Palatal injections for maxillary extractions: are they needed?

shutterstock_40200184

This review of the use of palatal injections for maxillary extractions included 15 studies. While the findings suggest that they may not be needed further high quality studies are needed to confirm the findings.

[read the full story...]

Dental local anaesthesia and ophthalmic side effects

shutterstock_40200184

65 case reports and 1 case series were included in this reviews of the ophthalmic side effects from dental local anaesthesia. 92 % were transitory the remainder permanent. 25% of the transitory side effects took up to 6 hours to resolve.

[read the full story...]

Articaine better than lidocaine for supplementary infiltration after mandibular block anaesthesia

shutterstock_38907805

10 studies involving 746 adult patients were included in this review comparing articaine and lidocaine in patients with symptomatic irreversible pulpitis. Articaine was as effective as lidocaine and provided better supplementary infiltration after mandibular block but no other advantages.

[read the full story...]

Inferior alveolar nerve block: mepivacaine-lidocaine no better than lidocaine alone suggests trial

shutterstock_17571817- injection

This well conducted and reported trial found that there was no difference between 3% mepivacaine & 2% lidocaine with 1:100,000 epinephrine and 2 cartridges of 2% lidocaine with 1:100,000 epinephrine in terms of injection pain, onset time, and pulpal anesthetic success for the IAN block.

[read the full story...]

Local anaesthetic to reduce pain of dental care under general anaesthesia – evidence unclear

shutterstock_71153206

This Cochrane review included 14 trials of variable quality that could not be combined due to variation in local anaesthetic delivery and outcome measures. So the results from individual studies for pain, bleeding and other adverse effects are uncertain.

[read the full story...]

New Cochrane Protocol – April 2014

shutterstock_40200184

  The aim of this new Cochrane protocol is to evaluate the effects of methods for acceptance of local anaesthetic in children during dental treatment. As the protocol notes three factors have been considered to influence discomfort during delivery of local anaesthetic: factors related to the patient, equipment factors and aspects that are under control [read the full story…]

Use of buffered lidocaine did not provide better pain control than unbuffered lidocaine for incision and drainage procedures

shutterstock_7431811

A 2010 Cochrane review (Cepeda et al) found that there was less pain associated with pain on injection and augmented patient comfort and satisfaction with the use of buffered lidocaine compared with unbuffered lidocaine in both parallel and crossover trials. Although none of the 23 trials included in the review were dental.  The aim of [read the full story…]

Small study found that pre-operative ibuprofen improved efficacy of inferior alveolar nerve blocks

shutterstock_70250746

Inferior alveolar nerve block (IANB) is a routine technique for achieving regional anaesthesia. However, it is not always successful, with inflammation being a potential cause.  The aim of this study was to evaluate the effect of preoperative oral ibuprofen (IBU) on the success of inferior alveolar nerve blocks (IANBs) with mepivacaine containing 1: 100 000 epinephrine for [read the full story…]

Reducing soft tissue anesthesia after dental visits with phentolamine

shutterstock_17571817- injection

The effects of dental local anaesthetic often prolonged, particularly soft tissue numbness. This may affect appearance, the ability to speak, smile or eat following dental treatment. Phentolamine mersylate has been shown to accelerate the return of soft tissue feeling after routine dental procedures and was licensed by The Food and Drugs Administration for dental use [read the full story…]

Small study finds limited benefit for lavage to supplement local anesthetic treatment for treatment of temporomandibular disorders

Depression

It has been estimates that 20% to 30% of the adult population will experience temporomandibular joint dysfunction. The aim of this study was to assess the short-term efficacy of two treatments for patients with permanently displaced discs and temporomandibular disorder (TMD) pain. Adult patients( ≥ 18)  with TMD  pain and disk displacement without reduction (DDwoR)  [read the full story…]