomized, controlled clinical study conducted in the Department of Oral and Maxillofacial Surgery of a dental institute. Fifty patients who were scheduled for bilateral dental extractions requiring an inferior alveolar nerve block were enrolled in the study. Read More

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February 2021

Incorrect Citation of the Arched Needle Technique for Inferior Alveolar Nerve Block.

J Maxillofac Oral Surg 2021 Mar 2;20(1):163. Epub 2021 Jan 2.

Oral and Maxillofacial Surgery, INDC Danteshwari, Colaba, Mumbai, 05 India.

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A 15-year unique observational study of intraligamentary local anaesthesia for posterior mandibular extractions.

Br Dent J 2021 Feb 11. Epub 2021 Feb 11.

Research Champion, NIHR and Honorary Senior Specialist Clinical Teacher, King´s College London, UK.

Introduction Intraligamentary local anaesthesia (ILA) with articaine is described as an effective alternative to inferior alveolar nerve block (IANB) for extraction of posterior teeth in the mandible, with reduced risk of complications.Aim To investigate ILA with 4% articaine and conventional syringe as a unique method for providing tooth extractions in the posterior mandible.Materials and methods All consecutive teeth to be extracted in the posterior mandible were recruited to the study, within exclusion criteria, between 2002 and 2017 in one London NHS and private dental practice. Read More

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February 2021

Evaluating Combined Effect of Oral Premedication with Ibuprofen and Dexamethasone on Success of Inferior Alveolar Nerve Block in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective, Double-blind, Randomized Clinical Trial.

J Endod 2021 May 4;47(5):705-710. Epub 2021 Feb 4.

Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, Haryana, India.

Introduction: The success rate of inferior alveolar nerve block decreases exorbitantly in teeth with symptomatic irreversible pulpitis. The purpose of this prospective, double-blind, randomized clinical trial was to evaluate the combined effect of oral premedication with ibuprofen and dexamethasone on the success rate of inferior alveolar nerve block in mandibular molars with symptomatic irreversible pulpitis.

Methods: Ninety-four adult patients actively experiencing pain and diagnosed with symptomatic irreversible pulpitis willingly participated in this study. Read More

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[Different concentration of lidocaine used for an exodontia of the impacted mandibular third molar].

Shanghai Kou Qiang Yi Xue 2020 Oct;29(5):499-503

Department of Oral and Maxillofacial Surgery, Hefei Stomatology Hospital. Hefei 230001, Anhui Province, China.

Purpose: To investigate the anesthesia outcomes of 1% lidocaine with 1∶100 000 epinephrine (EPI) for inferior alveolar nerve, lingual nerve and buccal nerve block, compared with 2% lidocaine with 1∶100 000 EPI.

Methods: A study with a cross-over design, with each patient also serving as their own control, was implemented to estimate the clinical outcomes. Predictor variable was 1% lidocaine with 1∶100 000 EPI versus 2% lidocaine with 1∶100 000 EPI. Read More

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October 2020

RCT on the effectiveness of the intraligamentary anesthesia and inferior alveolar nerve block on pain during dental treatment.

Clin Oral Investig 2021 Feb 1. Epub 2021 Feb 1.

Departments of Preventive Dentistry and Pediatric Dentistry, University Medicine of Greifswald, Fleischmannstr. 42, 17487, Greifswald, Germany.

Objective: To compare the effectiveness and complications of intraligamentary anesthesia (ILA) with conventional inferior alveolar nerve block (IANB) during injection and dental treatment of mandibular posterior teeth.

Materials And Methods: In this randomized, prospective clinical trial, 72 patients (39 males, 33 females), scheduled for dental treatment of mandibular posterior teeth, were randomly allocated to ILA group (n = 35) received ILA injection or IANB group (n = 37) received the conventional IANB. Our primary outcome was to assess pain and stress (discomfort) during the injection and dental treatment, using the numeric rating scale (NRS) from 0 to 10 (0 = no pain, 10= the worst pain imaginable), whereas recording 24-h postoperative complications was our secondary outcomes. Read More

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February 2021

Anesthetic Efficacy of an Alternative Inferior Alveolar Nerve Block Technique Using an Extra-Short Needle: A Double-Blind Randomized Non-Inferiority Trial.

J Oral Maxillofac Surg 2021 May 30;79(5):1025.e1-1025.e8. Epub 2020 Dec 30.

