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ALLMedicine™ Dental Anesthesia Center - Research & Reviews

Oral pre-trigeminal neuralgia pain: clinical differential diagnosis and descriptive stu...
https://doi.org/10.1179/0886963413Z.00000000023
Cranio : the Journal of Craniomandibular Practice; Wright E, Evans J

Jul 7th, 2014 - To better quantify oral pre-trigeminal neuralgia (PTN) symptoms, attempt to identify PTN symptoms that could reliably differentiate between PTN and odontogenic tooth pain, and determine whether an anesthetic test would reliably differentiate these disorders. This was accomplished through a survey of symptom recall for 49 trigeminal neuralgia patients who had PTN tooth and/or gum pain. The varia...

Anesthesia for off-floor dental and oral surgery.
https://doi.org/10.1097/ACO.0000000000000341
Current Opinion in Anaesthesiology; Giovannitti JA

Mar 29th, 2016 - Anesthesia for dentistry is commonly performed outside the operating room. The combination of a shared airway between surgeon and anesthetist, the variety of open airway techniques, and the out-of-operating room setting often results in anxiety and avoidance of dental cases among anesthesia personnel. This review attempts to demystify dental treatment and facilitate the anesthesia provider in p...

Safety of Local Dental Anesthesia in Patients With Cardiac Channelopathies
https://clinicaltrials.gov/ct2/show/NCT03182777

May 2nd, 2018 - Patients of Heart Institute of the University of São Paulo with inherited cardiac channelopathies will be included, considering the criteria for inclusion and non-inclusion, after reading and signing the informed consent. They will undergo dental restorative treatment in two sessions, in the morning period, with an interval of at least seven days (wash-out) between them, and the patients will b...

Dental Anesthesia in Heart Failure Patients
https://clinicaltrials.gov/ct2/show/NCT02228083

Heart failure is defined as the inability of the heart to offer blood supply required to meet metabolic demand of the tissues and thus exercise adequately its role as a pump. According to data collected from the single health system (DATASUS), approximately 6.4 million Brazilians have heart failure. This large contingent of patients will require multi-professional treatment, in particular, care...

Cardiovascular effects of combined hyaluronidase and mepivacaine in dental anesthesia: ...
https://www.ncbi.nlm.nih.gov/pubmed/27093770
American Journal of Dentistry; Tornelli MJ, Prado RM et. al.

Apr 20th, 2016 - To evaluate the effects of combined administration of mepivacaine with epinephrine and the diffusion agent hyaluronidase on hemodynamic and electrocardiographic parameters in healthy individuals undergoing dental surgery. In a double-blind, split-mouth, randomized clinical trial, the cardiovascular effects induced by 2.7 mL of 2% mepivacaine with 1:100,000 epinephrine injected concomitantly wit...

Intranasal tetracaine and oxymetazoline: a newly approved drug formulation that provide...
https://doi.org/10.1080/03007995.2016.1238352
Current Medical Research and Opinion; Hersh EV, Saraghi M et. al.

Sep 20th, 2016 - An intranasal formulation of 3% tetracaine and 0.05% oxymetazoline (Kovanaze) received FDA approval on 29 June 2016. This formulation appears to provide sufficient local anesthesia to perform routine dental restorative (filling) procedures in maxillary teeth from second premolar forward. The aim of this paper is to provide an overview of the efficacy, pharmacokinetics and tolerability of 3% tet...

Needle fracture as a complication of dental local anesthesia: recommendations for preve...
https://doi.org/10.1007/s00784-018-2525-8
Clinical Oral Investigations; Acham S, Truschnegg A et. al.

Jun 30th, 2018 - The aim of this publication is to provide a concept for prevention and a standardized step-by-step clinical approach to this rare but serious and potentially preventable complication of dental local anesthesia. We collected data with a PUBMED search using the key words "local anesthesia," "dental anesthesia/anesthesia" OR "mandibular block anesthesia," "complication," "hypodermic needle," "need...

Ethics Rounds: Death After Pediatric Dental Anesthesia: An Avoidable Tragedy?
https://doi.org/10.1542/peds.2017-2370
Pediatrics Lee H, Milgrom P et. al.

Nov 8th, 2017 - Early childhood caries (ECC) is the single most common chronic childhood disease. In the treatment of ECC, children are often given moderate sedation or general anesthesia. An estimated 100 000 to 250 000 pediatric dental sedations are performed annually in the United States. The most common medications are benzodiazepines, opioids, local anesthetics, and nitrous oxide. All are associated with ...

Second-Degree Atrioventricular Block Occurring After Tooth Extraction.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011958
Anesthesia Progress; Kamatani T, Akizuki A et. al.

Sep 1st, 2016 - Although cardiac arrhythmias are occasionally associated with dental extractions and dental anesthesia, atrioventricular block is rarely seen during dental procedures. We report a rare case of type I second-degree atrioventricular block (Wenckebach phenomenon) occurring after bilateral extraction of impacted mandibular third molars under general anesthesia in a 16-year-old Japanese girl. Under ...

Peroxynitrite affects lidocaine by acting on membrane-constituting lipids.
https://doi.org/10.1007/s00540-008-0664-9
Journal of Anesthesia; Ueno T, Mizogami M et. al.

Nov 17th, 2008 - Inflammation frequently decreases local anesthetic effects, especially in dental anesthesia in patients with pulpitis and periodontitis. The pharmacokinetics and the mode of action of local anesthetics are closely associated with the hydrophobic interactions between these drugs and lipid bilayers that change the membrane physicochemical property, fluidity. A lipid oxidant, peroxynitrite, is pro...

