Donaldson Mark, Goodchild Jason
Associate Principal, Vizient Pharmacy Advisory Solutions, Irving, Texas; Clinical Professor, School of Pharmacy, University of Montana, Missoula, Montana; Clinical Assistant Professor, School of Dentistry, Oregon Health and Sciences University, Portland, Oregon; Adjunct Professor, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia; Fellow, American Society of Health-System Pharmacists; Fellow, American College of Healthcare Executives®.
Vice President of Clinical Affairs, Premier Dental Products Co., Plymouth Meeting, Pennsylvania; Associate Clinical Professor, Department of Oral and Maxillofacial Surgery, Creighton University School of Dentistry, Omaha, Nebraska; Adjunct Assistant Professor, Division of Oral Diagnosis, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, New Brunswick, New Jersey.
Compend Contin Educ Dent. 2022 Jan;43(1):20-24; quiz 25.
The importance of effective local anesthesia delivery in dentistry cannot be overstated, as many dental procedures could not be performed without it. Despite the availability to oral healthcare professionals of various successful local anesthetics, the administration of local anesthesia continues to provoke anxiety among dental patients and remains an often unpleasant experience. A number of techniques may be utilized to help mitigate injection pain and improve the patient experience. This article reviews four strategies clinicians may consider to increase the effectiveness of their delivery of local anesthesia: warming or cooling of local anesthetic solutions, vibration and distraction techniques, liposomal encapsulation, an buffering or alkalinization of dental local anesthetics.
有效的局部麻醉给药在牙科中的重要性怎么强调都不为过，因为没有它，许多牙科手术都无法进行。尽管口腔保健专业人员可以使用各种成功的局部麻醉剂，但局部麻醉的给药仍然会引起牙科患者的焦虑，并且仍然是一种常常令人不愉快的体验。可以采用多种技术来帮助减轻注射疼痛并改善患者体验。本文回顾了临床医生可以考虑的四种提高局部麻醉给药效果的策略：局部麻醉剂溶液的加热或冷却、振动和分散技术、脂质体包裹，以及牙科局部麻醉剂的缓冲或碱化。
