Accession Number : ADA299117

Title :   The Anesthetic Efficacy of the Intraosseous Injection in Irreversible Pulpitis.

Descriptive Note : Master's thesis,

Corporate Author : AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH

Personal Author(s) : Nusstein, John M.

PDF Url : ADA299117

Report Date : 1995

Pagination or Media Count : 236

Abstract : The purpose of this study was to evaluate the anesthetic efficacy of an intraosseous injection in teeth diagnosed with irreversible pulpitis. Fifty-one healthy human subjects with symptomatic maxillary or mandibular posterior teeth diagnosed with irreversible pulpitis were used in this study. The subjects were tested with an electric pulp tester and Green Endo-Ice prior to and after receiving anesthesia to determine pulpal vitality and anesthesia. Teeth which responded to either test after a set time period or patients who felt pain during specific portions of root canal therapy received an intraosseous injection (2% lldocaine with 1:100,000 epinephrine). Subjects were asked to rate any pain experienced during injections, testing, and root canal therapy. Forty-two percent of patients who tested negative with the electric pulp tester and Green Endo-Ice, after successful clinical injections, reported pain during treatment. Eighty-one percent of mandibular teeth and 12% of maxillary teeth required an intraosseous injection due to failure in gaining pulpal anesthesia. The Stabident Intraosseous injection was found to be 90% successful in mandibular teeth in gaining total pulpal anesthesia for endodontic therapy. The overall success rate of the Stabident injection was 87.5%.

Descriptors :   *ANESTHESIA, *DENTISTRY, *TEETH, *INJECTIONS(MEDICINE), *ANESTHETICS, INJECTION, CLINICAL MEDICINE, THERAPY, PAIN, MEDICAL SERVICES, ROOT CANAL, MANDIBLE.

Subject Categories : Medicine and Medical Research
      Stress Physiology

Distribution Statement : APPROVED FOR PUBLIC RELEASE