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http://dx.doi.org/10.17245/jdapm.2018.18.1.41

Effect of relative head position on the anesthetic efficacy of inferior alveolar nerve block during endodontic treatment of patients with irreversible pulpitis  

Aggarwal, Vivek (Department of Conservative Dentistry & Endodontics, Faculty of Dentistry, Jamia Millia Islamia)
Singla, Mamta (Department of Conservative Dentistry & Endodontics, SGT Dental College)
Miglani, Sanjay (Department of Conservative Dentistry & Endodontics, Faculty of Dentistry, Jamia Millia Islamia)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.18, no.1, 2018 , pp. 41-46 More about this Journal
Abstract
Background: The purpose of this prospective randomized single-blind clinical trial was to evaluate the effect of tilting the head on the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. Methods: Ninety-two patients were divided into two groups: the first group received IANB and the head was tilted in the direction of the block for 15 min, whereas the second group received IANB and the head was tilted to the opposite side. Access cavity preparation was initiated after 15 min. Success was defined as no pain or faint/weak/mild pain during endodontic access preparation and instrumentation. The anesthetic success rates were analyzed by Pearson chi-square test at 5% significance levels. Results: The same side position and opposite side position yielded 41% and 30% anesthetic success rates, respectively; there was no significant difference between the two sides. Conclusions: Relative head position has no effect on the anesthetic success rate of IANB.
Keywords
Anesthesia, Local; Nerve Block; Patient Positioning; Pulpitis;
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1 Hargreaves KM, Keiser K. Local anesthetic failure in endodontics: mechanisms and management. Endod Topics 2002; 1: 26-39.   DOI
2 Raymond SA, Steffensen SC, Gugliano LD, Strichartz GR. The role of length of nerve exposed to local anesthetics in impulse blocking action. Anesth Analg 1989; 68: 563-70.
3 Rucci F, Pippa P, Boccaccini A, Barbagli R. Effect of injection speed on anaesthetic spread during axillary block using the orthogonal two-needle technique. Eur J Anaesthesiol 1995; 12: 505-11.
4 Kanaa MD, Meechan JG, Corbett IP, Whitworth JM. Speed of injection influences efficacy of inferior alveolar nerve blocks: a double-blind randomized controlled trial in volunteers. J Endod 2006; 32: 919-23.   DOI
5 Aggarwal V, Singla M, Miglani S, Kohli S, Irfan M. A prospective, randomized single-blind evaluation of effect of injection speed on anesthetic efficacy of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis. J Endod 2012; 38: 1578-80.   DOI
6 Whitworth JM, Kanaa MD, Corbett IP, Meechan JG. Influence of injection speed on the effectiveness of incisive/mental nerve block: a randomized, controlled, doubleblind study in adult volunteers. J Endod 2007; 33: 1149-54.   DOI
7 Ridenour S, Reader A, Beck M, Weaver J. Anesthetic efficacy of a combination of hyaluronidase and lidocaine with epinephrine in inferior alveolar nerve blocks. Anesth Prog 2001; 48: 9-15.
8 Wohlrab J, Finke R, Franke WG, Wohlrab A. Efficacy study of hyaluronidase as a diffusion promoter for lidocaine in infiltration analgesia of skin. Plast Reconstr Surg 2012; 129: 771e-2e.   DOI
9 Remy M, Pinter F, Nentwich MM, Kampik A, Schonfeld CL. Efficacy and safety of hyaluronidase 75 IU as an adjuvant to mepivacaine for retrobulbar anesthesia in cataract surgery. J Cataract Refract Surg 2008; 34: 1966-9.   DOI
10 Khoury JN, Mihailidis S, Ghabriel M, Townsend G. Applied anatomy of the pterygomandibular space: improving the success of inferior alveolar nerve blocks. Aust Dent J 2011; 56: 112-21.   DOI
11 Aggarwal V, Jain A, Kabi D. Anesthetic efficacy of supplemental buccal and lingual infiltrations of articaine and lidocaine following an inferior alveolar nerve block in patients with irreversible pulpitis. J Endod 2009; 35: 925-9.   DOI
12 Tempestini Horliana AC, de Brito MA, Perez FE, Simonetti MP, Rocha RG, Borsatti MA. Hyaluronidase increases the duration of mepivacaine in inferior alveolar nerve blocks. J Oral Maxillofac Surg 2008; 66: 286-90.   DOI
13 Loubert C, Hallworth S, Fernando R, Columb M, Patel N, Sarang K, Sodhi V. Does the baricity of bupivacaine influence intrathecal spread in the prolonged sitting position before elective cesarean delivery? A prospective randomized controlled study. Anesth Analg 2011; 113: 811-7.   DOI
14 Yang MK, Kim JA, Ahn HJ, Choi DH. Influence of the baricity of a local anaesthetic agent on sedation with propofol during spinal anaesthesia. Br J Anaesth 2007; 98: 515-8.   DOI
15 Fettes PD, Hocking G, Peterson MK, Luck JF, Wildsmith JA. Comparison of plain and hyperbaric solutions of ropivacaine for spinal anaesthesia. Br J Anaesth 2005; 94: 107-11.   DOI
16 Stienstra R, Gielen M, Kroon JW, Van Poorten F. The influence of temperature and speed of injection on the distribution of a solution containing bupivacaine and methylene blue in a spinal canal model. Reg Anesth 1990; 15: 6-11.
17 Heft MW, Parker SR. An experimental basis for revising the graphic rating scale for pain. Pain 1984; 19: 153-61.   DOI
18 McCartney M, Reader A, Beck M. Injection pain of the inferior alveolar nerve block in patients with irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104: 571-5.   DOI
19 Takeuchi T, Tasaki I. Ubertrangung de nervenimpulses in der polarisierten nervenfaser. Pfluegers Arch Gesamte Physiol Menshchen Tiere 1942: 246: 32-43.
20 Aggarwal V, Singla M, Rizvi A, Miglani S. Comparative evaluation of local infiltration of articaine, articaine plus ketorolacand dexamethasone on anesthetic efficacy of inferior alveolar nerve block with lidocaine in patients with irreversible pulpitis. J Endod 2011; 37: 445-9.   DOI
21 Coleman RD, Smith RA. The anatomy of mandibular anesthesia: review and analysis. Oral Surg Oral Med Oral Pathol 1982; 54: 148-53.   DOI