The effectiveness of articaine in mandibular facial infiltrations
Identifieur interne : 000C41 ( Main/Merge ); précédent : 000C40; suivant : 000C42The effectiveness of articaine in mandibular facial infiltrations
Auteurs : Dennis F. Flanagan [États-Unis]Source :
- Local and Regional Anesthesia [ 1178-7112 ] ; 2015.
Abstract
Four percent articaine local anesthetic has been successfully used to attain local anesthesia for dental procedures. Mandibular block anesthesia may consume longer time to attain and have a higher failure of local anesthesia compared to infiltration. Mandibular facial infiltration has been reported to successfully attain effective local anesthesia for dental procedures. This study involved only several tooth sites and found that 1.8 cc of 4% articaine facial infiltration in the mandible may be effective when the facial mandibular cortex is <2.0–3.0 mm. A waiting time of 5–10 minutes may be required for effective anesthesia. An additional 1.8 cc of dose may be required to attain anesthesia if an initial 1.8 cc of dose fails. The need for additional anesthetic may be predicted by a measurement of the facial cortex using cone beam computerized tomography. A study of mandibular sites is needed to delineate the anatomical dimensions, density of cortical bone, and apical neural location for ensuring successful local anesthetic infiltration.
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DOI: 10.2147/LRA.S94647
PubMed: 26730209
PubMed Central: 4694664
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Flanagan</name><affiliation wicri:level="2"><nlm:aff id="af1-lra-9-001">Windham Dental Group, Willimantic, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Windham Dental Group, Willimantic, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author></analytic><series><title level="j">Local and Regional Anesthesia</title><idno type="eISSN">1178-7112</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Four percent articaine local anesthetic has been successfully used to attain local anesthesia for dental procedures. Mandibular block anesthesia may consume longer time to attain and have a higher failure of local anesthesia compared to infiltration. Mandibular facial infiltration has been reported to successfully attain effective local anesthesia for dental procedures. This study involved only several tooth sites and found that 1.8 cc of 4% articaine facial infiltration in the mandible may be effective when the facial mandibular cortex is <2.0–3.0 mm. A waiting time of 5–10 minutes may be required for effective anesthesia. An additional 1.8 cc of dose may be required to attain anesthesia if an initial 1.8 cc of dose fails. The need for additional anesthetic may be predicted by a measurement of the facial cortex using cone beam computerized tomography. 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