Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla
Peer W Kämmerer, Monika Daubländer Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Mainz, Mainz, GermanyWe read the article by Al-Shayyab1 with great interest, though we think that there is a methodical bias. Usage of standard dental syringe...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2018-03-01
|
| Series: | Therapeutics and Clinical Risk Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/methodical-bias-for-comparison-of-periodontal-ligament-injection-and-l-peer-reviewed-article-TCRM |
| _version_ | 1818730644604190720 |
|---|---|
| author | Kämmerer PW Daubländer M |
| author_facet | Kämmerer PW Daubländer M |
| author_sort | Kämmerer PW |
| collection | DOAJ |
| description | Peer W Kämmerer, Monika Daubländer Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Mainz, Mainz, GermanyWe read the article by Al-Shayyab1 with great interest, though we think that there is a methodical bias. Usage of standard dental syringes with 27-gauge needles is not recommended for periodontal ligament (PDL) injections as they are very unlikely to achieve the correct pressure needed for successful single tooth anesthesia. In accordance with this, specialized syringes with short 30-gauge needles are commonly used all over the literature.2 The author addresses this in the “Discussion” section and writes that “a standard conventional dental syringe was used in the present study, not a special PDL syringe, since the former is readily available in the clinic and proves equally successful when a standard 27-gauge short needle was used,” citing Malamed from 1982 (a time during which the modern PDL syringes were not developed yet3) and Madan et al who write that “intraligamentary injection technique is equally effective when a standard 27-gauge needle is used”.4 The second assumption refers to the needle only, not the syringe. In addition, this needle issue is not proven by any reference or study. Therefore, one might come to the conclusion that PDL was not carried out correctly. Also, the authors did not evaluate pulp or tissue anesthesia and started the extraction procedure after a latency period of 5 minutes in all cases. In accordance with this, the success rates of the PDL injection cannot be given, but would be of interest.View the original paper by Al-Shayyab and colleagues. |
| first_indexed | 2024-12-17T23:05:04Z |
| format | Article |
| id | doaj.art-0af9439550144abf9f2a7395160d46d6 |
| institution | Directory Open Access Journal |
| issn | 1178-203X |
| language | English |
| last_indexed | 2024-12-17T23:05:04Z |
| publishDate | 2018-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Therapeutics and Clinical Risk Management |
| spelling | doaj.art-0af9439550144abf9f2a7395160d46d62022-12-21T21:29:17ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2018-03-01Volume 1459159437411Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxillaKämmerer PWDaubländer MPeer W Kämmerer, Monika Daubländer Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Mainz, Mainz, GermanyWe read the article by Al-Shayyab1 with great interest, though we think that there is a methodical bias. Usage of standard dental syringes with 27-gauge needles is not recommended for periodontal ligament (PDL) injections as they are very unlikely to achieve the correct pressure needed for successful single tooth anesthesia. In accordance with this, specialized syringes with short 30-gauge needles are commonly used all over the literature.2 The author addresses this in the “Discussion” section and writes that “a standard conventional dental syringe was used in the present study, not a special PDL syringe, since the former is readily available in the clinic and proves equally successful when a standard 27-gauge short needle was used,” citing Malamed from 1982 (a time during which the modern PDL syringes were not developed yet3) and Madan et al who write that “intraligamentary injection technique is equally effective when a standard 27-gauge needle is used”.4 The second assumption refers to the needle only, not the syringe. In addition, this needle issue is not proven by any reference or study. Therefore, one might come to the conclusion that PDL was not carried out correctly. Also, the authors did not evaluate pulp or tissue anesthesia and started the extraction procedure after a latency period of 5 minutes in all cases. In accordance with this, the success rates of the PDL injection cannot be given, but would be of interest.View the original paper by Al-Shayyab and colleagues.https://www.dovepress.com/methodical-bias-for-comparison-of-periodontal-ligament-injection-and-l-peer-reviewed-article-TCRMPeriodontal ligament injectionsyringeneedleinfiltration anesthesiaextractiondental |
| spellingShingle | Kämmerer PW Daubländer M Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla Therapeutics and Clinical Risk Management Periodontal ligament injection syringe needle infiltration anesthesia extraction dental |
| title | Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla |
| title_full | Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla |
| title_fullStr | Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla |
| title_full_unstemmed | Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla |
| title_short | Methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla |
| title_sort | methodical bias for comparison of periodontal ligament injection and local infiltration anesthesia for routine extractions in the maxilla |
| topic | Periodontal ligament injection syringe needle infiltration anesthesia extraction dental |
| url | https://www.dovepress.com/methodical-bias-for-comparison-of-periodontal-ligament-injection-and-l-peer-reviewed-article-TCRM |
| work_keys_str_mv | AT kammererpw methodicalbiasforcomparisonofperiodontalligamentinjectionandlocalinfiltrationanesthesiaforroutineextractionsinthemaxilla AT daublanderm methodicalbiasforcomparisonofperiodontalligamentinjectionandlocalinfiltrationanesthesiaforroutineextractionsinthemaxilla |