Professor, Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil.

Purpose: Inferior alveolar nerve block (IANB) is a frequently used anesthetic technique for restorative and surgical procedures in the mandible and its success rate usually ranges from 80 to 85%. Thus, this study aimed to compare the anesthetic efficacy of an alternative technique named superficial nerve block (SNB)-which consists of a modified approach using an extra-short needle inserted 10 mm deep and on a higher injection site to the conventional technique (CT) for IANB in healthy individuals.

Methods: About 20 participants received both SNB and CT with 1. Read More

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Do length and gauge of dental needle affect success in performing an inferior alveolar nerve block during extraction of adult mandibular molars? A prospective, randomized observer-blind, clinical trial.

Clin Oral Investig 2021 Jan 19. Epub 2021 Jan 19.

Department of Oral Surgery and Dental Implantology, College of Dentistry, University of Science and Technology, Sanaa, Yemen.

Objective: Association between length and gauge of dental needle and success rate and pain perception during an inferior alveolar nerve block (IANB) has not been investigated using a randomized clinical trial (RCT). This RCT aimed to compare the success rate of IANB and perceived pain using 27- or 30-gauge needles for the extraction of adult mandibular molars.

Material And Method: A prospective RCT was conducted on two hundred and twelve adult patients requiring extraction of mandibular molars using standard methods as described by Malamed with 1. Read More

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January 2021

[Conduction anesthesia of the infraorbital nerve - A guide to intraoral nerve block anesthesia of the infraorbital nerv].

Swiss Dent J 2021 Jan;131(1):62-63

Praxis für Mund-, Kieferund Gesichtschirurgie, Technikumstrasse 73, Winterthur.

In order to be able to perform major oral surgery in the upper jaw, sufficient local analgesia is indispensable. While the inferior alveolar nerve is often blocked for dental treatments in the lower jaw, block anesthesia in the upper jaw is less common. This article gives pragmatic advice on how to block the infraorbital nerve. Read More

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January 2021

DentalVibe® versus lignocaine hydrochloride 2% gel in pain reduction during inferior alveolar nerve block in children.

J Dent Anesth Pain Med 2020 Dec 28;20(6):397-402. Epub 2020 Dec 28.

Department of Pediatric and Preventive Dentistry, St. Joseph Dental College, Eluru, Andhra Pradesh, India.

Background: Inferior alveolar nerve block (IANB) is the most common, painful, and anxiety-provoking procedure involving needle insertion for anesthetic solution deposition. DentalVibe® (DV) delivers vibration at a sustained frequency as a counter-stimulation to the site of injection, thereby alleviating pain. The aim of this study was to evaluate and compare the effectiveness of DV and lignocaine hydrochloride 2% gel (Lox 2% jelly) in pain reduction during IANB in children. Read More

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December 2020

Intraosseous anesthesia in symptomatic irreversible pulpitis: Impact of bone thickness on perception and duration of pain.

J Dent Anesth Pain Med 2020 Dec 28;20(6):367-375. Epub 2020 Dec 28.

Technische Universität Dresden, University Hospital "Carl Gustav Carus", Department of Oral and Maxillofacial Surgery, Dresden, Germany.

Background: Intraosseous anesthesia (IO) allows the anesthetic solution to be injected directly into the cancellous bone. The anesthetic solution immediately reaches the periapical region, and thus the axonal area of the nerve, where it can temporarily disable the sodium pump. The effect is felt almost without any time delay, and only a small amount of anesthetic solution is required. Read More

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December 2020

Efficacy of Pulpal Anesthesia Using a Needle-less Syringe.

Anesth Prog 2020 12;67(4):200-206

Col (ret), USAF, DC, Director of Dental Research, Advanced Education in General Dentistry Residency, Joint Base San Antonio-Lackland, Texas.

The purpose of this study was to investigate the manufacturer's claims regarding a novel needleless intraligamentary local anesthesia injection device (Numbee, BioDent) to provide effective single tooth anesthesia. Investigators compared the Numbee with a traditional inferior alveolar nerve block (IANB) during a restorative procedure on mandibular teeth. A randomized, split-mouth design was conducted with 15 adult subjects receiving an IANB on one side and a Numbee injection on the same tooth type on the contralateral side. Read More

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December 2020