Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth
Background and aims. Current infiltration techniques for achieving anesthesia in dental procedures are not applicable in posterior mandibular region because of its dense cortical bone. The aim of this study was to evaluate the efficacy of a specific infiltration anesthesia in posterior mandibular...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2011-03-01
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| Series: | Journal of Dental Research, Dental Clinics, Dental Prospects |
| Subjects: | |
| Online Access: | http://dentistry.tbzmed.ac.ir/joddd/index.php/joddd/article/view/182/181 |
| _version_ | 1811293406833410048 |
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| author | Koroush Taheri Talesh Shiva Solahaye Kahnamouii |
| author_facet | Koroush Taheri Talesh Shiva Solahaye Kahnamouii |
| author_sort | Koroush Taheri Talesh |
| collection | DOAJ |
| description | Background and aims. Current infiltration techniques for achieving anesthesia in dental procedures are not applicable
in posterior mandibular region because of its dense cortical bone. The aim of this study was to evaluate the efficacy of a
specific infiltration anesthesia in posterior mandibular teeth instead of inferior alveolar nerve block for restorative procedures.
Materials and methods. Crestal anesthesia (CA) was assessed both clinically and by computed tomography scan for its
efficacy and side effects. A combination of an opaque material (Ultravist) and 2% lidocaine was used to trace the anesthetic
solution. The combination was primarily injected in the gingival tissue of rabbit and was followed-up regularly for two
weeks to assess any possible injury. After confirming its safety, a combination of these materials was injected to volunteers
to assess efficacy and diffusion route. A total of 154 patients (77 female, 77 male) with matched bilateral posterior teeth in
mandible were selected randomly and an IANB and CA were performed randomly and separately in different sessions for
the contra lateral teeth. The onset of anesthesia, anesthesia duration, pain, blood pressure, pulse rate, and consumed volume
of anesthetic solution was recorded for each technique. Data were analyzed using paired t-test.
Results. There were no significant differences in clinical attachment loss, pocket depth, bone level, plaque index, and free
gingival margin between the two flaps (p>0.05).
Conclusion. CA could be considered as a reliable and safe primary injection in posterior mandibular teeth for restorative
treatments. |
| first_indexed | 2024-04-13T05:00:57Z |
| format | Article |
| id | doaj.art-ad62bf0257234052af33c96ca7e89e88 |
| institution | Directory Open Access Journal |
| issn | 2008-210X 2008-2118 |
| language | English |
| last_indexed | 2024-04-13T05:00:57Z |
| publishDate | 2011-03-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dental Research, Dental Clinics, Dental Prospects |
| spelling | doaj.art-ad62bf0257234052af33c96ca7e89e882022-12-22T03:01:21ZengTabriz University of Medical SciencesJournal of Dental Research, Dental Clinics, Dental Prospects2008-210X2008-21182011-03-01511722Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular TeethKoroush Taheri Talesh0Shiva Solahaye Kahnamouii1Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDentist, Private Practice, Tabriz, Iran Background and aims. Current infiltration techniques for achieving anesthesia in dental procedures are not applicable in posterior mandibular region because of its dense cortical bone. The aim of this study was to evaluate the efficacy of a specific infiltration anesthesia in posterior mandibular teeth instead of inferior alveolar nerve block for restorative procedures. Materials and methods. Crestal anesthesia (CA) was assessed both clinically and by computed tomography scan for its efficacy and side effects. A combination of an opaque material (Ultravist) and 2% lidocaine was used to trace the anesthetic solution. The combination was primarily injected in the gingival tissue of rabbit and was followed-up regularly for two weeks to assess any possible injury. After confirming its safety, a combination of these materials was injected to volunteers to assess efficacy and diffusion route. A total of 154 patients (77 female, 77 male) with matched bilateral posterior teeth in mandible were selected randomly and an IANB and CA were performed randomly and separately in different sessions for the contra lateral teeth. The onset of anesthesia, anesthesia duration, pain, blood pressure, pulse rate, and consumed volume of anesthetic solution was recorded for each technique. Data were analyzed using paired t-test. Results. There were no significant differences in clinical attachment loss, pocket depth, bone level, plaque index, and free gingival margin between the two flaps (p>0.05). Conclusion. CA could be considered as a reliable and safe primary injection in posterior mandibular teeth for restorative treatments.http://dentistry.tbzmed.ac.ir/joddd/index.php/joddd/article/view/182/181Crestal anesthesiaCT scaninferior alveolar nerve block |
| spellingShingle | Koroush Taheri Talesh Shiva Solahaye Kahnamouii Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth Journal of Dental Research, Dental Clinics, Dental Prospects Crestal anesthesia CT scan inferior alveolar nerve block |
| title | Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth |
| title_full | Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth |
| title_fullStr | Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth |
| title_full_unstemmed | Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth |
| title_short | Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth |
| title_sort | application of crestal anesthesia for treatment of class i caries in posterior mandibular teeth |
| topic | Crestal anesthesia CT scan inferior alveolar nerve block |
| url | http://dentistry.tbzmed.ac.ir/joddd/index.php/joddd/article/view/182/181 |
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