Journal of dental anesthesia and pain medicine最新文献_第8页

Sugammadex-induced bronchospasm: a case report. Sugammadex诱发支气管痉挛1例。

Journal of dental anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-09-27 DOI: 10.17245/jdapm.2023.23.5.287

Saeyoung Kim, Hyojun Choo, Hoon Jung, Ji Hyun Kim

引用次数: 0

Pain management in periodontal therapy using local anesthetics and other drugs: an integrative review. 使用局部麻醉剂和其他药物进行牙周治疗的疼痛管理：一项综合综述。

Journal of dental anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-09-27 DOI: 10.17245/jdapm.2023.23.5.245

Eduarda Cristina Santos, Daniela Huller, Sabrina Brigola, Marceli Dias Ferreira, Márcia Thaís Pochapski, Fábio André Dos Santos

{"title":"Pain management in periodontal therapy using local anesthetics and other drugs: an integrative review.","authors":"Eduarda Cristina Santos, Daniela Huller, Sabrina Brigola, Marceli Dias Ferreira, Márcia Thaís Pochapski, Fábio André Dos Santos","doi":"10.17245/jdapm.2023.23.5.245","DOIUrl":"10.17245/jdapm.2023.23.5.245","url":null,"abstract":"Background: Surgical and non-surgical periodontal procedures often lead to postoperative pain. Clinicians use pharmacological methods such as anesthetics, anti-inflammatory drugs, and analgesics for relief. However, the multitude of options makes it challenging to select the best approach for routine dental care.Objective: This review aimed to describe previous studies regarding the pharmacological management used for pain control during periodontal procedures as well as factors that may interfere with patients' perception of pain.Methods: We included studies (period of 2000-2023, whose approach corresponded to the pharmacological protocols used for preoperative, trans-operative, and postoperative pain control in adult patients undergoing surgical and non-surgical periodontal therapy.Results: A total of 32 studies were included in the analysis, of which 17 (53%) were related to anesthetic methods and 15 (47%) were related to therapeutic protocols (anti-inflammatory/analgesic agents). These studies predominantly involved nonsurgical periodontal procedures. Studies have reported that factors related to age, type of procedure, and anxiety can influence pain perception; however, only seven of these studies evaluated anxiety.Conclusions: Numerous methods for pain control can be applied in periodontal therapy, which are accomplished through anesthetic methods and/or therapeutic protocols. Factors such as anxiety, age, and type of procedure are related to pain perception in patients. Thus, it is the responsibility of dentists to evaluate each clinical situation and define the best protocol to follow based on the literature.","PeriodicalId":94330,"journal":{"name":"Journal of dental anesthesia and pain medicine","volume":"23 5","pages":"245-256"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/35/jdapm-23-245.PMC10567545.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends of conscious sedation in the Department of Pediatric Dentistry at the Dankook University Dental Hospital for 11 Years. 丹国大学牙科医院儿童牙科11年来清醒镇静的趋势。

Journal of dental anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-09-27 DOI: 10.17245/jdapm.2023.23.5.265

