Effect of Preoperative Pain on Inferior Alveolar Nerve Block
| Autor: | Arunajatesan Subbiya, Vivek Aggarwal, Ritu Sharma, Mamta Singla, Nagarajan Geethapriya, Paramasivam Vivekanandhan, Vikram Sharma, Venkatachalam Prakash |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Preoperative pain Epinephrine Lidocaine Visual analogue scale Anesthesia Dental Mandibular Nerve Inferior alveolar nerve Young Adult Double-Blind Method medicine Humans Vasoconstrictor Agents Prospective Studies Anesthetics Local Volunteer Pain Measurement business.industry Scientific Reports Pulpitis Nerve Block Toothache Middle Aged Molar Surgery Intraoperative Pain Treatment Outcome Anesthesiology and Pain Medicine Anesthesia Anesthetic Symptomatic irreversible pulpitis Female business Root Canal Preparation medicine.drug |
| Zdroj: | Anesthesia Progress. 62:135-139 |
| ISSN: | 1878-7177 0003-3006 |
| DOI: | 10.2344/15-00019.1 |
| Popis: | The present study tested the hypothesis that the amount and severity of preoperative pain will affect the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. One-hundred seventy-seven adult volunteer subjects, actively experiencing pain in a mandibular molar, participated in this prospective double-blind study carried out at 2 different centers. The patients were classified into 3 groups on the basis of severity of preoperative pain: mild, 1–54 mm on the Heft-Parker visual analog scale (HP VAS); moderate, 55–114 mm; and severe, greater than 114 mm. After IANB with 1.8 mL of 2% lidocaine, endodontic access preparation was initiated. Pain during treatment was recorded using the HP VAS. The primary outcome measure was the ability to undertake pulp access and canal instrumentation with no or mild pain. The success rates were statistically analyzed by multiple logistic regression test. There was a significant difference between the mild and severe preoperative pain group (P = .03). There was a positive correlation between the values of preoperative and intraoperative pain (r = .2 and .4 at 2 centers). The amount of preoperative pain can affect the anesthetic success rates of IANB in patients with symptomatic irreversible pulpitis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|