Severe methemoglobinemia after dental anesthesia: a warning about propitocaine-induced ...
https://doi.org/10.1007/s00540-010-1004-4
Journal of Anesthesia; Doko Y, Iranami H et. al.

Aug 13th, 2010 - Methemoglobinemia is a fatal complication of local anesthesia. We describe a case report of female neonate who developed severe methemoglobinemia after extraction of neonatal teeth conducted with general anesthesia plus local injection of Citanest-Octapressin(®) (propitocaine of approximately 10 mg/kg). Central cyanosis appeared within an hour after surgery. The percentage of methemoglobin reac...

Hypnosis and dental anesthesia in children: a prospective controlled study.
https://doi.org/10.1080/00207144.2011.594740
The International Journal of Clinical and Experimental Hy... Huet A, Lucas-Polomeni MM et. al.

Aug 26th, 2011 - The authors of this prospective study initially hypothesized that hypnosis would lower the anxiety and pain associated with dental anesthesia. Thirty children aged 5 to 12 were randomly assigned to 2 groups receiving hypnosis (H) or not (NH) at the time of anesthesia. Anxiety was assessed at inclusion in the study, initial consultation, installation in the dentist's chair, and at the time of an...

Advanced techniques and armamentarium for dental local anesthesia.
https://doi.org/10.1016/j.cden.2010.06.017
Dental Clinics of North America; Clark TM, Yagiela JA

Sep 13th, 2010 - Computer-controlled local anesthetic delivery (C-CLAD) devices and systems for intraosseous (IO) injection are important additions to the dental anesthesia armamentarium. C-CLAD using slow infusion rates can significantly reduce the discomfort of local anesthetic infusion, especially in palatal tissues, and facilitate palatal approaches to pulpal nerve block that find special use in cosmetic de...

Adverse events during pediatric dental anesthesia and sedation: a review of closed malp...
https://www.ncbi.nlm.nih.gov/pubmed/22795157
Pediatric Dentistry; Chicka MC, Dembo JB et. al.

Jul 16th, 2012 - The purpose of this study of closed malpractice insurance claims was to provide descriptive data of adverse events related to child sedation and anesthesia in the dental office. The malpractice claims databases of two professional liability carriers were searched using pre-determined keywords for all closed claims involving anesthesia in pediatric dental patients from 1993-2007. The database se...

Practice characteristics among dental anesthesia providers in the United States.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886918
Anesthesia Progress; Boynes SG, Moore PA et. al.

Jun 17th, 2010 - General descriptions or "snapshots" of sedation/general anesthesia practices during dental care are very limited in reviewed literature. The objective of this study was to determine commonalities in dental sedation/anesthesia practices, as well as to accumulate subjective information pertaining to sedation/anesthesia care within the dental profession. This questionnaire-based survey was complet...

Transverse cervical nerve: implications for dental anesthesia.
https://doi.org/10.1002/ca.22221
Clinical Anatomy (New York, N.Y.); Lin K, Uzbelger Feldman D et. al.

Jan 30th, 2013 - The inferior alveolar nerve block (IANB) has the highest failure incidence of any dental anesthetic technique. Many authors have outlined potential reasons for these failures in permanent lower molars, including accessory innervations from the mylohyoid and mental foramen. However, the potential accessory innervation of posterior mandibular teeth from the transverse cervical nerve (TCN), a bran...

Comparative evaluation of topical and electronic anesthesia during scaling and root pla...
https://doi.org/10.1902/jop.2010.090702
Journal of Periodontology; Pandit N, Gupta R et. al.

Mar 2nd, 2010 - Scaling and root planing (SRP) in periodontitis is considered to be painful and thus requires anesthesia. The present study evaluates the effectiveness of a eutectic mixture of 25 mg/g lignocaine plus 25 mg/g prilocaine and thermosetting agents (EMLA), 20% lignocaine patch, and electronic dental anesthesia (EDA) during SRP. In a single-center, randomized, controlled study, 25 subjects with prob...

Bilateral anomalous high position of the mandibular foramen: a case report.
https://doi.org/10.1007/s00276-013-1209-y
Surgical and Radiologic Anatomy : SRA; Cvetko E

Sep 25th, 2013 - The inferior alveolar nerve block is one of the most common techniques for delivering dental anesthesia. Its success depends on placing the needle tip in close proximity to the mandibular foramen (MF). In certain cases, however, this nerve block fails, even when performed by the most experienced clinician. Anatomical variability may be one source of local anesthetic failure and includes bone an...

Safety and efficacy of a novel nasal spray for maxillary dental anesthesia.
https://doi.org/10.1177/0022034513484334
Journal of Dental Research; Ciancio SG, Hutcheson MC et. al.

May 21st, 2013 - This study examines the efficacy, safety, and tolerability of a nasal spray to induce anesthesia of maxillary teeth. Forty-five healthy adults requiring restoration of one maxillary tooth were randomized in a 1:2 ratio to receive (1) an intra-oral lidocaine-epinephrine injection with buffered saline nasal spray bilaterally, or (2) a tetracaine hydrochloride-oxymetazoline hydrochloride nasal spr...

Prognosis After Surgical Treatment of Trigeminal Neuropathy with a PGA-c Tube: Report o...
https://doi.org/10.1093/pm/pnw088
Pain Medicine (Malden, Mass.); Seo K, Terumitsu M et. al.

Dec 27th, 2016 - Although surgery using a polyglycolic acid-collagen (PGA-c) tube is effective for peripheral nerve injury-induced chronic hand pain, it has not been applied to trigeminal nerve lesions because of the difficult approach. We used a PGA-c tube during surgery for trigeminal neuropathy and evaluated its prognosis based on the outcomes. Case report. In the dental anesthesia division of a university h...