DOI:

10.37988/1811-153X_2020_2_18

Efficacy of the osteocentric method of intraseptal anesthesia in mandibular molars treatment with dental caries and irreversible pulpitis

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Authors

  • S.A. Rabinovich 1, PhD in Medical Sciences, full professor of the Pain management in dentistry Department
  • T.D. Babich 1, PhD in Medical Sciences, associate professor of the Pain management in dentistry department
  • I.A. Zinoviev 1, PhD in Medical Sciences, assistant professor of the Pain management in dentistry department
  • A.A. Zinovieva 1, PhD in Medical Sciences, assistant professor of the Caries research and endodontics Department
  • O.P. Dashkova 1, PhD in Medical Sciences, associate professor of the Caries research and endodontics Department
  • Yu.L. Vasil’ev 2, 3, PhD in Medical Sciences, associate professor of Operative surgery and topographic anatomy Department; associate professor of the Dentistry diseases propaedeutics Department
  • 1 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia
  • 2 Sechenov University, 119435, Moscow, Russia
  • 3 RUDN University, 117198, Moscow, Russia

Abstract

In the literature, various methods for the mandibular molars anesthesia are known, including periodontal pains as an adjunct to nerve block. However, these methods do not provide for amendments in the case of partial destruction of the vertices of the cortical substance of the bone tissue of the mandible. Aim: to perform a clinical and functional research of the possibility of using the osteocentric method of intraseptal anesthesia in mandibular molars treatment with dental caries and irreversible pulpitis. Materials and methods. In total, 324 patients aged 32—65 years (mean age 48.5 years). In all cases was used 4% solution of articaine with epinephrine 1: 200,000 (Septanest, 40 mg + 5 μg of epinephrine per 1 ml, Septodont) and short 30G Septaject Evolution dental needles (0.30×9 mm) with a scalpel-like cut. To assess the effectiveness of the anesthesia was performed pulp electrical stimulation before the study, after 2, 5 and 10 minutes after injection with the IVN-01 “Pulptest-Pro” electronic pulp test device (“Cascade-FTO”, Russia). Results. The treatment of the tooth decay (213 cases) was started at 3 minutes after the injection. Of 127 teeth treated with endodontic methods, for 104 (81.9%) teeth the duration of anesthesia was sufficient for amputation and extirpation of the pulp. With the removal of 23 (18.1%) teeth for acute pulpitis, the final stage of pulp extirpation was painful. Conclusion. This method of anesthesia can be especially recommended for people with somatic pathology because of a minimal amount of local anesthetic (0.36 ml for a two-canal tooth) with epinephrine 1:200,000.

Key words:

pain, endodontic treatment, tooth decay, local anesthetic, intraseptal anesthesia

For Citation

[1]
Rabinovich S.A., Babich T.D., Zinoviev I.A., Zinovieva A.A., Dashkova O.P., Vasil’ev Yu.L. Efficacy of the osteocentric method of intraseptal anesthesia in mandibular molars treatment with dental caries and irreversible pulpitis. Clinical Dentistry (Russia).  2020; 2 (94): 18—23. DOI: 10.37988/1811-153X_2020_2_18

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Published on

July 25, 2020