传统下牙槽神经阻滞失败的替代技术。
Alternative techniques for failure of conventional inferior alveolar nerve block.
作者信息
Lee Choi Ryang, Yang Hoon Joo
机构信息
Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Korea.
Orthognathic Surgery Center, Seoul National University Dental Hospital, Korea.
出版信息
J Dent Anesth Pain Med. 2019 Jun;19(3):125-134. doi: 10.17245/jdapm.2019.19.3.125. Epub 2019 Jun 30.
Abstract
Successful local anesthesia in dental treatment is the most important prerequisite for pain control of patients. However, unlike that in the maxilla, it is difficult to administer local anesthesia in the mandible, and the success rate of conventional inferior alveolar nerve block (IANB) is only 80-85%. It is attributed to various causes such as anatomical variations, extreme anxiety, and technical errors; thus, various alternatives have been devised to improve this. We will analyze the causes of failure in conventional IANB and examine various alternatives that can be applied in these cases.
摘要
在牙科治疗中成功实施局部麻醉是控制患者疼痛的最重要前提。然而，与上颌不同，在下颌实施局部麻醉很困难，传统下牙槽神经阻滞（IANB）的成功率仅为80%-85%。这归因于多种原因，如解剖变异、极度焦虑和技术失误；因此，人们设计了各种替代方法来改善这种情况。我们将分析传统IANB失败的原因，并研究可应用于这些情况的各种替代方法。
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