下颌第三磨牙拔除术的局部麻醉
Local anesthesia for mandibular third molar extraction.
作者信息
Kim Chang, Hwang Kyung-Gyun, Park Chang-Joo
机构信息
Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University, Seoul, Korea.
出版信息
J Dent Anesth Pain Med. 2018 Oct;18(5):287-294. doi: 10.17245/jdapm.2018.18.5.287. Epub 2018 Oct 31.
Abstract
Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. However, its success rate is not high and it may lead to complications, such as aspiration and nerve injury. Therefore, various anesthesia methods are being investigated. Articaine has been proven to be efficacious in a number of studies and is being used with increasing frequency in clinical practice. In this review article, we will briefly review various local anesthesia techniques, anesthetics, and a computer-controlled local anesthetic delivery (CCLAD) system, which reduces pain by controlling the speed of drug injection, for mandibular third molar extraction.
摘要
下颌第三磨牙拔除术在牙科诊所中较为常见。然而，该手术的最佳麻醉方法尚未确定。传统的下牙槽神经阻滞是应用最广泛的方法。然而，其成功率不高，且可能导致诸如误吸和神经损伤等并发症。因此，人们正在研究各种麻醉方法。在多项研究中已证实阿替卡因有效，且在临床实践中的使用频率日益增加。在这篇综述文章中，我们将简要回顾用于下颌第三磨牙拔除术的各种局部麻醉技术、麻醉剂以及一种通过控制药物注射速度来减轻疼痛的计算机控制局部麻醉给药（CCLAD）系统。
相似文献
1
Local anesthesia for mandibular third molar extraction.
J Dent Anesth Pain Med. 2018 Oct;18(5):287-294. doi: 10.17245/jdapm.2018.18.5.287. Epub 2018 Oct 31.
2
Extraction of mandibular premolars and molars: comparison between local infiltration via pressure syringe and inferior alveolar nerve block anesthesia.
Clin Oral Investig. 2018 Apr;22(3):1523-1530. doi: 10.1007/s00784-017-2251-7. Epub 2017 Oct 17.
3
Patient's pain perception during mandibular molar extraction with articaine: a comparison study between infiltration and inferior alveolar nerve block.
Clin Oral Investig. 2016 Nov;20(8):2241-2250. doi: 10.1007/s00784-016-1712-8. Epub 2016 Jan 21.
4
Success rate of first attempt 4% articaine para-apical anesthesia for the extraction of mandibular wisdom teeth.
J Stomatol Oral Maxillofac Surg. 2018 Dec;119(6):486-488. doi: 10.1016/j.jormas.2018.06.005. Epub 2018 Jun 21.
5
[The anesthetic effects of Gow-Gates technique of inferior alveolar nerve block in impacted mandibular third molar extraction].
Hua Xi Kou Qiang Yi Xue Za Zhi. 2013 Aug;31(4):381-4.
6
Comparison of anesthetic efficacy of 2 and 4 % articaine in inferior alveolar nerve block for tooth extraction-a double-blinded randomized clinical trial.
Clin Oral Investig. 2017 Jan;21(1):397-403. doi: 10.1007/s00784-016-1804-5. Epub 2016 Mar 28.
7
A Comparison of Different Volumes of Articaine for Inferior Alveolar Nerve Block for Molar Teeth with Symptomatic Irreversible Pulpitis.
J Endod. 2015 Sep;41(9):1408-11. doi: 10.1016/j.joen.2015.05.015. Epub 2015 Jul 3.
8
Prospective clinical study comparing intraligamentary anesthesia and inferior alveolar nerve block for extraction of posterior mandibular teeth.
Clin Oral Investig. 2018 Apr;22(3):1469-1475. doi: 10.1007/s00784-017-2248-2. Epub 2017 Oct 15.
9
Comparing anesthetic efficacy of articaine versus lidocaine as a supplemental buccal infiltration of the mandibular first molar after an inferior alveolar nerve block.
J Am Dent Assoc. 2008 Sep;139(9):1228-35. doi: 10.14219/jada.archive.2008.0338.
10
Success Rate of 3 Injection Methods with Articaine for Mandibular First Molars with Symptomatic Irreversible Pulpitis: A CONSORT Randomized Double-blind Clinical Trial.
J Endod. 2018 Oct;44(10):1462-1466. doi: 10.1016/j.joen.2018.07.010. Epub 2018 Aug 31.
引用本文的文献
1
Efficacy of Magnesium Sulphate as an Adjunct to Lignocaine in Inferior Alveolar Nerve Block for Extraction of Mandibular Third Molar-A Split-Mouth Double-Blinded Randomized Controlled Trial.
ScientificWorldJournal. 2025 May 19;2025:3695623. doi: 10.1155/tswj/3695623. eCollection 2025.
2
Revolutionising Third Molar Surgery: Unveiling the Superiority of Articaine and Lignocaine in Nerve Block Techniques. A Ground-breaking Triple-Blind, Randomised Clinical Trial.
J Maxillofac Oral Surg. 2025 Feb;24(1):286-292. doi: 10.1007/s12663-023-02107-y. Epub 2024 Jan 31.
