J Dent Anesth Pain Med.  2018 Oct;18(5):287-294. 10.17245/jdapm.2018.18.5.287.

Local anesthesia for mandibular third molar extraction

Affiliations
  • 1Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University, Seoul, Korea. fastchang@hanyang.ac.kr

Abstract

Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. However, its success rate is not high and it may lead to complications, such as aspiration and nerve injury. Therefore, various anesthesia methods are being investigated. Articaine has been proven to be efficacious in a number of studies and is being used with increasing frequency in clinical practice. In this review article, we will briefly review various local anesthesia techniques, anesthetics, and a computer-controlled local anesthetic delivery (CCLAD) system, which reduces pain by controlling the speed of drug injection, for mandibular third molar extraction.

Keyword

Extraction; Local Anesthesia; Mandible; Third Molar

MeSH Terms

Anesthesia
Anesthesia, Local*
Anesthetics
Carticaine
Dental Clinics
Mandible
Mandibular Nerve
Methods
Molar, Third*
Anesthetics
Carticaine

Figure

  • Fig. 1 Assessment of arching of the needle [12]

  • Fig. 2 The arched needle technique [12]

  • Fig. 3 Comparison of the insertion points of the conventional inferior alveolar nerve block and anterior technique [14]


Cited by  1 articles

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery
Sam Sovatdy, Chakorn Vorakulpipat, Sirichai Kiattavorncharoen, Chavengkiat Saengsirinavin, Natthamet Wongsirichat
J Dent Anesth Pain Med. 2018;18(6):339-347.    doi: 10.17245/jdapm.2018.18.6.339.


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