Sohyun Park, Jongbin Kim, Jongsoo Kim, Joonhaeng Lee, Miran Han, Jisun Shin

{"title":"Trends of conscious sedation in the Department of Pediatric Dentistry at the Dankook University Dental Hospital for 11 Years.","authors":"Sohyun Park, Jongbin Kim, Jongsoo Kim, Joonhaeng Lee, Miran Han, Jisun Shin","doi":"10.17245/jdapm.2023.23.5.265","DOIUrl":"10.17245/jdapm.2023.23.5.265","url":null,"abstract":"Background: Anxiety and fear in children's dental care are major impediments to successful dental care. High-quality dental treatment can be achieved using various behavioral control methods; however, conscious sedation using drugs can be used if behavioral control is difficult, owing to excessive fear and anxiety. This study aimed to examine the trends in conscious sedation implemented in pediatric dentistry at the Dankook University Dental Hospital over the past 11 years.Methods: This study included 6,438 cases of dental treatment under conscious sedation conducted over 11 years between January 2011 and December 2021 in the Department of Pediatric Dentistry at Dankook University Dental Hospital.Results: Over the past 11 years, the number of dental treatments under sedation has increased. In the case of inhalation sedation using nitrous oxide, the rate of increase was approximately twice every year, and the use of midazolam gradually decreased. The average age of children who underwent sedation was 5.11 years, and the rate of sedation treatment in children aged <4 years tended to decrease, while that of children aged >5 years tended to increase. This is related to the trend of changes in drugs used. In a sex-based survey, sedation treatment rate was higher in males than that in females.Conclusion: Appropriate selection of sedatives can reduce the frequency of general anesthesia and minimize complications through efficient and safe dental treatments. Trend analysis of sedation by year will help provide guidelines for the appropriate selection of sedation for dental treatment of children and patients with disability.","PeriodicalId":94330,"journal":{"name":"Journal of dental anesthesia and pain medicine","volume":"23 5","pages":"265-271"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/9d/jdapm-23-265.PMC10567542.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sucrose solution for alleviating needle pain during inferior alveolar nerve block in children aged 7-10 years: a randomized clinical trial. 蔗糖溶液缓解7-10岁儿童下牙槽神经阻滞期间的针刺疼痛：一项随机临床试验。

Journal of dental anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-09-27 DOI: 10.17245/jdapm.2023.23.5.273

Supriya Thambireddy, Nirmala Svsg, Sivakumar Nuvvula

{"title":"Sucrose solution for alleviating needle pain during inferior alveolar nerve block in children aged 7-10 years: a randomized clinical trial.","authors":"Supriya Thambireddy, Nirmala Svsg, Sivakumar Nuvvula","doi":"10.17245/jdapm.2023.23.5.273","DOIUrl":"10.17245/jdapm.2023.23.5.273","url":null,"abstract":"Background: Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children. This study aimed to determine whether the prior administration of a 30% sucrose solution reduced the pain related to inferior alveolar nerve block in children.Methods: A total of 42 healthy children aged 7-10 years requiring dental treatment of mandibular molars involving inferior alveolar nerve block were recruited. The participants' demographic details were recorded, height and weight were measured, and the anesthetic injection was delivered after receiving the respective intraoral sucrose solution and distilled water by the intervention (group 1) and control (group 2) group participants for 2 min. The subjective pain perceived during injection was measured using an animated emoji scale. The pain scores between the groups were compared using the Mann-Whitney U test.Results: The median pain score and range for the intervention and control groups were 4 (2 - 6) and 6 (4 - 8), respectively, and statistically significant differences (P < 0.001) were observed in the intervention group. Age, sex, height, and weight did not influence the analgesic effect of the sucrose solution.Conclusion: Oral administration of sucrose may relieve pain associated with inferior alveolar nerve block in children.","PeriodicalId":94330,"journal":{"name":"Journal of dental anesthesia and pain medicine","volume":"23 5","pages":"273-280"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/5a/jdapm-23-273.PMC10567544.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bending 30-gauge needles using a needle guide: fatigue life evaluation. 使用导针器弯曲30号针头：疲劳寿命评估。

Journal of dental anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-09-27 DOI: 10.17245/jdapm.2023.23.5.281

