Abstract
Purpose
To extract the lower anterior teeth, the oral surgeon needs to anesthetize the pulpal tissue of the accused tooth and the surrounding tissues. The lingual nerve innervates the lingual soft tissue to the lower teeth, this nerve usually anesthetized alongside the inferior alveolar nerve by a block technique. However, the lingual tissue of the lower anterior teeth usually anesthetized by either infiltration or periodontal ligament injection (PDL) techniques. This study was intended to compare between these two techniques.
Methods
Forty-eight teeth were extracted from 24 patients. Non-adjacent two lower anterior teeth in the same patient were selected. The lingual soft tissue in one of them was anesthetized by PDL injection technique while the other tooth by infiltration technique.
Results
The study included 24 patients (14 males and 10 females). There was no significant difference in relation to the pain during injection between the two groups, while there was a significant difference between the two groups in relation to bleeding.
Conclusions
A recommendation was made to use the PDL injection technique to anesthetize the lingual soft tissue during extraction of the lower anterior teeth.
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References
Marques-Ferreira M, Carrilho E, Paulo S, Carrilho T, Pedro Figueiredo J, Macedo R (2017) Anaesthesia in dental medicine with local infiltrative anaesthetic technique versus diploe anaesthesia delivery systems: efficacy and behaviour, an experimental study. Acta Medica Port 30(12):848–853
Campanella V, Libonati A, Nardi R, Angotti V, Gallusi G, Montemurro E, D’Amario M, Marzo G (2018) Single tooth anesthesia versus conventional anesthesia: a cross-over study. Clin Oral Investig 10:3205–3213. https://doi.org/10.1007/s00784-018-2413-2
Malamed SF (2013) Handbook of local anesthesia, 6th edn. Mosby, Maryland Heights
IBM Corp (2011) Released IBM SPSS statistics for windows, version 20.0. IBM Corp., Armonk
Vehmeijer MJ, Verstoep N, Wolff JE, Schulten EA, van den Berg B (2016) Airway management of a patient with an acute floor of the mouth hematoma after dental implant surgery in the lower jaw. J Emerg Med 51(6):721–724
Law C, Alam P, Borumandi F (2017) Floor-of-mouth hematoma following dental implant placement: literature review and case presentation. J Oral Maxillofac Surg 75(11):2340–2346
Jing Q, Wan K, Wang XJ, Ma L (2014) Effectiveness and safety of computer-controlled periodontal ligament injection system in endodontic access to the mandibular posterior teeth. Chin Med Sci J 29(1):23–27
Kämmerer PW, Schiegnitz E, von Haussen T, Shabazfar N, Kämmerer P, Willershausen B, al-Nawas B, Daubländer M (2015) Clinical efficacy of a computerised device (STA™) and a pressure syringe (VarioJect INTRA™) for intraligamentary anaesthesia. Eur J Dent Educ 19(1):16–22
Moore PA, Cuddy MA, Cooke MR, Sokolowski CJ (2011) Periodontal ligament and intraosseous anesthetic injection techniques: alternatives to mandibular nerve blocks. J Am Dent Assoc 142(Suppl 3):13S–18S
Shabazfar N, Daubländer M, Al-Nawas B, Kämmerer PW (2012) Periodontal intraligament injection as alternative to inferior alveolar nerve block--meta-analysis of the literature from 1979 to 2012. Clin Oral Investig 18(2):351–358
Abdulrazaq SS, Issa SA, Abdulrazzak NJ (2015) Evaluation of the trephine method in harvesting bone graft from the anterior iliac crest for oral and maxillofacial reconstructive surgery. J Craniofac Surg 26:e744–e746
Riyadh S, Abdulrazaq SS (2018) Assessment of the extracapsular dissection of the benign parotid tumors, extending the literature. Oral Maxillofac Surg Med Pathol 30:86–90
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Abdulrazaq, S.S. Lingual anesthesia of the lower anterior teeth, which technique is better?. Oral Maxillofac Surg 23, 221–224 (2019). https://doi.org/10.1007/s10006-019-00772-3
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DOI: https://doi.org/10.1007/s10006-019-00772-3