Roi Ciprian Ioan, Roi Alexandra, Nicoară Adrian, Motofelea Alexandru Cătălin, Riviș Mircea
Department of Anesthesiology and Oral Surgery, "Victor Babeș" University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timișoara, Romania.
Multidisciplinary Center for Research, Evaluation, Diagnosis and Therapies in Oral Medicine, "Victor Babeș" University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timișoara, Romania.
J Clin Med. 2023 Sep 7;12(18):5829. doi: 10.3390/jcm12185829.
Anesthetic techniques play an important role in the outcome of the therapeutic procedures in dentistry. Although inferior alveolar nerve block (IANB) anesthesia is currently the most often used, there are situations that imply the need of an alternative anesthesia technique to overcome the potential risks and complications. The aim of the study was to evaluate the efficacy of the retromolar triangle anesthesia technique in achieving the desired nerve block, while evaluating the duration of the anesthesia for the included cases.
The present prospective study included 50 subjects that had indication of inferior molar extraction. The performed anesthesia technique for these cases was the retromolar triangle approach, and the analyzed parameters for evaluating the efficacy of this anesthesia technique were the positive nerve block of the branches involved in the area (inferior alveolar, buccal, and lingual nerves) and the duration of the anesthesia.
The efficiency of the retromolar triangle anesthesia technique was positive in 64% of the cases for the inferior alveolar nerve, 46% of the cases for the lingual nerve, and 22% of the cases for the buccal nerve. The duration of the anesthesia revealed a mean value of 72.4 min, suggesting that the duration is an essential factor in its effectiveness.
Retromolar triangle anesthesia can be a viable option for clinicians, offering a simple and easy approach for the management of clinical cases.
麻醉技术在牙科治疗程序的结果中起着重要作用。尽管目前下牙槽神经阻滞(IANB)麻醉是最常用的,但在某些情况下,仍需要一种替代麻醉技术来克服潜在风险和并发症。本研究的目的是评估磨牙后三角麻醉技术在实现所需神经阻滞方面的疗效,同时评估纳入病例的麻醉持续时间。
本前瞻性研究纳入了50例有下颌磨牙拔除指征的受试者。这些病例所采用的麻醉技术是磨牙后三角入路,评估该麻醉技术疗效的分析参数是该区域相关分支(下牙槽神经、颊神经和舌神经)的阳性神经阻滞情况以及麻醉持续时间。
磨牙后三角麻醉技术在下牙槽神经阻滞方面64%的病例有效,舌神经阻滞方面46%的病例有效,颊神经阻滞方面22%的病例有效。麻醉持续时间的平均值为72.4分钟,表明持续时间是其有效性的一个重要因素。
磨牙后三角麻醉对临床医生来说是一个可行的选择,为临床病例的处理提供了一种简单易行的方法。