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An evaluation of buccal infiltrations and inferior alveolar nerve blocks in pulpal anesthesia for mandibular first molars

Authors
 Il-Young Jung  ;  Jun-Hyung Kim  ;  Eui-Seong Kim  ;  Chan-Young Lee  ;  Seung Jong Lee 
Citation
 JOURNAL OF ENDODONTICS, Vol.34(1) : 11-13, 2008 
Journal Title
JOURNAL OF ENDODONTICS
ISSN
 0099-2399 
Issue Date
2008
MeSH
Adult ; Anesthesia, Local/methods* ; Anesthetics, Local ; Carticaine ; Chi-Square Distribution ; Cross-Over Studies ; Dental Pulp/drug effects* ; Female ; Humans ; Male ; Mandibular Nerve/drug effects* ; Molar/drug effects* ; Mouth Mucosa/drug effects ; Nerve Block/methods* ; Statistics, Nonparametric ; Time Factors
Keywords
Articaine ; inferior alveolar nerve block ; local anesthesia ; mandibular first molar ; pulpal anesthesia
Abstract
We compared the anesthetic efficacy of inferior alveolar nerve blocks (IANBs) with that of buccal infiltrations (BIs) in mandibular first molars. Using a crossover design, all subjects received a standard IANB or a BI of 1.7 mL of 4% articaine with 1:100,000 adrenaline (Septanest; Septodont, Saint-Maru-des-Fosses, France) on two appointments separated by at least 1 week. Pulpal anesthesia was determined by using an electric pulp tester. Electric pulp testing was repeated at 5, 8, 11, 15, 20, 25, and 30 minutes after the injections. Anesthesia was considered successful if the subject did not respond to the maximum output of the pulp tester at two or more consecutive time points. Fifty-four percent of the BI and 43% of the IANB were successful; the difference was not significant (p = 0.34). The onset of pulpal anesthesia was significantly faster with BI (p = 0.03). In conclusion, BI with 4% articaine for mandibular first molars can be a useful alternative for clinicians because compared with IANB it has a faster onset and a similar success rate.
Full Text
http://www.sciencedirect.com/science/article/pii/S0099239907008904
DOI
10.1016/j.joen.2007.09.006
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eui Seong(김의성) ORCID logo https://orcid.org/0000-0003-2126-4761
Lee, Seung Jong(이승종)
Lee, Chan Young(이찬영)
Jung, Il Young(정일영) ORCID logo https://orcid.org/0000-0001-8972-2664
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107005
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