Assistant Clinical Professor, Department of Endodontics, Tufts University School of Dental Medicine, Boston, Massachusetts; Clinical Instructor, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine, Boston, Massachusetts; Instructor in Surgery, Dartmouth Medical School, Hanover, New Hampshire; Private Practice limited to Endodontics, White River Junction, Vermont.
Endodontics Assistant Clinical Professor, Department of Endodontics, Tufts University School of Dental Medicine, Boston, Massachusetts; Clinical Instructor, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine,Boston, Massachusetts; Private Practice limited to Endodontics, White River Junction, Vermont.
Compend Contin Educ Dent. 2021 Oct;42(9):498-502; quiz 503.
Foundational to the diagnosis of endodontic disease is the ability for clinicians to replicate a patient's pain via clinical testing. Patients experiencing degenerative pulp diseases, like an acutely symptomatic irreversible pulpitis,may present with poorly localized pain that cannot be clinically replicated. Selective anesthesia techniques can aid clinicians in the accurate diagnosis of these patients' symptoms. This article reviews the application of selective anesthesia and presents cases in which these techniques were used to facilitate the accurate diagnosis of endodontic disease.
对于牙髓疾病的诊断，临床医生通过临床检查来重现患者的疼痛是至关重要的。患有退行性牙髓疾病（如急性症状性不可复性牙髓炎）的患者可能表现出定位不佳的疼痛，无法在临床上重现。选择性麻醉技术可以帮助临床医生准确诊断这些患者的症状。本文回顾了选择性麻醉的应用，并介绍了这些技术用于辅助准确诊断牙髓疾病的病例。
