Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth

Aim: The purposes of this study were threefold. First was to study the success of pulpal anesthesia with inferior alveolar nerve block (IANB) in young permanent teeth with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis. Second was to study the success rate of pu...

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Main Authors: Thitida Sutharaphan, ธิติดา สุธราพันธ์
Other Authors: ภาพิมล ชมภูอินไหว
Format: Theses and Dissertations
Language:English
Published: เชียงใหม่ : บัณฑิตวิทยาลัย มหาวิทยาลัยเชียงใหม่ 2018
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Online Access:http://cmuir.cmu.ac.th/jspui/handle/6653943832/45965
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-459652018-03-27T04:06:25Z Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth อัตราความสำเร็จของการระงับความรู้สึกของเนื้อเยื่อในฟันด้วยการฉีดยาชาแบบเสริมเข้าเอ็นยึดปริทันต์หลังความล้มเหลวของการระงับความรู้สึกเส้นประสาทเบ้าฟันล่างในฟันแท้อายุน้อย Thitida Sutharaphan ธิติดา สุธราพันธ์ ภาพิมล ชมภูอินไหว ธนิดา ศรีสุวรรณ Pulpal anesthesia Intraligamentary injection Aim: The purposes of this study were threefold. First was to study the success of pulpal anesthesia with inferior alveolar nerve block (IANB) in young permanent teeth with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis. Second was to study the success rate of pulpal anesthesia with supplemental intraligamentary injection (IL) after the failure of IANB. And the final purpose was to compare the success rates of pulpal anesthesia between young permanent teeth diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis. Methods: The anesthetic agent used in all steps of this study was 4% articaine with epinephrine 1:100,000. Sixty young permanent teeth, from patients aged between 7-20 years, with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis were anesthetized with IANB. When the failure of pulpal anesthesia with IANB occurred, IL was supplementary administered. Both pre-operative and intra-operative pulpal anesthesias were assessed. Success of pre-operative pulpal anesthesia was defined as no response to both the Endo-Ice® cold test and electric pulp tests. Success of intra-operative pulpal anesthesia was determined by the Wong-Baker faces pain rating scale (WBFPS). Results: The pre-operative pulpal anesthetic success of IANB was 26.67% (16/60). In 44 patients who had IANB failures, IL was administered and the pre-operative cumulative success rate of pulpal anesthesia by IL was 80% (48/60). Intra-operatively, 68.75% (11/16) and 75% (24/32) of patients who had pre-operative pulpal anesthetic success of IANB and IL had pulpal anesthetic success during treatment. There was no significant difference of pulpal anesthetic successes between the different diagnosis groups. Conclusion: The pulpal anesthetic success of IANB in young permanent teeth with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis was quite low. The supplementary injection, such as IL injection, is highly recommended to effectively enhance the pulpal anesthetic success rate in this group of teeth. 2018-03-27T04:06:25Z 2018-03-27T04:06:25Z 2014-09 Thesis http://cmuir.cmu.ac.th/jspui/handle/6653943832/45965 en เชียงใหม่ : บัณฑิตวิทยาลัย มหาวิทยาลัยเชียงใหม่
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
topic Pulpal anesthesia
Intraligamentary injection
spellingShingle Pulpal anesthesia
Intraligamentary injection
Thitida Sutharaphan
ธิติดา สุธราพันธ์
Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
description Aim: The purposes of this study were threefold. First was to study the success of pulpal anesthesia with inferior alveolar nerve block (IANB) in young permanent teeth with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis. Second was to study the success rate of pulpal anesthesia with supplemental intraligamentary injection (IL) after the failure of IANB. And the final purpose was to compare the success rates of pulpal anesthesia between young permanent teeth diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis. Methods: The anesthetic agent used in all steps of this study was 4% articaine with epinephrine 1:100,000. Sixty young permanent teeth, from patients aged between 7-20 years, with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis were anesthetized with IANB. When the failure of pulpal anesthesia with IANB occurred, IL was supplementary administered. Both pre-operative and intra-operative pulpal anesthesias were assessed. Success of pre-operative pulpal anesthesia was defined as no response to both the Endo-Ice® cold test and electric pulp tests. Success of intra-operative pulpal anesthesia was determined by the Wong-Baker faces pain rating scale (WBFPS). Results: The pre-operative pulpal anesthetic success of IANB was 26.67% (16/60). In 44 patients who had IANB failures, IL was administered and the pre-operative cumulative success rate of pulpal anesthesia by IL was 80% (48/60). Intra-operatively, 68.75% (11/16) and 75% (24/32) of patients who had pre-operative pulpal anesthetic success of IANB and IL had pulpal anesthetic success during treatment. There was no significant difference of pulpal anesthetic successes between the different diagnosis groups. Conclusion: The pulpal anesthetic success of IANB in young permanent teeth with deep caries diagnosed as normal pulp, reversible pulpitis, and irreversible pulpitis was quite low. The supplementary injection, such as IL injection, is highly recommended to effectively enhance the pulpal anesthetic success rate in this group of teeth.
author2 ภาพิมล ชมภูอินไหว
author_facet ภาพิมล ชมภูอินไหว
Thitida Sutharaphan
ธิติดา สุธราพันธ์
format Theses and Dissertations
author Thitida Sutharaphan
ธิติดา สุธราพันธ์
author_sort Thitida Sutharaphan
title Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
title_short Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
title_full Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
title_fullStr Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
title_full_unstemmed Success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
title_sort success rate of pulpal anesthesia with supplemental intraligamentary injection after failure of inferior alveolar nerve block in young permanent teeth
publisher เชียงใหม่ : บัณฑิตวิทยาลัย มหาวิทยาลัยเชียงใหม่
publishDate 2018
url http://cmuir.cmu.ac.th/jspui/handle/6653943832/45965
_version_ 1681421663235735552