PAIN MANAGEMENT ISSUE | DECEMBER 2021
Managing your patients’ pain during dental procedures is a difficult task that can potentially have an effect on how your patient looks at dental procedures for a long time. While infection and trauma typically make administering local anesthetics more painful, having different anesthetics for different procedures and practicing different techniques/methods of administering these anesthetics can help you make this process easier on yourself and your patient!
Is Articaine More Effective than Lidocaine in Patients with Irreversible Pulpitis? An Umbrella Review
Int Endod J. 2020 V Nagendrababu et al
The pain resulting from irreversible pulpitis is often intense and challenging to deal with. Dealing with treatment while a patient is in that much pain is one of the main reasons that having a root canal is synonymous with the worst treatment you can have done in the dental office; sometimes, patients fear a root canal more than an extraction! While antibiotics and different sedation techniques go a long way in making painful treatments more bearable, pain management can still be challenging during root canal treatment of teeth with irreversible pulpitis. The following study aims to identify whether Articaine or Lidocaine is the most appropriate local anesthetic solution for teeth with irreversible pulpitis undergoing root canal treatment.
Role of Intraseptal Anesthesia for Pain-free Dental Treatment
Saudi J Anaesth. 2016, G Gazal et al
Pain control during dental procedures is essential and challenging. A complete efficacious pulp anesthesia has not been attained yet nor does performing regional anesthesia such as inferior alveolar nerve block only, guarantee effective anesthesia for suffering patients. Similarly, a nerve block is not always effective for pain-free root canal treatment hence, needing supplemental anesthesia. Intraseptal anesthesia is an efficient and effective technique that can be used in the maxillary and mandibular adult dentition. This technique is also beneficial when used in conjunction with the regional block or local dental anesthesia. The main aim of this review is to discuss various aspects of interseptal dental anesthesia and its role in pain-free treatment in the dental office. In addition, reasons for the failure and limitations of this technique have been highlighted.