Jared Joseph Tuttle, Andrew Doran Davidson, Gregory Kent Tuttle

{"title":"Bending 30-gauge needles using a needle guide: fatigue life evaluation.","authors":"Jared Joseph Tuttle, Andrew Doran Davidson, Gregory Kent Tuttle","doi":"10.17245/jdapm.2023.23.5.281","DOIUrl":"10.17245/jdapm.2023.23.5.281","url":null,"abstract":"Background: Dentists bend needles prior to certain injections; however, there are concerns regarding needle fracture, lumen occlusion, and sharps handling. A previous study found that a 30-gauge needle fractures after four to nine 90° bends. This fatigue life study evaluated how many 90° bends a 30-gauge dental needle will sustain before fracture when bent using a needle guide.Methods: Two operators at Element Materials Technology, an independent testing, inspection, and certification company tested 48 30-gauge needles. After applying the needle guide, the operators bent the needle to a 90° angle and expressed the anesthetic from the tip. The needle was then bent back to a 0° angle, and the functionality was tested again. This process was repeated until the anesthetic failed to pass through the end of the needle due to fracture or obstruction. Each operator tested 24 needles (12 needles from each lot), and the number of sustained bends before the needle fracture was recorded.Results: The average number of sustained bends before needle failure was 40.33 (95% confidence interval = 37.41-43.26), with a minimum of 20, median of 40, and a maximum of 54. In each trial, the lumen remained patent until the needle fractured. The difference between the operators was statistically significant (P < 0.001). No significant differences in performance between needle lots were observed (P = 0.504).Conclusion: Our results suggest that using a needle guide increases the number of sustained bends before needle fracture (P < 0.000001) than those reported in previous studies. Future studies should further evaluate the use of needle guides with other needle types across a variety of operators. Furthermore, additional opportunities lie in exploring workplace safety considerations and clinical applications of anesthetic delivery using a bent needle.","PeriodicalId":94330,"journal":{"name":"Journal of dental anesthesia and pain medicine","volume":"23 5","pages":"281-285"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/43/jdapm-23-281.PMC10567543.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lipid emulsion therapy of local anesthetic systemic toxicity due to dental anesthesia. 脂质乳剂治疗因牙科麻醉引起的局部麻醉全身毒性。

Journal of dental anesthesia and pain medicine Pub Date : 2019-08-01 Epub Date: 2019-08-30 DOI: 10.17245/jdapm.2019.19.4.181

Seung-Hyun Rhee, Sang-Hun Park, Seung-Hwa Ryoo, Myong-Hwan Karm

{"title":"Lipid emulsion therapy of local anesthetic systemic toxicity due to dental anesthesia.","authors":"Seung-Hyun Rhee, Sang-Hun Park, Seung-Hwa Ryoo, Myong-Hwan Karm","doi":"10.17245/jdapm.2019.19.4.181","DOIUrl":"https://doi.org/10.17245/jdapm.2019.19.4.181","url":null,"abstract":"Local anesthetic systemic toxicity (LAST) refers to the complication affecting the central nervous system (CNS) and cardiovascular system (CVS) due to the overdose of local anesthesia. Its reported prevalence is 0.27/1000, and the representative symptoms range from dizziness to unconsciousness in the CNS and from arrhythmias to cardiac arrest in the CVS. Predisposing factors of LAST include extremes of age, pregnancy, renal disease, cardiac disease, hepatic dysfunction, and drug-associated factors. To prevent the LAST, it is necessary to recognize the risk factors for each patient, choose a safe drug and dose of local anesthesia, use vasoconstrictor , confirm aspiration and use incremental injection techniques. According to the treatment guidelines for LAST, immediate application of lipid emulsion plays an important role. Although lipid emulsion is commonly used for parenteral nutrition, it has recently been widely used as a non-specific antidote for various types of drug toxicity, such as LAST treatment. According to the recently published guidelines, 20% lipid emulsion is to be intravenously injected at 1.5 mL/kg. After bolus injection, 15 mL/kg/h of lipid emulsion is to be continuously injected for LAST. However, caution must be observed for >1000 mL of injection, which is the maximum dose. We reviewed the incidence, mechanism, prevention, and treatment guidelines, and a serious complication of LAST occurring due to dental anesthesia. Furthermore, we introduced lipid emulsion that has recently been in the spotlight as the therapeutic strategy for LAST.","PeriodicalId":94330,"journal":{"name":"Journal of dental anesthesia and pain medicine","volume":"19 4","pages":"181-189"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/ce/jdapm-19-181.PMC6726891.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3