Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne, England, NE2 4BW.
J Am Dent Assoc. 2011 Sep;142 Suppl 3:19S-24S. doi: 10.14219/jada.archive.2011.0343.
The author describes the use of the infiltration anesthetic technique to anesthetize mandibular teeth in adults and explores its mechanism of action.
The author reviewed articles describing randomized controlled trials of the mandibular infiltration anesthetic technique in healthy participants.
The author found that using the mandibular infiltration anesthetic technique can produce anesthesia in adult mandibular teeth. The success was dose dependent and the choice of anesthetic solution was significant; 4 percent articaine with 1:100,000 epinephrine was more effective than 2 percent lidocaine with 1:100,000 epinephrine. Combining buccal and lingual infiltrations increased success in the mandibular incisor region. The success of the mechanism of infiltration of anesthetic at the mandibular first molar appeared to depend on the mental foramen.
The mandibular infiltration anesthetic technique is an effective method of anesthetizing mandibular incisors. Four percent articaine with epinephrine appears to be the preferred solution.
The choice of anesthetic solution is important when using the infiltration anesthetic technique in the adult mandible.
作者描述了在成人中使用浸润麻醉技术麻醉下颌牙齿，并探讨了其作用机制。
作者回顾了描述健康参与者下颌浸润麻醉技术随机对照试验的文章。
作者发现使用下颌浸润麻醉技术可以使成人下颌牙齿麻醉。成功率与剂量有关，麻醉溶液的选择很重要；4%的阿替卡因加 1:100000 肾上腺素比 2%的利多卡因加 1:100000 肾上腺素更有效。颊侧和舌侧浸润的联合使用增加了下颌切牙区域的成功率。下颌第一磨牙浸润麻醉机制的成功似乎取决于颏孔。
下颌浸润麻醉技术是麻醉下颌切牙的有效方法。含肾上腺素的 4%阿替卡因似乎是首选溶液。
在成人下颌使用浸润麻醉技术时，麻醉溶液的选择很重要。
