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Register a new userThe effectiveness of Mandibular Infiltration Compared to Inferior Alveolar Nerve Block Anesthesia in Treating Primary molars in Children
تقييم فعالية التخدير بالارتشاح الفكي السفلي مقارنة مع التخدير بحصار العصب السنخي السفلي في معالجة الأرحاء المؤقتة لدى الأطفال
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تهدف هذه الدراسة إلى تحديد فعالية التخدير بالارتشاح في منطقة الأرحـاء السـفلية، المؤقتة مقارنة مع التخدير بحصار العصب السنخي السفلي، و دراسة علاقتهما مع كل من موقع السن و نمط المعالجة المنجزة و حجم المحلول المخدر. تألفت عينة البحث من ١١٦ طفلاً متعاوناً، تراوحت أعمارهم بين ٣-٦ سنوات و يحتـاجون إلـى معالجـات متماثلة على الأرحاء المؤقتة في كلا طرفي الفك السفلي باستخدام تصميم نصف الفم.
The purposes of the present study were to determine the effectiveness of infiltration anesthesia in the mandibular primary molars compared with inferior alveolar nerve block, and how tooth location, and the type of treatment performed, and the volume of anesthetic solution relate to the quality of anesthesia. The study population consisted of ١١٦ cooperative children, ٣-٦ years old, requiring the same type of treatment on contralateral mandibular molars.
References used
١-Sharaf. A.A.T: Evaluation of mandibular infiltration versus block anesthesia in pediatric dentistry. JDC:1997
Hersh. E, Herman. D.G, Lamp C.J, Johnson P.D, Macafee. K.A: Assessing the duration of mandibular soft tissue anesthesia, JADA1995
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The injection of needle is an action of fear and pain, especially for young children , so it is important that we resort to a method of pain-free when applying the local anesthesia.
Fear of a painful dental injection
specially in children is significant barrier to regular visits to the
dentist, so the aim of this study was to assess the efficacy of
primary maxillary second molars anesthesia using lidocaine 10%
nasal spray during restorative cavity preparation.
Residual palatal fistulas are common after repair of palatal cleft
and tumar incision in palate and nasal cavity.
Repair of residual oronasal fistula is not always successful. Twolayer
closure techniques that close these fistulas with soft tissue
are a common practice. Turnover flaps are the most used flaps
and often the sole method for nasal side closure of fistula.
Anteriorly based inferior turbinate flap can be used to provide soft
tissue for nasal-side closure when turnover flaps will not provide
sufficient tissue for this purpose.
This study was carried out in the Department of Anesthesia and Reanimation at AL-Assad University Hospital Lattakia Syria during the year 2012-2013 the study included 200 patients between 12 and 65 years old the most common surgical procedures they h
ad were general surgery, urinary surgery, orthopedic surgery, genecology surgery.
Patients were divided into two groups: for the first group: Propofol was used for induction and an inhaling gas with a suitable minimum alveolar concentration MAC was used for maintenance the gas used was Sevoflurane. For the second group: Thiopental or Propofol was used for induction and Sevoflurane for maintenance with MAC less than the suitable concentration.
The aim of the study was to show the importance of Minimum Alveolar Concentration and keep a deep anesthesia in order to prevent awareness and recall.
The result was better in the first group because the percentage of awareness and recall was less than in the second group.
The study shows that the use of inhaling anesthesia is well, but the Minimum Alveolar Concentration MAC (Sevoflurane is the studied gas) must be controlled.
When the caries become near the pulp in primary molars, the treatment will
be the pulpotomy to remove the involved coronal portion of the pulp, preserving the vitality and function
of the remaining radicular portion. Formocresol, Glutar-aldehyde, F
erric sulphate, AMT, Laser
application and Electro surgery may used in primary teeth pulpotomy.
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