Anesthetic efficacy of the supplemental intraosseous injection for teeth with irreversible pulpitis.

S. A. Parente, R. W. Anderson, Wayne William Herman, W. F. Kimbrough, R. N. Weller

Research output: Contribution to journalArticle

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Abstract

The purpose of this study was to determine the efficacy of a supplemental intraosseous injection (IOI) of 2% lidocaine with 1:100,000 epinephrine using the Stabident device, after conventional anesthetic methods had failed. Patients who experienced pain during endodontic access and required a supplemental IOI using 0.45 to 0.90 ml of the local anesthetic were identified. All 37 of the patients treated had teeth diagnosed with irreversible pulpitis. Thirty-four of the teeth were mandibular posterior teeth, 2 were maxillary posterior teeth, and 1 was a maxillary anterior tooth. Patients with maxillary teeth had received infiltration anesthesia, and those with mandibular teeth had received an inferior alveolar nerve block in conjunction with long buccal infiltration. A minimum of 3.6 ml of local anesthetic was used with the conventional techniques. Modified visual analogue scales, coupled with operator evaluations, were used to measure success. The Stabident IOI was an effective supplemental anesthetic technique in 89% (+/- 5.1) or 33/37 patients evaluated. The 95% confidence interval was 74 to 97%. The IOI was successful in 91% (+/- 4.9) of the mandibular posterior teeth (31/34), and 67% of the maxillary teeth (2/3).

Original languageEnglish (US)
Pages (from-to)826-828
Number of pages3
JournalJournal of Endodontics
Volume24
Issue number12
DOIs
StatePublished - Jan 1 1998

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Pulpitis
Anesthetics
Tooth
Injections
Local Anesthetics
Mandibular Nerve
Nerve Block
Cheek
Endodontics
Local Anesthesia
Lidocaine
Visual Analog Scale
Epinephrine
Confidence Intervals

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Anesthetic efficacy of the supplemental intraosseous injection for teeth with irreversible pulpitis. / Parente, S. A.; Anderson, R. W.; Herman, Wayne William; Kimbrough, W. F.; Weller, R. N.

In: Journal of Endodontics, Vol. 24, No. 12, 01.01.1998, p. 826-828.

Research output: Contribution to journalArticle

Parente, S. A. ; Anderson, R. W. ; Herman, Wayne William ; Kimbrough, W. F. ; Weller, R. N. / Anesthetic efficacy of the supplemental intraosseous injection for teeth with irreversible pulpitis. In: Journal of Endodontics. 1998 ; Vol. 24, No. 12. pp. 826-828.
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