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PubMed1972

Dental anesthesia.

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Anesthesia, Dental↗
PubMed1968

Dental anesthesia.

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Anesthesia, Dental↗
PubMed2000

Clinical evaluation of electronic dental anesthesia for various procedures in pediatric dentistry.

Electronic dental anesthesia (EDA) is a newer technique for achieving regional anesthesia by the application of transcutaneous electrical nerve stimulation (TENS). The present study intended to be an initial investigation of the attitudes of dentists and patients towards a relatively newly introduced EDA system. The purpose of the study was to evaluate the effectiveness of EDA system, a unit of TENS, in the management of pain during treatment procedures such as minor extractions, restorations (tooth preparations), and pulp therapy, in children. Overall, forty children between the age groups of 5 to 12 years were selected for three different clinical procedures. The response of the patients as well as the opinion of both, the clinician and the patient regarding perception of pain and comfort on administration I effectiveness of electronic anesthesia were recorded and analyzed. Significantly favorable results to the use of EDA were obtained, which indicate that EDA, besides offering safety and psychological advantages, may also be a promising alternative to the conventional methods of local anesthesia.

Anesthesia, Dental↗
PubMedDate not supplied

A comparison of parenteral and electronic dental anesthesia during operative procedures in children.

The effectiveness of electronic dental anesthesia (EDA) for pain control during restorative procedures was compared with local anesthesia (LA) in 108 pediatric patients aged 6-12. One tooth was treated with LA and another with EDA at the same appointment. The pain levels during restorative treatment were assessed using a color scale. Behavior also was assessed using sound, eye, and motor (SEM) scale. Although the success rate of EDA was less than that of LA, there was no significant difference between the two methods. On the other hand, 63% of the patients preferred EDA while 27.8% preferred LA. These results suggest that EDA is an effective nondrug pain control technique for amalgam restorations in primary and permanent molars for some patients.

Analgesia, Patient-Controlled↗
PubMed2002

Taste disturbance in two patients after dental anesthesia by inferior alveolar nerve block.

We report two cases of temporary taste disturbance after inferior alveolar nerve block. The first patient to present with this rare complication of anesthesia for dental surgery was a 41-year-old woman. She lost the sense of taste on the left side of her tongue after local anesthesia for treatment of a left mandibular molar and first visited our outpatient clinic complaining of taste disorder 3 months later. Electrogustometry (EGM) and filter paper disk (FPD) testing revealed a taste disturbance in the innervation area of the left chorda tympani nerve and atrophy of the fungiform papillae on the left side of the tongue was observed. Eleven months after the dental treatment, the fungiform papillae and the results of EGM were normal. The second patient, a 22-year-old woman, received local anesthetic for extraction of a right mandibular molar and subsequently developed loss of taste on the right side of the tongue. When she visited our outpatient clinic 3 months later, atrophy of the fungiform papillae on the right side was observed. Her gustatory sense began to improve 4 months after the dental surgery and was normal at 13 months. From these findings we conclude that taste disturbance on the same side as the inferior alveolar nerve block in each case was due to direct injury to the chorda tympani and lingual nerves during administration of the local anesthetic. The results of EGM and FPD testing were diagnostic: atrophy of the fungiform papillae on the same side and disappearance of taste on the same side in the intravenous taste test provided complementary diagnostic information. The outcome was satisfactory in both cases.

Adult↗