Int J Stomatol

Int J Stomatol ›› 2021, Vol. 48 ›› Issue (4): 373-379.doi: 10.7518/gjkq.2021080

• Expert Forum •     Next Articles

Novel concepts of dental local anesthesia

Zhao Jihong()   

  1. Dept. of Oral Surgery, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2020-12-05 Revised:2021-03-02 Online:2021-07-01 Published:2021-06-30
  • Contact: Jihong Zhao E-mail:jhzhao988@whu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81671008)

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Abstract:

This article introduces some new concepts and techniques of local anesthesia for dental treatment. The signi-ficant measures that ensure local anesthesia’s safety are to evaluate the dental patients’ physical and mental state before local anesthesia, rationally use drugs depending on the results of physical state evaluation, and conduct necessary psychological counseling sedation for nervous and fearful patients. Articaine is highly prevalent in clinical practices because of its relative safety, good anesthetic efficacy, and diversity of applicable methods. The new painless syringes will make patients comfortable with local anesthesia and improve the safety of local anesthesia. The application of proper local anesthetics and painless needles will bring about several changes in local anesthesia methods and techniques. Local infiltration anesthesia has become the first choice of local anesthesia for dental treatment. Periodontal membrane anesthesia has become routine anesthesia, and customized and distinctive nerve block anesthesia has emerged. The safety, comfort, and efficacy of local anesthesia depend on the standardized operation. Under this circumstance, an imperative formulation of “Ope-rational Standard of Oral Local Anesthesia” has been established in the Chinese Stomatological Association.

Key words: dental treatment, local anesthesia, safety, comfort, standard

CLC Number: 

