J Am Dent Assoc. 2017 Apr;148(4):267-271. doi: 10.1016/j.adaj.2017.01.002. Epub 2017 Feb 9.
Profound pulpal anesthesia after a successful inferior alveolar nerve block can be difficult to achieve when the clinical condition is a pulpal diagnosis of symptomatic irreversible pulpitis. The authors reviewed the literature as it relates to the anesthesia necessary for endodontic therapy of patients with painful, vital, mandibular teeth diagnosed with symptomatic irreversible pulpitis.
Supplemental anesthetic techniques and medications are available that can be used to improve pulpal anesthesia for patients with the clinical condition of symptomatic irreversible pulpitis.
The authors identified treatment recommendations for anesthesia in the case of symptomatic irreversible pulpitis based on a review of the available evidence.
当下颌神经阻滞成功后，对于牙髓诊断为症状性不可复性牙髓炎的临床情况，要实现深度牙髓麻醉可能较为困难。作者回顾了与疼痛、有活力、下颌牙齿诊断为症状性不可复性牙髓炎的牙髓病患者的根管治疗所需麻醉相关的文献。
有一些辅助麻醉技术和药物可用于改善症状性不可复性牙髓炎患者的牙髓麻醉效果。
作者根据现有证据的回顾，确定了针对症状性不可复性牙髓炎的麻醉治疗建议。
