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Results for “ANESTHESIA, DENTAL”

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At least 19 recordsLinked to original sources

Cardiovascular effects and safety of dental anesthesia and dental interventions in patients with recent uncomplicated myocardial infarction.

To determine the cardiovascular effects and safety of dental anesthesia and dental interventions in patients within three weeks of uncomplicated acute myocardial infarction, 40 patients were studied. Twenty patients, group 1, underwent injectable local dental anesthesia with 2% lidocaine and 1:100 000 epinephrine. Group 2, 20 patients, underwent vigorous dental prophylaxis (13 patients) or dental extraction (seven patients) after local anesthesia. Heart rate, blood pressure, electrocardiograms, and symptoms were monitored before, during, and after the dental intervention. There were no significant hemodynamic changes or complications related to dental anesthesia or the dental procedures. One patient experienced an asymptomatic, uncomplicated, self-limited, eight-beat run of ventricular tachycardia two hours after dental extraction. Limited dental anesthesia and dental interventions were well tolerated by these patients with recent myocardial infarction.

Aged↗

A comparison of injectable local anesthesia and electronic dental anesthesia in restorative dentistry.

This study compares patient satisfaction and subjective pain levels with either electronic dental anesthesia (EDA) or injectable local anesthesia (LA) during the placement of direct restorations. Twenty-five patients (mean age 41 years), who each required two similar restorations in vital teeth, were selected. One restoration was placed using EDA and the other using LA. Preoperatively, all participants completed the Corah Dental Anxiety Scale, and postoperatively they completed a satisfaction questionnaire. Fifteen (60%) patients preferred EDA to LA, and 7 (28%) had no preference. Asked to rate their feelings on the prospect of having a filling placed with either EDA or LA (scale 1 to 5, very anxious to very relaxed), the patients rated LA as 3.0 and EDA as 3.6 (mean scores). Some pain or discomfort was felt by 12 patients with EDA and 14 patients with LA. On a scale of discomfort (1 to 5, very slight to very severe), the mean score was 1.0 for EDA and 1.2 for LA.

Adult↗

[Electrical dental anesthesia (EDA), an alternative to local anesthesia?].

Electrical dental anesthesia has recently been suggested as an alternative to local anesthetics for the control of pain related to certain dental acts. This article updates the evidence which supports the efficiency, indications and contra-indications of such a procedure. Although this technique has certain advantages, its use is limited by: 1) how cooperative the patient may be; 2) the time required to explain the procedure to the patient and that which is required to produce the needed clinical effect; and, 3) how efficient it may be relative to the patient in question and the dental treatment rendered.

Anesthesia, Dental↗

Electronic dental anesthesia: a pilot study.

Electronic dental anesthesia uses the Gate Control Theory of transcutaneous electrical nerve stimulation. The battery-controlled Ultracalm electronic dental anesthesia unit is a noninvasive procedure to electrically block pain transmissions in dental patients. This pilot study to test the efficacy of electronic dental anesthesia for simple restorative procedures was subjectively reported by 20 patients who had never been exposed to this type of anesthesia. None of the patients indicated the procedure was uncomfortable, and 14 of 20 subjects indicated that they preferred electronic dental anesthesia to local anesthetic injection. Electronic dental anesthesia appears to be an effective means of obtaining local anesthesia for certain dental procedures.

Adolescent↗

Appropriate selection of anesthesia personnel for office dental anesthesia.

The requirement for pain and anxiety control for dental patients has been estimated as high as 50 per cent of the population. Supporting this statement is the estimation that 35 million Americans avoid routine dental care until they are in severe pain. This amounts to 15 per cent of the American population and represents a significant public health problem. There is a long tradition of anesthesia provided in the dental office. This article will focus on the personnel who may provide services to dental patients requiring anesthesia.

Anesthesia, Dental↗

[Allergic angioedema after local dental anesthesia and a hyaluronidase-containing preanesthetic injection solution].

Two patients are described who developed allergic angioedema following local anesthesia for dental surgery. Skin testing revealed that hyaluronidase from bull testes contained in one of the preparations used for local anesthesia was the responsible allergen. In both patients hyaluronidase-specific serum IgE antibodies were detected by RAST. Mammalian hyaluronidase, also called spreading factor, is believed to improve penetration of tissues by local anesthetics. It is used worldwide for this and other indications. In the presence of allergic reactions to local anesthetics the possibility of sensitization to hyaluronidase should be considered.

Adult↗