  • R782.05

TrendMD: 
[1] 胡开进. 牙及牙槽外科学[M]. 北京: 人民卫生出版社, 2016: 40-73.
Hu KJ. Dental and alveolar surgery[M]. Beijing: Peo-ple’s Medical Publishing House, 2016: 40-73.
[2] 赵吉宏. 现代牙槽外科新技术[M]. 北京: 人民卫生出版社, 2017: 54-64.
Zhao JH. New technology of modern alveolar surge-ry[M]. Beijing: People’s Medical Publishing House, 2017: 54-64.
[3] Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review[J]. Aust Dent J, 2013,58(4):390-407.
doi: 10.1111/adj.12118 pmid: 24320894
[4] Sambrook PJ, Smith W, Elijah J, et al. Severe adverse reactions to dental local anaesthetics: systemic reactions[J]. Aust Dent J, 2011,56(2):148-153.
doi: 10.1111/j.1834-7819.2011.01316.x pmid: 21623805
[5] Gómez-Moreno G, Guardia J, Cutando A, et al. Pharmacological interactions of vasoconstrictors[J]. Med Oral Patol Oral Cir Bucal, 2009,14(1):E20-E27.
[6] Rosenberg PH, Veering BT, Urmey WF. Maximum recommended doses of local anesthetics: a multifactorial concept[J]. Reg Anesth Pain Med, 2004,29(6):564-575.
[7] Fiorillo L. Conscious sedation in dentistry[J]. Medicina, 2019,55(12):778.
doi: 10.3390/medicina55120778
[8] Zeytinoğlu M, Tuncay Ü, Akay MC, et al. Holter ECG assessment of the effects of three different local anesthetic solutions on cardiovascular system in the sedated dental patients with coronary artery di-sease[J]. Anatol J Cardiol, 2013,13(5):480-485.
[9] Sierra Rebolledo A, Delgado Molina E, Berini Aytís L, et al. Comparative study of the anesthetic efficacy of 4% articaine versus 2% lidocaine in inferior alveolar nerve block during surgical extraction of impacted lower third molars[J]. Med Oral Patol Oral Cir Bucal, 2007,12(2):E139-E44.
[10] Srisurang S, Narit L, Prisana P. Clinical efficacy of lidocaine, mepivacaine, and articaine for local infiltration[J]. J Investig Clin Dent, 2011,2(1):23-28.
doi: 10.1111/jicd.2011.2.issue-1
[11] 丁晟, 朱亚琴, 吴英娜, 等. 3%盐酸甲哌卡因用于口腔局麻的有效性和安全性评价[J]. 上海口腔医学, 2008,17(3):328-331.
Ding S, Zhu YQ, Wu YN, et al. Efficacy and safety of 3% mepivacaine hydrochloride injection for oral local anesthesia[J]. Shanghai J Stomatol, 2008,17(3):328-331.
[12] Trullenque-Eriksson A, Guisado-Moya B. Comparative study of two local anesthetics in the surgical extraction of mandibular third molars: bupivacaine and articaine[J]. Med Oral, 2011: e390-e396.
[13] Velioglu O, Calis AS, Koca H, et al. Bupivacaine vs. lidocaine: a comparison of local anesthetic efficacy in impacted third molar surgery[J]. Clin Oral Investig, 2020,24(10):3539-3546.
doi: 10.1007/s00784-020-03224-5 pmid: 32065309
[14] Kennedy M, Reader A, Beck M, et al. Anesthetic efficacy of ropivacaine in maxillary anterior infiltration[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2001,91(4):406-412.
doi: 10.1067/moe.2001.114000
[15] Vasters FG, Eberhart LH, Koch T, et al. Risk factors for prilocaine-induced methaemoglobinaemia follo-wing peripheral regional anaesthesia[J]. Eur J A-naesthesiol, 2006,23(9):760-765.
[16] Thoppe-Dhamodhara YK, Asokan S, John BJ, et al. Cartridge syringe vs computer controlled local anesthetic delivery system: pain related behaviour over two sequential visits‒a randomized controlled trial[J]. J Clin Exp Dent, 2015,7(4):e513-e518.
[17] Kwak EJ, Pang NS, Cho JH, et al. Computer-controlled local anesthetic delivery for painless anesthesia: a literature review[J]. J Dent Anesth Pain Med, 2016,16(2):81-88.
doi: 10.17245/jdapm.2016.16.2.81
[18] Munshi AK, Hegde A, Bashir N. Clinical evaluation of the efficacy of anesthesia and patient preference using the needle-less jet syringe in pediatric dental practice[J]. J Clin Pediatr Dent, 2001,25(2):131-136.
pmid: 11314212
[19] Moore PA, Cuddy MA, Cooke MR, et al. Periodontal ligament and intraosseous anesthetic injection te-chniques: alternatives to mandibular nerve blocks[J]. J Am Dent Assoc, 2011,142(Suppl 3):13S-18S.
doi: 10.14219/jada.archive.2011.0342
[20] Kleber CH. Intraosseous anesthesia: implications, instrumentation and techniques[J]. J Am Dent Assoc, 2003,134(4):487-491.
doi: 10.14219/jada.archive.2003.0200
[21] Flanagan D. The effectiveness of articaine in mandibular facial infiltrations[J]. Local Reg Anesth, 2015: 1-6.
[22] Friedman MJ, Hochman MN. P-ASA block injection: a new palatal technique to anesthetize maxillary anterior teeth[J]. J Esthet Dent, 1999,11(2):63-71.
pmid: 10530269
[23] Friedman MJ, Hochman MN. The AMSA injection: a new concept for local anesthesia of maxillary tee-th using a computer-controlled injection system[J]. Quintessence Int, 1998,29(5):297-303.
pmid: 9693648
[24] de Souza Tolentino L, Barbisan Souza A, Girardi AA, et al. The anesthetic effect of anterior middle superior alveolar technique (AMSA)[J]. Anesth Prog, 2015,62(4):153-158.
doi: 10.2344/13-00013.1 pmid: 26650493
[25] AlHindi M, Rashed B, AlOtaibi N. Failure rate of inferior alveolar nerve block among dental students and interns[J]. Saudi Med J, 2016,37(1):84-89.
doi: 10.15537/smj.2016.1.13278 pmid: 26739980
[26] Aggarwal V, Singla M, Kabi D. Comparative evalua-tion of anesthetic efficacy of Gow-Gates mandibular conduction anesthesia, Vazirani-Akinosi techni-que, buccal-plus-lingual infiltrations, and conventio-nal inferior alveolar nerve anesthesia in patients with irreversible pulpitis[J]. Oral Surg Oral Med Oral Pa-thol Oral Radiol Endodontology, 2010,109(2): 303-308.
[27] Sokhov ST, Rabinovich SA, Bogaevskaya OY. Comparative evaluation of P.M. Egorov and modified G. Gow-Gates mandibular block efficacy[J]. Stomatologiia (Mosk), 2019,98(5):46-49.
doi: 10.17116/stomat20199805146 pmid: 31701928
[28] Haas DA. Alternative mandibular nerve block techniques: a review of the Gow-Gates and Akinosi-Vazirani closed-mouth mandibular nerve block techni-ques[J]. J Am Dent Assoc, 2011,142(Suppl 3):8S-12S.
doi: 10.14219/jada.archive.2011.0341
[29] Mulroy MF. Systemic toxicity and cardiotoxicity from local anesthetics: incidence and preventive measures[J]. Reg Anesth Pain Med, 2002,27(6):556-561.
[30] Malamed, Stanley F. Medical emergencies in the dental office[M]. St. Louis, Missouri: Elsevier Health Sciences>, 2014: 125-143.
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[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
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[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
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