The influence of mandibular skeletal characteristics on inferior alveolar nerve block anesthesia
Identifieur interne : 000C33 ( Main/Exploration ); précédent : 000C32; suivant : 000C34The influence of mandibular skeletal characteristics on inferior alveolar nerve block anesthesia
Auteurs : Tae Min You [Corée du Sud] ; Kee-Deog Kim [Corée du Sud] ; Jisun Huh [Corée du Sud] ; Eun-Jung Woo [Corée du Sud] ; Wonse Park [Corée du Sud]Source :
- Journal of Dental Anesthesia and Pain Medicine [ 2383-9309 ] ; 2015.
Abstract
The inferior alveolar nerve block (IANB) is the most common anesthetic techniques in dentistry; however, its success rate is low. The purpose of this study was to determine the correlation between IANB failure and mandibular skeletal characteristics
In total, 693 cases of lower third molar extraction (n = 575 patients) were examined in this study. The ratio of the condylar and coronoid distances from the mandibular foramen (condyle-coronoid ratio [CC ratio]) was calculated, and the mandibular skeleton was then classified as normal, retrognathic, or prognathic. The correlation between IANB failure and sex, treatment side, and the CC ratio was assessed.
The IANB failure rates for normal, retrognathic, and prognathic mandibles were 7.3%, 14.5%, and 9.5%, respectively, and the failure rate was highest among those with a CC ratio < 0.8 (severe retrognathic mandible). The failure rate was significantly higher in the retrognathic group than in normal group (P = 0.019), and there was no statistically significant difference between the other two groups.
IANB failure could be attributable, in part, to the skeletal characteristics of the mandible. In addition, the failure rate was found to be significantly higher in the retrognathic group.
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DOI: 10.17245/jdapm.2015.15.3.113
PubMed: 28879267
PubMed Central: 5564166
Affiliations:
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Cheonan</wicri:regionArea><wicri:noRegion>Cheonan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Kee Deog" sort="Kim, Kee Deog" uniqKey="Kim K" first="Kee-Deog" last="Kim">Kee-Deog Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Huh, Jisun" sort="Huh, Jisun" uniqKey="Huh J" first="Jisun" last="Huh">Jisun Huh</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Woo, Eun Jung" sort="Woo, Eun Jung" uniqKey="Woo E" first="Eun-Jung" last="Woo">Eun-Jung Woo</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Wonse" sort="Park, Wonse" uniqKey="Park W" first="Wonse" last="Park">Wonse Park</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Dental Anesthesia and Pain Medicine</title><idno type="ISSN">2383-9309</idno><idno type="eISSN">2383-9317</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The inferior alveolar nerve block (IANB) is the most common anesthetic techniques in dentistry; however, its success rate is low. The purpose of this study was to determine the correlation between IANB failure and mandibular skeletal characteristics</p></sec><sec><title>Methods</title><p>In total, 693 cases of lower third molar extraction (n = 575 patients) were examined in this study. The ratio of the condylar and coronoid distances from the mandibular foramen (condyle-coronoid ratio [CC ratio]) was calculated, and the mandibular skeleton was then classified as normal, retrognathic, or prognathic. The correlation between IANB failure and sex, treatment side, and the CC ratio was assessed.</p></sec><sec><title>Results</title><p>The IANB failure rates for normal, retrognathic, and prognathic mandibles were 7.3%, 14.5%, and 9.5%, respectively, and the failure rate was highest among those with a CC ratio < 0.8 (severe retrognathic mandible). The failure rate was significantly higher in the retrognathic group than in normal group (P = 0.019), and there was no statistically significant difference between the other two groups.</p></sec><sec><title>Conclusions</title><p>IANB failure could be attributable, in part, to the skeletal characteristics of the mandible. In addition, the failure rate was found to be significantly higher in the retrognathic group.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sm" uniqKey="Sm">SM</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Madan, Ga" uniqKey="Madan G">GA Madan</name></author><author><name sortKey="Madan, Sg" uniqKey="Madan S">SG Madan</name></author><author><name sortKey="Madan, Ad" uniqKey="Madan A">AD Madan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Mk" uniqKey="Wong M">MK Wong</name></author><author><name sortKey="Jacobsen, Pl" uniqKey="Jacobsen P">PL Jacobsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mikesell, P" uniqKey="Mikesell P">P Mikesell</name></author><author><name sortKey="Nusstein, J" uniqKey="Nusstein J">J Nusstein</name></author><author><name sortKey="Reader, A" uniqKey="Reader A">A 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Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><noRegion><name sortKey="You, Tae Min" sort="You, Tae Min" uniqKey="You T" first="Tae Min" last="You">Tae Min You</name></noRegion><name sortKey="Huh, Jisun" sort="Huh, Jisun" uniqKey="Huh J" first="Jisun" last="Huh">Jisun Huh</name><name sortKey="Kim, Kee Deog" sort="Kim, Kee Deog" uniqKey="Kim K" first="Kee-Deog" last="Kim">Kee-Deog Kim</name><name sortKey="Park, Wonse" sort="Park, Wonse" uniqKey="Park W" first="Wonse" last="Park">Wonse Park</name><name sortKey="Woo, Eun Jung" sort="Woo, Eun Jung" uniqKey="Woo E" first="Eun-Jung" last="Woo">Eun-Jung Woo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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