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本文引用的文献

1
Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery.在下颌第三磨牙手术中，于磨牙后区采用Quicksleeper®进行骨内注射实施下牙槽神经阻滞。
J Dent Anesth Pain Med. 2018 Dec;18(6):339-347. doi: 10.17245/jdapm.2018.18.6.339. Epub 2018 Dec 28.
2
Anesthetic Efficacy of Gow-Gates Nerve Block, Inferior Alveolar Nerve Block, and Their Combination in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective, Randomized Clinical Trial. Gow-Gates 神经阻滞、下牙槽神经阻滞及其联合用于有症状不可复性牙髓炎下颌磨牙的麻醉效果：一项前瞻性、随机临床试验。
J Endod. 2018 Mar;44(3):384-388. doi: 10.1016/j.joen.2017.10.008. Epub 2017 Dec 19.
3
The influence of mandibular skeletal characteristics on inferior alveolar nerve block anesthesia.下颌骨骨骼特征对下牙槽神经阻滞麻醉的影响。
J Dent Anesth Pain Med. 2015 Sep;15(3):113-119. doi: 10.17245/jdapm.2015.15.3.113. Epub 2015 Sep 30.
4
A basic review on the inferior alveolar nerve block techniques.关于下牙槽神经阻滞技术的基础综述。
Anesth Essays Res. 2014 Jan-Apr;8(1):3-8. doi: 10.4103/0259-1162.128891.
5
Inferior alveolar nerve block: Alternative technique.下牙槽神经阻滞：替代技术。
Anesth Essays Res. 2012 Jan-Jun;6(1):53-7. doi: 10.4103/0259-1162.103375.
6
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.
7
Arched needle technique for inferior alveolar mandibular nerve block.用于下牙槽神经阻滞的弓形针技术
J Maxillofac Oral Surg. 2013 Mar;12(1):113-6. doi: 10.1007/s12663-011-0310-1. Epub 2011 Oct 19.
8
Periodontal intraligament injection as alternative to inferior alveolar nerve block--meta-analysis of the literature from 1979 to 2012.牙周韧带内注射作为下牙槽神经阻滞替代方法——1979年至2012年文献的荟萃分析
Clin Oral Investig. 2014;18(2):351-8. doi: 10.1007/s00784-013-1113-1. Epub 2013 Sep 29.
9
Mandibular block success rate in relation to needle insertion and position: a self-report survey.下颌阻滞成功率与进针及位置的关系：一项自我报告调查。
Eur Arch Paediatr Dent. 2014 Apr;15(2):121-6. doi: 10.1007/s40368-013-0073-0. Epub 2013 Aug 6.
10
Variations in the posterior division branches of the mandibular nerve in human cadavers.下颌神经后分支在人体尸体中的变异。
Singapore Med J. 2013 Mar;54(3):149-51. doi: 10.11622/smedj.2013051.

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.

DOI:10.17245/jdapm.2019.19.3.125
PMID:31338418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6620537/
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。