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Local Anesthetic Techniques in Oral and Maxillofacial Surgery

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Anesthesia for Oral and Maxillofacial Surgery
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Abstract

Local anesthesia refers to the injection or application of local anesthetics to temporarily block the conduction of the corresponding nerve impulses so that the area innervated by these nerves produces a painless effect. It is a kind of anesthesia technique frequently used in oral and maxillofacial surgery due to its great range of advantages, including simple operation, precise analgesic effect, patients’ cooperation while keeping consciousness, and few perioperative complications. Particularly, dental treatment such as caries filling, root canal treatment, tooth extraction, local excision of small oral masses, tumor biopsy, abscess excision, and so on can be effectively managed under local anesthesia. Furthermore, it is also the most significant pain management skill in oral and maxillofacial surgery [1].

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References

  1. Wang YH, Wang DR, Liu JY, Pan J. Local anesthesia in oral and maxillofacial surgery: a review of current opinion. J Dent Sci. 2021;16(4):1055–65. https://doi.org/10.1016/j.jds.2020.12.003; Epub 2020 Dec 17.

    Article  Google Scholar 

  2. Ogle OE, Mahjoubi G. Local anesthesia: agents, techniques, and complications. Dent Clin North Am. 2012;56(1):133–48, ix. https://doi.org/10.1016/j.cden.2011.08.003.

    Article  Google Scholar 

  3. Suzuki T, Kosugi K, Suto T, Tobe M, Tabata Y, Yokoo S, Saito S. Sustained~release lidocaine sheet for pain following tooth extraction: a randomized, single~blind, dose~response, controlled, clinical study of efficacy and safety. PLoS One. 2018;13(7):e0200059. https://doi.org/10.1371/journal.pone.0200059.

    Article  CAS  Google Scholar 

  4. Singaravelu Ramesh A, Boretsky K. Local anesthetic systemic toxicity in children: a review of recent case reports and current literature. Reg Anesth Pain Med. 2021;46(10):909–14. https://doi.org/10.1136/rapm~2021~102529; Epub 2021 Jun 7.

    Article  Google Scholar 

  5. Cummings DR, Yamashita DD, McAndrews JP. Complications of local anesthesia used in oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am. 2011;23(3):369–77. https://doi.org/10.1016/j.coms.2011.04.009.

    Article  Google Scholar 

  6. Kanaa MD, Whitworth JM, Corbett IP, Meechan JG. Articaine and lidocaine mandibular buccal infiltration anesthesia: a prospective randomized double-blind cross-over study. J Endod. 2006;32:296–8.

    Article  Google Scholar 

  7. Bortoluzzi MC, de Camargo SP, Cecato R, Pochapski MT, Chibinski ACR. Anaesthetic efficacy of 4% articaine compared with 2% mepivacaine: a randomized, double~blind, crossover clinical trial. Int J Oral Maxillofac Surg. 2018;47(7):933–9. https://doi.org/10.1016/j.ijom.2017.11.011; Epub 2017 Dec 2.

    Article  CAS  Google Scholar 

  8. Crowley C, Drum M, Reader A, Nusstein J, Fowler S, Beck M. Anesthetic efficacy of supine and upright positions for the inferior alveolar nerve block: a prospective, randomized study. J Endod. 2018;44(2):202–5. https://doi.org/10.1016/j.joen.2017.09.014; Epub 2017 Dec 6.

    Article  Google Scholar 

  9. Steinkruger G, Nusstein J, Reader A, Beck M, Weaver J. The significance of needle bevel orientation in achieving a successful inferior alveolar nerve block. J Am Dent Assoc. 2006;137:1685–91.

    Article  Google Scholar 

  10. Rogers BS, Botero TM, McDonald NJ, Gardner RJ, Peters MC. Efficacy of articaine versus lidocaine as a supplemental buccal infiltration in mandibular molars with irreversible pulpitis: a prospective, randomized, double-blind study. J Endod. 2014;40:753–8.

    Article  Google Scholar 

  11. Kanaa MD, Whitworth JM, Meechan JG. A prospective randomized trial of different supplementary local anesthetic techniques after failure of inferior alveolar nerve block in patients with irreversible pulpitis in mandibular teeth. J Endod. 2012;38:421–5.

    Article  Google Scholar 

  12. Meechan JG. Practical dental local anaesthesia. 2nd ed. Surrey: Quintessence Publishing Company; 2010.

    Google Scholar 

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Chen, X., Cao, J. (2023). Local Anesthetic Techniques in Oral and Maxillofacial Surgery. In: Jiang, H., Xia, M. (eds) Anesthesia for Oral and Maxillofacial Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-7287-4_7

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  • DOI: https://doi.org/10.1007/978-981-19-7287-4_7

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7286-7

  • Online ISBN: 978-981-19-7287-4

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