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    PAIN MANAGEMENT ISSUE - JANUARY 2020

    Monday, January 11, 2021

    CLINICAL STUDY I
    Alternative techniques for the failure of conventional inferior alveolar nerve block

    Choi Ryang Lee and Hoon Joo Yang

    al anesthetics are one of the most important drugs in dentistry, only if they produce the expected effect on patients. Unlike the maxilla, it is difficult to administer local anesthesia in the mandible, and the success rate of a conventional inferior alveolar nerve block (IANB) is only 80–85%. To add to this number IANB is the most commonly used technique by practitioners.

    Local anesthetics are one of the most important drugs in dentistry, only if they produce the expected effect on patients. Unlike the maxilla, it is difficult to administer local anesthesia in the mandible, and the success rate of a conventional inferior alveolar nerve block (IANB) is only 80–85%. To add to this number IANB is the most commonly used technique by practitioners.

    Failure could be attributed to various causes such as anatomical variations, extreme anxiety, and technical errors; thus, various alternatives have been devised to improve this.

     >>> Click here to read the article

    CLINICAL STUDY II
    Immediate-type allergic reactions to local anesthetics

    Naomi Nakamura, Risa Tamagawa-Mineoka , Koji Masuda, Norito Katoh

    True allergic reactions are very rare. Adverse reactions are commonly related to vasovagal reactions, dose-related toxic effects, and the side effects of epinephrine within local anesthetics. Usually, skin prick tests and intradermal tests of potential causative agents are tools to diagnose allergies. Evaluations of allergic reactions to local anesthetics based on such skin tests have been reported previously.
    Recently, the number of drugs containing local anesthetics, including over-the-counter medicines, has increased.

    Therefore, the number of people sensitized to local anesthetics might have increased. However, there are a few recent reports about allergic reactions to local anesthetics. The study reviews skin reactions to some local anesthetics used in dentistry.
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