This well conducted randomised controlled trial assessed inferior alveolar nerve block (IANB) success of 2% mepivacaine and 4% articaine in patients with symptomatic irreversible pulpitis (SIP) in mandibular molars during access cavity preparation and instrumentation.[read the full story...]
Anaesthetic techniques for mandibular posterior teeth with symptomatic irreversible pulpitis
This review of the most effective method of anaesthesia for mandibular posterior teeth with symptomatic irreversible pulpitis included 22 RCTs. The findings suggest that buccal infiltraion and inferior alveolar nerve block ,Vazirani-Akinosi nerve block and introsseus injections performed better but the evidence was only of low to very low certainty.[read the full story...]
Articaine: Safety and efficacy compared to lidocaine
This review assessing the safety and efficacy of articaine for routine dental treatment compared to lidocaine included 12 RCTs involving a total of 919 patients. The findings indicate that articaine is is a safe and efficacious local anaesthetic for all routine dental procedures.[read the full story...]
Articaine local anaesthesia and the risk of hyperaesthesia in third molar surgery
This review of the risk of hyperaesthesia with articaine compared with other local anaesthetics in lower alveolar nerve block for lower third molar removal included 13 studies.The findings suggest that the use of articaine does not increase the risk of hyperaesthesia.[read the full story...]
Third molar extractions: Which anaesthetic solution for the best pain control?
This review of the effectiveness of different anaesthetic solutions for pain control immediately after the extraction of lower third molars included 45 studies.13 studies were included in a network meta-analys whch suggested 5% bupivacaine reduces pain in patients during and immediately after the removal of lower third molars.[read the full story...]
Third molars: Which local anaesthetic is most suitable for inferior alveolar nerve blocks?
This review comparing the efficacy and safety of currently available local anaesthetics for lower third molar extraction included 24 RCTs. The findings suggest that 4% articaine was the most effective and lidocaine the safest.[read the full story...]
Pulpal anaesthesia for symptomatic irreversible pulpitis in mandibular molars
Colin Levey takes a look at this network meta-analysis of 46 RCTs assessing techniques and drugs for achieving pulpal anaesthesia for the non-surgical endodontic treatment of mandibular molars.[read the full story...]
Top Dental Elf Blogs Oct – Dec 2019
In October, November and December out most popular blogs were on Molar Incisor Hypomineralisation, local anaesthesia for root canal treatment and long or short dental implants fro restoration of the posterior jaw.[read the full story...]
Computerised local anaesthesia in paediatric patients
This review ofwhether local computerised anaesthesia decreases the pain and disruptive behaviour in children when compared to conventional anaesthesia included 20 RCTs and suggested no diference between the two approaches.[read the full story...]
Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?
5 systematic reviews were included in this umbrella review of whether articaine or lidocaine is the most appropriate local anaesthetic solution for teeth with irreversible pulpitis undergoing root canal treatment.[read the full story...]