ipl-logo

Local Anesthesia Disadvantages

1107 Words5 Pages

Effective local anesthesia is the foundation of pain control in dentistry. It increases the patient comfort, cooperation and faith in the operator and also reduces stress on the dentist’s mind. The fear of pain during a dental procedure has been observed as a major reason for patients not seeking dental care. Some investigators have reported that the opinion of patients on their dental treatment is related to their experience with local anesthesia. In fact, most of the patients select their dentist based on their previous ability to provide pain free dental treatments.
Anesthetizing mandibular teeth is sometimes challenging especially when they have inflamed pulps. It has been reported that teeth having inflamed pulps are eight times more likely …show more content…

As this technique depends on the presence and detection of anatomic landmarks like teeth and pterygomandibular raphe. Variations in these landmarks like mandibular ramus and mandibular foramen can occur; hence, there are more chances of failure to anesthetize the inferior alveolar nerve. Improper technique by the dentist is the other main reason of IANB failure. Due to the proximity of injection site to the neuromuscular bundle, there is high positive aspiration rate and intravascular injection (10% to 15%). Pain, trismus and needle breakage, facial paralysis, hematoma, ptosis, self-inflicted trauma and pterygomandibular space infection are the other major complications of this …show more content…

Robertson and Gow gates studies showed higher anesthetic success rates of Gow gates technique (92-98%) in comparison with IANB (71-76%). Similarly Kohler et al had shown high anesthetic efficacy with Gow gates technique (82%). Another study conducted by Aggarwal et al had shown high anesthetic efficacy of Gow gates technique (52%) as compared to inferior alveolar nerve block (36%).However study conducted by Hung at el failed to show higher effectiveness and success rates of Gow gates technique (first premolar, 54%; first molar, 88%) in comparison to conventional inferior alveolar nerve block (first premolar, 54.8%; first molar, 83.9%). Goldberg, Reader, Drum et al study had shown anesthetic success rate of Gow gates technique to be inferior (First molar, 38%; First premolar, 44%) than inferior alveolar nerve block (First molar, 53%; First premolar, 62%). Similarly studies conducted by Ågren and Danielsson, Montagnese et al had found that the two techniques were

Show More
Related
3377 Words | 14 Pages

The addition of opioid does provide a dose sparing effect of local anaesthetic and superior analgesia but there is always a possibility of an increased incidence

Read More
439 Words | 2 Pages

SI joint field ache could or will not be in reality coming from the SI joint. It usually is strictly established on this discipline (the buttock) or it should radiate down the leg reasonably. It could be burdened with myofascial style discomfort within the paraspinal muscle tissues, piriformis, or gluteal muscle mass. Different sufferer issues that can mimic SI joint affliction include intervertebral discs which have tears in the outer element (annulus), or possibly arthritic and painful aspect joints that have ache that radiates into the buttock vicinity. All of those can cause cause suffering to appear in the equal field, as a result, deciding the special pain generator(s) can take some critical intellectual gymnastics.

Read More
1581 Words | 7 Pages

Inflammation of the dental pulp can be caused by a variety of factors, but its results are the same — we will need to perform treatment to eliminate your pain and restore the health of your tooth. You might need a root canal if you are experiencing any of the following symptoms: pain in or around a particular

Read More
1831 Words | 8 Pages

When Sibert was not responding the anaesthetist then allowed a slow inhalation of Isoflurane to be delivered to patient through the face mask. When the patient was fully anaesthetised the author assisted the anaesthetist to secure the airway by passing size 4 Laryngoscope and size 8 endotracheal tube (ETT). The ETT was cuffed and tightly secured. Sibert was then transferred to the operating table and monitoring continued. Anaesthesia was maintained with O2, Isoflurane, and N2O on spontaneous ventilation with closed circuit.

Read More
1262 Words | 6 Pages

The weakened breathing results in constant blowing of the nose, stuffiness, and an incapability to strongly smell both satisfying scents and unsatisfying stenches. Although weakened breathing is similar to the encounter of uncomfortable pain, it is also unique from the other negative effects. In contrast, this consequence is more of a long term consequence that can potentially remain for many years after the procedure. This is due to an inflammation in tissues in the nose that block the nasal canals. In this case, the doctor prescribes nasal sprays (typically Nasacort or Zetonna) to shrink the inflamed tissues.

Read More
572 Words | 3 Pages

The patient underwent 10 treatments with right unilateral electrode placement and a stimulus dose of 35%. Anaesthesia consisted of propofol, 80-90mg; succinylcholine 50-60mg was used as a paralytic. Upon awakening during the first 8 treatments, Miss T was extremely agitated, restless and confused. This lasted up to 60 minutes and required 7 staff to maintain the safety of herself and others. Richmond Agitation Sedation Scale (RASS) score was +3 or +4 every treatment.

