Dt. Nuray TÜLOĞLU, Yrd. Doç.dr. Şule BAYRAK

ÇOCUK DİŞ HEKİMLİĞİNDE KULLANILAN LOKAL ANESTEZİ TEKNİKLERİ VE GÜNCEL YAKLAŞIMLAR

Lokal anestezi periferal sinirlerde iletimin baskılanması veya sinir sonlanmalarındaki uyarının azalmasına bağlı olarak vücudun belli bir bölgesinde oluşan duyu kaybıdır. Bununla beraber, hem çocuk hem de yetişkin hastalarda, dental tedavi sırasında anksiyeteyi enjeksiyondur. Restoratif sırasında ağrı deneyimi olan çocuklar gelecekte diş tedavisi yaptırmaktan kaçınabilirler. Bu nedenle her randevuda ağrının kontrolü ve hastanın rahatsızlığının en aza indirilmesi önemlidir. Bu makalenin amacı, çocuk diş hekimliğinde kullanılan mevcut lokal anestezi teknikleri sunmaktadır

Anahtar Kelimeler:

dental lokal anestezi, güncel lokal anestezi teknikleri, pedodonti

CONVENTIONAL METHODS AND CURRENT APPROACHES OF LOCAL ANESTHETIC ADMINISTRATION IN PEDIATRIC DENTISTRY

Keywords:

