不同剂量阿替卡因对不可复性牙髓炎下牙槽神经阻滞麻醉效果的比较

doi:10.13701/j.cnki.kqyxyj.2016.08.024

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (8): 874-876.DOI: 10.13701/j.cnki.kqyxyj.2016.08.024

不同剂量阿替卡因对不可复性牙髓炎下牙槽神经阻滞麻醉效果的比较

王素^1*,李进红¹,毕成¹,周毅²

1. 杭州口腔医院特需科浙江杭州 310006;2. 武汉大学口腔医院修复科湖北武汉 430071

收稿日期:2016-01-08 出版日期:2016-08-26 发布日期:2016-08-26
通讯作者: 王素,电话:0571—28352648
作者简介:王素(1983~ )女,湖北人,硕士,主治医师,主要从事口腔全科临床及科研工作。
基金资助:
辽宁省自然科学基金(编号:2013021094)

Comparison of Different Volumes of Articaine for Inferior Alveolar Nerve Block with Symptomatic Irreversible Pulpitis

WANG Su^1*, LI Jing-hong¹, BI Cheng¹, ZHOU Yi²

1. Hangzhou Stomatological Hospital, Hangzhou 310006, China;
2. Stomatological Hospital of Wuhan University, Wuhan 430071, China.

Received:2016-01-08 Online:2016-08-26 Published:2016-08-26

摘要/Abstract

摘要： 目的:本研究对仅有刺激痛的早期不可复性牙髓炎的患者在下牙槽阻滞麻醉时,比较使用1.7 mL阿替卡因和3.4 mL阿替卡因的麻醉成功率的差异。方法:将76名患者随机分为两组,1.7 mL组和3.4 mL组(两组都为4%阿替卡因与1∶100000的肾上腺素),进行下牙槽阻滞麻醉。根管治疗过程中,使用Heft-Parker视觉模拟量表(VAS)记录患者的疼痛值。对数据进行T检验和卡方检验。结果:72名患者纳入了研究结果,两组的成功率都没有达到100%,组间有显著差异(P<0.001),3.4 mL组有较高的成功率74.4%,1.7 mL组成功率为27.8%。结论:在对下颌第一磨牙进行下牙槽阻滞时,提高阿替卡因的注射剂量可以显著提高麻醉的成功率,但也达不到100%的麻醉成功。

关键词: 阿替卡因, 下牙槽阻滞麻醉, 不可复性牙髓炎, 下颌第一磨牙

Abstract: Objective: To compare the efficacy of 1.7 mL and 3.4 mL articaine for an inferior alveolar nerve block (IANB) when treating molars with symptomatic irreversible pulpitis. Methods: Seventy-six teeth were randomly received conventional IANB injection either with 1.7 mL or 3.4 mL of 4% articaine with 1:100000 epinephrine. The patients recorded their pain before and during access cavity preparation as well as during root canal instrumentation using a HeftParker visual analog scale. Data were analyzed by T and chi-square tests. Results: Seventy-two patients were eligible to participate in this study, which showed that 3.4 mL articaine provided a significantly higher success rate (74.4%) of IANBs compared with 1.7 mL of the same anesthetic solution (27.8%) although neither group had 100% successful anesthesia (P<0.001). Conclusion: Increasing the volume of articaine provided a significantly higher success rate of IANBs in mandibular first molar teeth with symptomatic irreversible pulpitis, but it did not result in 100% anesthetic success.

Key words: Articaine Inferior alveolar nerve block, Irreversible pulpitis, Mandibular molar

中图分类号:

R614

王素,李进红,毕成,周毅. 不同剂量阿替卡因对不可复性牙髓炎下牙槽神经阻滞麻醉效果的比较[J]. 口腔医学研究, 2016, 32(8): 874-876.

WANG Su, LI Jing-hong, BI Cheng, ZHOU Yi. Comparison of Different Volumes of Articaine for Inferior Alveolar Nerve Block with Symptomatic Irreversible Pulpitis[J]. Journal of Oral Science Research, 2016, 32(8): 874-876.

