The Importance of Technique Selection for Administration of Local Anesthetics.

Autor: Budenz, Alan W.
Předmět:
Zdroj: Contemporary Oral Hygiene; Apr2007, Vol. 7 Issue 4, p20-27, 8p, 1 Color Photograph, 1 Diagram, 1 Chart
Abstrakt: Many variables can affect the achievement of profound anesthesia produced by injection of local anesthetic agents. For every dental procedure, the hygienist or dentist must first decide whether injection of a local anesthetic agent will improve patient comfort and/or successful completion of the procedure. If an injection is indicated and determined safe for the patient's health status, then a choice must be made between an infiltration injection technique and a block injection technique. Next is the decision of which anesthetic agent to use and whether to use a "plain" anesthetic solution or one containing a vasoconstrictor. These 2 decisions should be based on the duration and depth of anesthesia required, and the potential need to control bleeding. The practitioner must weigh the risks against the benefits for each anesthetic agent, for use of a vasoconstrictor, and for the delivery technique. This thought process maximizes the safety of local anesthetic injections for each patient and each dental procedure. This article also will discuss the safety factors for use of the anesthetic agent articaine and the 3 major techniques for mandibular quadrant anesthesia. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index