A 15-year unique observational study of intraligamentary local anaesthesia for posterior mandibular extractions
نویسندگان
چکیده
Introduction Intraligamentary local anaesthesia (ILA) with articaine is described as an effective alternative to inferior alveolar nerve block (IANB) for extraction of posterior teeth in the mandible, reduced risk complications. Aim To investigate ILA 4% and conventional syringe a unique method providing tooth extractions mandible. Materials methods All consecutive be extracted mandible were recruited study, within exclusion criteria, between 2002 2017 one London NHS private dental practice. Four percent was given by slowly at two points lingual buccal adjacent each tooth. Extraction procedures all performed flapless. Heavily broken-down (n = 43) sectioning roots, guttering elevation luxators using socket preservation techniques. Demographic, quantitative qualitative data collected initial appointments up 15 years review. Results The median age 64 (interquartile range 17). Teeth included 272 mandibular molars second premolars, due periodontal disease (34%), irreversible pulpitis (29%) or fracture (27%). majority (44%), followed first (29%), premolars (17%) third (10%). Sufficient achieved five minutes extractions. Procedures lasted less than 30 minutes. Patient feedback reported that quicker expected painless, limited tissues other extracted. Numeric rating scale (NRS) scores pain (0-10) 3. No complications recorded. Conclusion anaesthetic technique purpose broad certain clinical parameters. It mitigates risks, including injury cardiovascular disturbances, associated repeated IANB. This largest study its kind conducted primary care.
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ژورنال
عنوان ژورنال: British Dental Journal
سال: 2021
ISSN: ['0007-0610', '1476-5373']
DOI: https://doi.org/10.1038/s41415-020-2350-8