Wright G Z, Weinberger S J, Marti R, Plotzke O
Division of Paediatric Dentistry, The University of Western Ontario, London, Canada.
Pediatr Dent. 1991 Sep-Oct;13(5):278-83.
The purposes of the present study were to determine the effectiveness of infiltration anesthesia in the mandibular primary molars, and how patient age, tooth location, and anesthetic type relate to the quality of anesthesia. Data were derived from 66 subjects, 42-72 months old, requiring restorative treatment in mandibular primary molars. Infiltration anesthesia was provided with mepivacaine hydrochloride 2%, prilocaine hydrochloride 4%, and articaine hydrochloride 4%. After 10 min, probing, rubber dam placement, and drilling were initiated. Procedures were videotaped and ratings of comfort and behaviors were made using the SEM scale and the Frankl Behavioral Scale. The conclusions were: 1) sixty-five per cent of the subjects experienced little or no pain; 2) children who demonstrated little or no pain during injection were likely to be comfortable during successive procedures; 3) there was a high relationship between children behaving cooperatively and comfort during procedures; and 4) the quality of anesthesia was not significantly related to tooth location, age, or type of anesthetic agent.
本研究的目的是确定浸润麻醉在下颌乳磨牙中的有效性，以及患者年龄、牙齿位置和麻醉剂类型与麻醉质量之间的关系。数据来自66名年龄在42至72个月之间、需要对下颌乳磨牙进行修复治疗的受试者。使用2%盐酸甲哌卡因、4%盐酸丙胺卡因和4%盐酸阿替卡因进行浸润麻醉。10分钟后，开始探查、放置橡皮障和钻孔。对操作过程进行录像，并使用SEM量表和弗兰克行为量表对舒适度和行为进行评分。结论如下：1）65%的受试者几乎没有疼痛或完全没有疼痛；2）在注射过程中几乎没有疼痛或完全没有疼痛的儿童在后续操作中可能会感到舒适；3）儿童在操作过程中的合作行为与舒适度之间存在高度相关性；4）麻醉质量与牙齿位置、年龄或麻醉剂类型没有显著关系。
