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关于不同可能的非药物技术在消除牙科手术中局部麻醉注射不适方面疗效的简要综述。

A brief review on the efficacy of different possible and nonpharmacological techniques in eliminating discomfort of local anesthesia injection during dental procedures.

作者信息

Davoudi Amin, Rismanchian Mansour, Akhavan Ali, Nosouhian Saeid, Bajoghli Farshad, Haghighat Abbas, Arbabzadeh Farahnaz, Samimi Pouran, Fiez Atiyeh, Shadmehr Elham, Tabari Kasra, Jahadi Sanaz

机构信息

Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Prosthodontics, Dental Implants Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Anesth Essays Res. 2016 Jan-Apr;10(1):13-6. doi: 10.4103/0259-1162.167846.

DOI:10.4103/0259-1162.167846
PMID:26957683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4767073/
Abstract

Dental anxiety and fear of needle injection is one of the most common problems encountered by dental practitioners, especially in the pediatric patient. In consequences, it might affect the patient's quality of life. Several methods are suggested to lower the discomfort of local anesthesia injection during dental procedures. Desensitization of injection site is one of the recommended strategies. Among chemical anesthetic topical agents that are effective but might have allergic side effects, using some nonpharmacological and safe techniques might be useful. This study aimed to overview the efficacy of using cooling techniques, mostly by ice or popsicles, warming or pH buffering of drug, and using modern devices to diminish the discomfort of local anesthesia injection during dental procedures.

摘要

牙科焦虑和对注射针头的恐惧是牙科从业者遇到的最常见问题之一,尤其是在儿科患者中。因此,它可能会影响患者的生活质量。有人提出了几种方法来降低牙科手术中局部麻醉注射的不适感。注射部位脱敏是推荐的策略之一。在有效但可能有过敏副作用的化学麻醉局部用药中,使用一些非药物且安全的技术可能会有帮助。本研究旨在概述使用冷却技术(主要是通过冰或冰棒)、药物升温或pH缓冲以及使用现代设备来减轻牙科手术中局部麻醉注射不适感的效果。

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本文引用的文献

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Computerized Tool to Manage Dental Anxiety: A Randomized Clinical Trial.计算机化工具管理牙科焦虑:一项随机临床试验。
J Dent Res. 2015 Sep;94(9 Suppl):174S-80S. doi: 10.1177/0022034515598134. Epub 2015 Jul 22.
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Behavioral response and pain perception to computer controlled local anesthetic delivery system and cartridge syringe.对计算机控制局部麻醉药输送系统和一次性注射器的行为反应及疼痛感知。
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Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children.新型振动传递系统对儿童局部麻醉注射相关疼痛的疗效
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Comparison of injection pain caused by the DentalVibe Injection System versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients.DentalVibe注射系统与传统注射器用于小儿患者下牙槽神经阻滞麻醉时注射疼痛的比较。
Eur J Paediatr Dent. 2015 Jun;16(2):123-8.
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Low-level laser therapy alleviates mechanical and cold allodynia induced by oxaliplatin administration in rats.低强度激光疗法可减轻奥沙利铂诱导的大鼠机械性和冷觉异常性疼痛。
Support Care Cancer. 2016 Jan;24(1):233-242. doi: 10.1007/s00520-015-2773-y. Epub 2015 May 26.
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Anesth Essays Res. 2015 Jan-Apr;9(1):79-82. doi: 10.4103/0259-1162.150182.
7
Effect of sodium bicarbonate-buffered lidocaine on the success of inferior alveolar nerve block for teeth with symptomatic irreversible pulpitis: a prospective, randomized double-blind study.碳酸氢钠缓冲利多卡因对有症状的不可逆性牙髓炎患牙下牙槽神经阻滞成功率的影响:一项前瞻性、随机双盲研究。
J Endod. 2015 Jan;41(1):33-5. doi: 10.1016/j.joen.2014.09.011. Epub 2014 Oct 31.
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Palatal anesthesia: comparison of four techniques for decreasing injection discomfort.腭部麻醉:四种减轻注射不适技术的比较
Northwest Dent. 2014 Jul-Aug;93(4):25-9.
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Effect of the DentalVibe injection system on pain during local anesthesia injections in adolescent patients.DentalVibe注射系统对青少年患者局部麻醉注射时疼痛的影响。
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