Read More
995 Words | 4 Pages

Airway assessment revealed adequate mouth opening, modified Mallampati score of 2 and restricted neck extension. In operating room, under standard monitoring, patient was induced with Propofol and Fentanyl. Intubation was attempted after

Read More
508 Words | 3 Pages

More than once, CRNAs have mentioned that the anesthesia team often gets blamed for complications during surgery due to the subjective decisions being made and unpredictable outcomes. I want to contribute to the decrease in these negative connotations toward anesthesia by continuously improving my skills with best practice techniques and staying current on new advancements in the field. Being educated and confident in one’s decisions is a crucial aspect of providing the safest and most effective

Read More
582 Words | 3 Pages

Sedation and analgesia can be administered by an anesthesiologist or non-anesthesiologist as intermittent boluses or continuous infusion throughout the procedure. Moreover, patient controlled sedation and target controlled infusion are alternative modes of drug delivery. Anesthesiologist versus non-anesthesiologist debate Debate exists on whether the staff administering sedation should be an anesthesiologist, a gastroenterologist or a non-anesthesiologist (70, lit). Although, reports suggesting the safety of sedation administered by non-anesthesiologists exist in the literature, incidence of adverse hemodynamic and airway events were reported as 1.44% and 0.74% respectively (36-41). The reasons behind nurse rather than physician organizations

Read More
434 Words | 2 Pages

We all know that pain is usually one of the major complaint of patients with chronic problems or those recovering post operatively thereby making pain evaluation a fundamental requisite in the outcome assessment during hospital visits. Interpreting the data from a pain assessment scale is not as straightforward as it may seem since the provider must consider the intensity, related disability, duration, and affect to define the pain and its effects on the patient (Williamson & Hoggart, 2005). Pain rating scales are used in the clinical settings to measure pain and these include Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical/numeric Rating Scale (NRS) (Haefeli & Elfering, 2006). Each scale is unique on its own in terms of sensitivity and simplicity that generates data that can be statistically analyzed for audit purposes. The EHR in our hospital utilizes the three rating scales mentioned as part of the pain assessment tool to measure pain that sets the tone for the direction of the type of pain management will .be given to the

Read More
794 Words | 4 Pages

Initial 5: The Unlikely Benefits Of Sedation Dentistry Some people really fear going to the dentist, which is why our Leesburg dental office offers sedation dentistry. If you’re just a little nervous or if you have skipped appointments in the past because of anxiety, our dental sedation can help you get the treatments you need for your dental health. But the benefits of sedation dentistry go much farther than just helping treatments happen. Whether you go with conscious sedation or twilight sleep, here are some benefits you might not have thought about.

Read More
654 Words | 3 Pages

For several considerable years, Joint Commission accreditation standards have emphasised patients’ right to have their pain properly assessed and managed. Healthcare providers have responded with an intensified focus on pain management, using pain medications. However, as the difficulty of analgesic therapies rises, establishment of priorities of care must be created in order to avert or diminish adverse events from occurring and to ensure that high quality and safe care is followed through. Opioid analgesia, in particular, remains to be the main primary pharmacologic intervention for managing pain in hospitalised patients. Among them are the common drugs fentanyl and morphine.

Read More
1249 Words | 5 Pages

The story “The Ones Who Walk away from Omelas” is a story that can relate to the real world that we are living in today, being able to be pleasured without guilt. Although the world is not much as a Utopian world for people, but more of a place where someone who wants to be pleasured or happy without feeling guilty. Our civilization is willing to take guiltless trips in or to be happy or satisfied, not knowing what danger they could be causing. In the story, there is a Summer Festival that attracts numerous amount of people of various ages.

Read More
399 Words | 2 Pages

Anesthesiologists are medical doctors who keep a patient comfortable, safe and pain-free during surgery by administering local or general anesthetic. Once the patient enters the operating room, an anesthesiologist will be by their side throughout the entire surgery, making sure they are stable right through to the post- anesthesia care unit. Anesthesiology is a renowned and remunerative field of medicine, but requires an abundance of education and expertise (“Anesthesiologist”). Anesthesiologists do many things which all require a substantial amount intelligence. Before surgery an anesthesiologist will meet with the patient prior to the surgery to make sure that they are suitably prepared as well as medically fit to endure the proposed surgery

Read More
717 Words | 3 Pages

Management and outcome The surgery was successful. The anaesthetist told me he will be like to do awake extubation because patient was grade 2 view on intubation. This method is used to perform an extubation once the patient is fully awake and able to maintain his own airway (e SAFE, 2017) I prepared for awake extubation, all the airway equipment for the intubation were kept for anaesthetic emergence, guedel, laryngoscope, bougie, 20ml syringe.

Read More

More about Local Anesthesia Disadvantages

Related Topics

Open Document