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Malamed SF. Handbook of Local Anesthesia. 4th ed. Mosby: United States of America; 1997. p.2-73, 116-243.
Mathewson RJ, Primosch RE. Fundamentals of Pediatric Dentistry. 3rd ed. Quintessence Publishing Co: United States of America; 1995. p.163-84.
McDonald RF, Avery DR. Dentistry for the Child and Adolescent. 8th ed. Mosby: United States of America; 1994. p.294-306.
Anderson JA, Dilley DC, Vann WF. Pain and Anxiety Control. In: Pediatric Dentistry Infancy Through Adolescence. 2nd ed. Ed. Pinkham JR, W.B. Saunders Company: United States of America; 1994.p.98-105.
Öztaş N. Çocuk Diş Hekimliğinde Lokal Anestezi ve Yeni Teknikler. In: Diş Hekimliğinde Ağrı, Ed. Kişnişci R, Bulut ÖE, Bebek T. Birinci baskı. Egem Matbaacılık: Ankara; 2002. s.177-88.
Hallonsten AL, Veerkamp J, Rölling I. Pain, pain control and sedation in children and adolescent. In: Pediatric Dentistry-a clinical approach. 1st ed. Ed. Koch G, Poulsen S. Munksgaard: Copenhagen; 2001. p.147-72.
Ram D, Peretz B. Administering local anaesthesia to paediatric dental patients-current status and prospects for the future. Int J Paediatr Dent 2002; 12 (2): 80-9.
Meechan JG. Local Anaesthesia for children. In: Paediatric Dentistry. 2nd ed. Ed, Welbury RR. Oxford University Pres: NewYork; 1997. p.77-92.
Svensson P, Bjerring P, Arendt-Neilsen L, Kaaber S. Hypoalgesic effect of EMLA and lidocaine gel applied on human oral mocosa: quantitative evaluation by sensory and pain thresholds to argon laser stimulation. Anesth Prog 1992; 39 (1-2): 4-8.
Pere P, Iizuka T, Rosenberg PH, Lindqvist C. Topical application of 5% eutectic mixture of lignocaine and prilocaine (EMLA) before removal of arch bars. Br J Oral Maxillofac Surg 1992; 30 (3): 153-6.
Berberoğlu HK, Köseoğlu BG, Kasapoğlu Ç. Diş Hekimliğinde yayıncılık: İstanbul; 2007. s.64-136, 143-60. Anestezi. Quintessence
Sağlam AA. Dental Anestezi. Birinci baskı. Berkay Ofset Ltd. Şti: Ankara; 2005. s:73-130.
Edwards RW, Head TW. A Clinical trial of intraligamentary anesthesia. J Dent Res 1989; 68 (7): 1210-3.
Meechan JG. Supplementary routes to local anaesthesia. Int Endod J 2002; 35 (11): 885-96.
Sammons HM, Unsworth V, Gray C, Choonara I, Cherrill J, Quirke W. Randomized controlled trial of the intraligamental use of a local anaesthetic (lignocaine 2%) versus controls in paediatric tooth extraction. Int J Paediatr Dent 2007; 17 (4): 297- 303.
Büyükertan M, Kökten G. Dental lokal anestezilere anatomik bir yaklaşım. İÜ Dişhek Fak Derg 2005;39 (1-2): 19-24.
Lassemi E, Motamedi MH, Jafari SM, Talesh KT, Navi F. Anaesthetic efficacy of a labial infiltration method on the nasopalatine nerve. Br Dent J 2008; 205 (10): e21.
Foster W, Drum M, Reader A, Beck M. Anesthetic efficacy of buccal and lingual ınfiltrations of lidocaine following an ınferior alveolar nerve block in mandibular posterior teeth. Anesth Prog 2007; 54 (4) : 163-9.
Cohen HP, Cha BY, Spangberg LS. Endodontic anesthesia in mandibular molars: a clinical study. J Endod 1993; 19 (7): 370-3.
Claffey E, Reader A, Nusstein J, Beck M, Weaver J. Anesthetic efficacy of articaine for inferior alveolar nerve blocks in patients with irreversible pulpitis. J Endod 2004; 30 (8): 568-71.
Kaufman E, Epstein JB, Naveh E, Gorsky M, Gross A, Cohen G. A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections. Anesth Prog 2005; 52 (4): 122-7.
Ashkenazi M, Blumer S, Eli I. Effectiveness of computerized delivery of intrasulcular anesthetic in primar molars. J Am Dent Assoc 2005; 136 (10): 1418-25.
Saharaf AA. Evaluation of mandibular infiltrasyon versus block anesthesia in pediatric dentistry. ASDC J Dent Child 1997; 64 (4): 276-81.
Al-Khateeb T, Al-Hadi Hamasha A, Ababneh KT. Position of the mental foramen in a northern regional Jordanian population. Surg Radiol Anat 2007; 29 (3): 231-7.
Katch EM. Applications of transcutaneous electrical nerve stimulation in dentistry. Anesth Prog 1986; 33: 156-60.
Croll TP. Pain control for children using dental electronic anesthesia. J Practical Hygiene 1996; Jan/Feb: 15-8.
Aşıcı N, Doğan C, Çınar Ç, Alaçam A. İnfiltrasyon anestezisinde iki farklı enjektör tipinin ağrı düzeyi, davranış tipi ve psikolojik kabulünün karşılaştırmalı olarak incelenmesi. GÜ Dişhek Fak Derg 2004; 21 (2): 77-81.
Ram D, Kassirer J. Assessment of a palatal approach-anterior superior alveolar (P-ASA) nevre block with the Wand in paediatric dental patients. Int J Paediatr Dent 2006; 16 (5): 348-51.
Sumer M, Mısır F, Koyuturk AE. Comparison of the Wand with a conventional technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101 (6): e106-9.
Blanton PL, Jeske AH. Dental local anesthetics: Alternative delivery methods. J Am Dent Assoc 2003; 134 (2): 228-34.
Yesilyurt C., Bulut G., Taşdemir T. Pain perception during inferior alveolar injection administered with the Wand or conventional syringe. Br Dent J 2008; Sep 13; 205(5): E10; discussion 258-9.
Kuscu OO, Akyuz S. Is it the injection device or the anxiety experienced that causes pain during dental local anaesthesia? Int J Paediatr Dent 2008; 18(2): 139-45.
Koyuturk AE, Avsar A, Sumer M. Efficacy of dental practitioners in injection techniques: computerized device and traditional syringe. Quintessence Int 2009; 40 (1): 73-7.
Kuşcu O.O., Akyuz S. Children's preferences concerning the physical appearance of dental injectors. J Dent Child 2006; 73(2): 116-21.
Hersh EV, Houpt MI, Cooper SA, Feldman RS, Wolff MS, Levin LM. Analgesic efficacy and safety of an intraoral lidocaine patch. J Am Dent Assoc 1996; 127 (11): 1626-34.
Carr MP, Horton JE. Evaluation of a transoral delivery system for topical anesthesia. J Am Dent Assoc 2001; 132 (12): 1714-9.
Kreider KA, Stratmann RG, Milano M, Agostini FG, Munsell M. Reducing children's injection pain: lidocaine patches versus topical benzocaine gel. Pediatr Dent 2001; 23 (1): 19-23.
Leopold A, Wilson S, Weaver JS, Moursi MM. Pharmacokinetics of lidocaine delivered from transmucosal patch in children. Anesth Prog 2002; 49 (3): 82-7.
Munshi AK, Hegde A, Bashir N. Clinical evaluation of the efficacy of anesthesia and patient preference using the needle-less jet syringe in pediatric dental practice. J Clin Pediatr Dent 2001; 25 (2): 131-6.