参考文献

[1] Nabeshima CK, Caballero-Flores H, Cai S, et al. Bacterial removal promoted by 2 single-file systems: Wave One and One Shape [J]. J Endod, 2014, 40(10)∶1995-1998
[2] Pak JG, White SN. Pain prevalence and severity before, during, and after root canal treatment: a systematic review [J]. J Endod, 2011, 37(3)∶429-38
[3] Parirokh M, V Abbott P. Various strategies for pain-free root canal treatment [J]. Iran Endod J, 2014, 9(1)∶1-14
[4] 李淑华,王茜,陈绍业.下颌后牙麻醉研究进展[J].口腔医学研究,2012,28(12)∶1313-1316
[5] Gaffen AS, Haas DA. Survey of local anesthetic use by Ontario dentists [J]. J Can Dent Assoc, 2009, 75(5)∶649-653
[6] Paxton K, Thome DE. Efficacy of articaine formulations: quantitative reviews [J]. Dent Clin North Am, 2010, 54(4)∶643-653
[7] Tortamano IP, Siviero M, Costa CG, et al. A comparison of the anesthetic efficacy of articaine and lidocaine in patients with irreversible pulpitis [J]. J Endod, 2009, 35(1)∶165-168
[8] Ashraf H, Kazem M, Dianat O, et al. Efficacy of articaine versus lidocaine in block and infiltration anesthesia administered in teeth with irreversible pulpitis: a prospective, randomized, double-blind study [J]. J Endod, 2013, 39(1)∶6-10
[9] Parirokh M, Satvati SA, Sharifi R, et al. Efficacy of combining a buccal infiltration with an inferior alveolar nerve block for mandibular molars with irreversible pulpitis [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2010, 109(4)∶468-473
[10] Fowler S, Reader A. Is a volume of 3.6 mL better than 1.8 mL for inferior alveolar nerve blocks in patients with symptomatic irreversible pulpitis [J]. J Endod, 2013, 39(8)∶970-972
[11] Potocnik I, Bajrovic F. Failure of inferior alveolar nerve block in endodontics [J]. Endod Dent Traumatol, 1999, 15(2)∶247-251
[12] Fowler S, Reader A, Beck M. Incidence of missed inferior alveolar nerve blocks in vital asymptomatic subjects and in patients with symptomatic irreversible pulpitis [J]. J Endod, 2015, 41(5)∶637-639
[13] Aggarwal V, Singla M, Miglani S, et al. Comparative evaluation of 1.8 mL and 3.6 ml of 2% lidocaine with 1:200,000 epinephrine for inferior alveolar nerve block in patients with irreversible pulpitis: a prospective, randomized single-blind study [J]. J Endod, 2012, 38(5)∶753-756
[14] Vreeland DL, Reader A, Beck M, et al. An evaluation of volumes and concentrations of lidocaine in human inferior alveolar nerve block [J]. J Endod, 1989, 15(1)∶6-12
[15] Sambrook PJ, Smith W, Elijah J, Goss AN. Severe adverse reactions to dental local anaesthetics: systemic reactions [J]. Aust Dent J, 2011, 56(1)∶148-53
[16] Ogle OE, Mahjoubi G. Local anesthesia: agents, techniques, and complications[J]. DentClin North Am, 2012, 56(1)∶133-48

不同剂量阿替卡因对不可复性牙髓炎下牙槽神经阻滞麻醉效果的比较

Comparison of Different Volumes of Articaine for Inferior Alveolar Nerve Block with Symptomatic Irreversible Pulpitis

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

编辑推荐

Metrics

[1]	方艳君, 宣汉生, 潘婉, 梁珊珊, 孟柳燕. 下颌第一磨牙远中4根管1例[J]. 口腔医学研究, 2019, 35(8): 814-816.
[2]	卢静,卢兆杰,姜醒. 下颌第一磨牙近中3根管3例[J]. 口腔医学研究, 2018, 34(9): 1023-1025.
[3]	王丽霞, 申静, 韩磊, 乐鑫, 高静. 下颌第一磨牙根分叉区解剖形态的CBCT研究[J]. 口腔医学研究, 2018, 34(7): 738-741.
[4]	闵艺,何淼,卢冠凡. 下颌第一恒磨牙根尖形态的显微CT研究[J]. 口腔医学研究, 2016, 32(9): 937-940.
[5]	卢冠凡,孙德刚. 下颌第一磨牙远中3根管1例[J]. 口腔医学研究, 2016, 32(2): 197-198.