This document summarizes local anesthetic injection techniques used in dentistry. It discusses the history of local anesthetics, common agents used, and maxillary and mandibular injection techniques including local infiltration, nerve blocks, and supplemental methods. Potential complications are outlined relating to improper technique, local anesthetic components, and patient factors. Further reading on the topic is also provided.
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Local Anesthetic Injection Techniques in Dentistry
This document summarizes local anesthetic injection techniques used in dentistry. It discusses the history of local anesthetics, common agents used, and maxillary and mandibular injection techniques including local infiltration, nerve blocks, and supplemental methods. Potential complications are outlined relating to improper technique, local anesthetic components, and patient factors. Further reading on the topic is also provided.
This document summarizes local anesthetic injection techniques used in dentistry. It discusses the history of local anesthetics, common agents used, and maxillary and mandibular injection techniques including local infiltration, nerve blocks, and supplemental methods. Potential complications are outlined relating to improper technique, local anesthetic components, and patient factors. Further reading on the topic is also provided.
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Local Anesthetic Injection Techniques in Dentistry
This document summarizes local anesthetic injection techniques used in dentistry. It discusses the history of local anesthetics, common agents used, and maxillary and mandibular injection techniques including local infiltration, nerve blocks, and supplemental methods. Potential complications are outlined relating to improper technique, local anesthetic components, and patient factors. Further reading on the topic is also provided.
Copyright:
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เทคนิ คการฉีดยาชา
เฉพาะที่ ทางทันตกรรม Local anesthetic injection techniques in Dentistry Udomrat Khemaleelakul Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Chiangmai University Dental Treatments •Fear •Anxiety •Pain Techniques • Iatrosedation • Hypnotism • Acupuncture • Electroanalgesia • Audioanalgesia Techniques • Local analgesia • Sedation • General anesthesia Spectrum of pain anxiety control หัวข้อการบรรยาย
• Local anesthetics in dentistry
• Maxillary injection techniques • Mandibular injection techniques • Complications (injection techniques) Local Anesthetics in Dentistry Development in LA for Dentistry
• 1859 Niemann Isolation of cocaine
• 1884 Koller Clinical used (topical) • 1884 Halsted Clinical used (regional) • 1885 Corning Tourniquet to retard absorb. • 1903 Braun Chemical tourniquet: Epinephrine Development in LA for Dentistry
• 1904 Einhorn Synthesis of ‘procaine’
• 1905 Braun Clinical use of procaine • 1943 Lofgren Synthesis of ‘lidocaine’ • 1957 ‘mepivacaine’ • 1960 ‘prilocaine’ • 1963 ‘bupivacaine’ • 1969 ‘articaine’ Local anesthetic agents Local anesthetic agents
• Chemical structure; o Esters cocaine, benzocaine, procaine, tetracaine, propoxycaine, chloroprocaine o Amides mepivacaine, etidocaine, lidocaine, prilocaine, bupivacaine, articaine? Common Used of Local Anesthetics in Dentistry • Lidocaine • Mepivacaine • Prilocaine • Bupivacaine • Etidocaine • Articaine สว ่ นประกอบของยาชาเฉพาะ ที่ ทางทันตกรรม • ตัวยาชา (Local Anesthetics) • Vasoconstrictor • Methy paraben o LA preservation (not recommended) • Sodium metabisulphite o Vasoconstrictor preservation • Isotonic solution ex. Sodium chloride Dental Injection Techniques Dental Anesthesia Techniques
• Topical technique • Local infiltration • Nerve block • Supplemental techniques o Intrapulpal injection o Intraligamentary injection o Intrapapillary injection o Intraosseous injection Maxillary injection techniques
• Aim point: o Maxillary division of Trigeminal nerve Maxillary injection techniques
• Techniques: o Supraperiosteal injection (Local infiltration) o Posterior superior alveolar nerve block o Middle superior alveolar nerve block o Infraorbital nerve block o Nasopalatine nerve block o Greater palatine nerve block o Maxillary nerve block Local Infiltration Posterior superior alveolar nerve block Infraorbital nerve block Nasopalatine nerve block Greater palatine nerve block Maxillary nerve block Mandibular injection techniques
• Aim point: o Mandibular division of Trigeminal nerve Mandibular injection techniques
• Techniques: o Supraperiosteal injection (Local infiltration) o Inferior alveolar nerve block o Lingual nerve block o Long buccal nerve block o Mental nerve block o Mandibular nerve block ( Gow gates, Akinosi) Local infiltration Inferior alveolar nerve block Long buccal nerve block Mental nerve block Mandibular nerve block Supplemental techniques
• Local anesthetics and Components • Patient status: o mental status, systemic diseases, etc. • Others Complications
• Needle Broken • Hematoma
• Pain on injection • Infection • Burning on injection • Sloughing of tissues • Persistent paresthesia • Facial nerve • Trismus paralysis Local Anesthetics / Vasoconstrictor overdose • Causes; o Intravascular injection (rapid onset) Lip chewing Further Reading
• ทองนารถ คำใจ. ยาชาเฉพาะที่ ในทางทันต
กรรม โครงการตำราคณะทันตแพทยศาสตร์ มหาวิทยาลัยเชียงใหม,่ 2533 ้ เกษม. ยาชาเฉพาะที่ . ใน: วรภา • กิ่งแกว้ อน สุวรรณจินดา, อังกาบ ปราการรัตน์, บรรณาธิการ. ตำราวิสัญญี วิทยา. กรุ งเทพฯ, เรื อนแกว้ การ พิมพ,์ 2538 • Malamed SF. : Handbook of local anesthesia. 4th edition, St. Louis: Mosby, 1997. Further Reading
• Roberts GJ., Rosenbaum NL. : A colour
atlas of Dental Analgesia & Sedation. Aylesbury: Wolfe, 1991. • Robinson PD., Ford TRP., McDonald F. : Local Anaesthesia in Dentistry. Oxford: Wright,2000.
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