Irreversible pulpitis: Do larger volumes of local anaesthetic improve success of inferior alveolar nerve blocks?

shutterstock_40200184

This review of the efficacy of 1.8 and 3.6 mL of the same anaesthetic solution for inferior alveolar nerve blocks (IANBs) for treating mandibular teeth with irreversible pulpitis included 4 RCTs (280 teeth). The findings show arger volumes of local anaesthetic solutions significantly increase the success rate of IANBs.

[read the full story...]

Third molar extractions: Which anaesthetic solution for the best pain control?

shutterstock_17571817- injection

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...]

Top Dental Elf Blogs: Jul – Sep 2020

The Dental Elf

Our most popular blogs in July August and September covered periodontal surgery, Interproximal caries detection and local anaesthesia for inferior alveolar nerve blocks.

[read the full story...]

Top Dental Elf Blogs: Jan – Mar 2020

The Dental Elf

Our most popular blogs from January, February and March 2020 were about the FiCTION trial, local anaesthesia and factors associated with third molar surgical difficulty.

[read the full story...]

Botulinum toxin and idiopathic dentoalveolar pain

Botulinum toxin

This review of the use of botulinum toxin (BONT-A) for pain-relief in patients with persistent idiopathic dentoalveolar pain included just 3 small uncontrolled studies providing a very limited amounh of very low quality evidence.

[read the full story...]

Third molars: Which local anaesthetic is most suitable for inferior alveolar nerve blocks?

shutterstock_31846396

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...]

Local anaesthetic for dental treatment: interventions to improve acceptance in children

shutterstock_153165995

Twenty six RCTs were included in this Cochrane systematic review of methods for the acceptance of local anaesthesia (LA) in children and adolescents during dental treatment. However the trials did not provide sufficient evidence to draw firm conclusions as to the best interventions

[read the full story...]

Pulpal anaesthesia for symptomatic irreversible pulpitis in mandibular molars

shutterstock_17571817- injection

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...]

Computerised local anaesthesia in paediatric patients

shutterstock_40200184

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?

shutterstock_40200184

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...]