Overcoming local anesthesia failure during routine dental treatments in children.
Background: Local anesthesia (LA) during routine dental treatment in children fails in 5%–35% of first attempts. No data, however, are available on the success rates of subsequent attempts. Aim: To evaluate the effectiveness of primary, secondary, and tertiary LA attempts (P‐LA, S‐LA, and T‐LA, resp...
| Publicado en: | International Journal of Paediatric Dentistry Vol. 34; no. 5; pp. 680 - 692 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178946012&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178946012 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09607439 F0M jtl: International Journal of Paediatric Dentistry issn: 09607439 maglogo: Y pubinfo: dt: Sep2024 vid: 34 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 178946012 175630002 178946012 178946012 10.1111/ipd.13169 178946012 ppf: 680 ppct: 12 formats: tig: atl: Overcoming local anesthesia failure during routine dental treatments in children. aug: au: Yagudaev, Michael Yarom, Noam Ashkenazi, Malka affil: Pediatric Dentistry Clinic, Oral Medicine Unit, Sheba Medical Center, Tel‐HaShomer, Israel sug: subj: Dental Therapy In Infancy and Childhood Anesthesia, Local Treatment Failure Evaluation Human Child, Preschool Child Adolescence Retrospective Design Molar Tooth Extraction In Infancy and Childhood Nerve Block Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years ab: Background: Local anesthesia (LA) during routine dental treatment in children fails in 5%–35% of first attempts. No data, however, are available on the success rates of subsequent attempts. Aim: To evaluate the effectiveness of primary, secondary, and tertiary LA attempts (P‐LA, S‐LA, and T‐LA, respectively) for anesthetizing molars during routine dental treatments in children. Design: We retrospectively analyzed dental records of all children (2–18 years) who had been administered LA for the treatment of primary or permanent molars by a single paediatric dentist, between 2011 and 2022. All LAs were delivered using a computer‐controlled local anesthetic delivery (CCLAD) system. Results: The failure rate of P‐LA in 1312 molars was 13% and correlated with age (p <.001), type of tooth (p <.001), type of treatment (p <.001), and treated arch (p <.001). The effectiveness of S‐LA for buccal infiltration, intrasulcular, inferior alveolar nerve block, greater palatine nerve block (GPNB), posterior superior alveolar nerve block (PSANB), or a combination of the last two was 50%, 87.2%, 66.7%, 63.6%, 33.3%, and 100%, respectively, and was not significantly associated with age or the type of tooth, treatment, or P‐LA. Conclusion: The optimal choice of S‐LA for anesthetizing maxillary molars was a combination of PSANB and GPNB, whereas for mandibular molars, it was IS‐CCLAD system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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