3
Comparative Evaluation of the Efficacy and Onset of Local Anesthesia Using Buffered 2% Lidocaine with 1:100,000 Adrenaline, Non-buffered 2% Lidocaine with 1:100,000 Adrenaline, Buffered 4% Articaine with 1:100,000 Adrenaline and Non-buffered 4% Articaine with 1:100,000 Adrenaline in Dental Extraction.
J Maxillofac Oral Surg. 2024 Oct;23(5):1255-1260. doi: 10.1007/s12663-023-01945-0. Epub 2023 Jun 30.
4
Efficacy of Different Techniques of the Inferior Alveolar Nerve Block for Mandibular Anesthesia: A Comparative Prospective Study.
Cureus. 2024 Jan 31;16(1):e53277. doi: 10.7759/cureus.53277. eCollection 2024 Jan.
5
Paresthesia in dentistry: The ignored neurotoxicity of local anesthetics.
Heliyon. 2023 Jul 7;9(7):e18031. doi: 10.1016/j.heliyon.2023.e18031. eCollection 2023 Jul.
6
Clonidine versus Adrenaline as an Adjunct to Lignocaine on Haemodynamic Parameters during Nerve Block for Third Molar Surgical Removal - A Systematic Review and Meta-Analysis.
Ann Maxillofac Surg. 2022 Jul-Dec;12(2):203-211. doi: 10.4103/ams.ams_149_22. Epub 2023 Jan 10.
7
Changes in Blood Pressure and Pulse Rate of Patients without Systemic Diseases Following the Injection of 2% Lidocaine Plus Epinephrine 1:80000 in an Inferior Alveolar Nerve Block - A Prospective Study.
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):361-364. doi: 10.4103/ams.ams_187_19. Epub 2020 Dec 23.
8
Evaluation of different mandibular blocks for the removal of lower third molars: a meta-analysis of randomised clinical trials.
Clin Oral Investig. 2021 Apr;25(4):2129-2139. doi: 10.1007/s00784-020-03525-9. Epub 2020 Aug 25.
9
The anesthetic efficiency of retromolar infiltrations with two local anesthetic solutions of the same concentration in lower third molar surgery.
J Dent Anesth Pain Med. 2020 Jun;20(3):137-146. doi: 10.17245/jdapm.2020.20.3.137. Epub 2020 Jun 24.
10
Impact of maxillary teeth morphology on the failure rate of local anesthesia.
Saudi J Anaesth. 2020 Jan-Mar;14(1):57-62. doi: 10.4103/sja.SJA_542_19. Epub 2020 Jan 6.
本文引用的文献
1
Evaluation of localisation of mandibular foramen in patients with mandibular third molar teeth using cone-beam computed tomography.
Folia Morphol (Warsz). 2018;77(4):717-723. doi: 10.5603/FM.a2018.0044. Epub 2018 May 26.
2
Alternative practices of achieving anaesthesia for dental procedures: a review.
J Dent Anesth Pain Med. 2018 Apr;18(2):79-88. doi: 10.17245/jdapm.2018.18.2.79. Epub 2018 Apr 27.
3
Extraction of mandibular premolars and molars: comparison between local infiltration via pressure syringe and inferior alveolar nerve block anesthesia.
Clin Oral Investig. 2018 Apr;22(3):1523-1530. doi: 10.1007/s00784-017-2251-7. Epub 2017 Oct 17.
4
4% lidocaine versus 4% articaine for inferior alveolar nerve block in impacted lower third molar surgery.
J Dent Anesth Pain Med. 2017 Mar;17(1):29-35. doi: 10.17245/jdapm.2017.17.1.29. Epub 2017 Mar 27.
5
Computer-controlled local anesthetic delivery for painless anesthesia: a literature review.
J Dent Anesth Pain Med. 2016 Jun;16(2):81-88. doi: 10.17245/jdapm.2016.16.2.81. Epub 2016 Jun 30.
6
The influence of mandibular skeletal characteristics on inferior alveolar nerve block anesthesia.
J Dent Anesth Pain Med. 2015 Sep;15(3):113-119. doi: 10.17245/jdapm.2015.15.3.113. Epub 2015 Sep 30.
7
Role of addition of dexamethasone to lignocaine 2% with adrenaline in dental nerve blocks for third molar surgery: A prospective randomized control trial.
Ann Maxillofac Surg. 2016 Jul-Dec;6(2):260-266. doi: 10.4103/2231-0746.200341.
8
The effectiveness of articaine in mandibular facial infiltrations.
Local Reg Anesth. 2015 Dec 18;9:1-6. doi: 10.2147/LRA.S94647. eCollection 2016.
9
A basic review on the inferior alveolar nerve block techniques.
Anesth Essays Res. 2014 Jan-Apr;8(1):3-8. doi: 10.4103/0259-1162.128891.
10
Inferior alveolar nerve block: Alternative technique.
Anesth Essays Res. 2012 Jan-Jun;6(1):53-7. doi: 10.4103/0259-1162.103375.
Zotero 插件