alexa Clinical and Histological Comparison of Pulp Anaesthesia and Local Diffusion after Periodontal Ligament Injection and Intrapapillary Infiltration Anaesthesia
ISSN: 2167-0846

Journal of Pain & Relief
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Clinical and Histological Comparison of Pulp Anaesthesia and Local Diffusion after Periodontal Ligament Injection and Intrapapillary Infiltration Anaesthesia

Peer W. Kämmerer1*, Victor Palarie2, Eik Schiegnitz1, Thomas Ziebart1, Bilal Al-Nawas1 and Monika Daubländer3
1Department of Oral and Maxillofacial Surgery, University Medical Centre Mainz, Mainz, Germany
2Clinic for Oral & Maxillofacial Surgery, State Medical and Pharmaceutical University “Nicolae Testemitanu,” Chisinau, Moldova
Corresponding Author : Peer W. Kämmerer MD
DMD Assistant Professor
Department of Oral and Maxillofacial Surgery
University Medical Centre Mainz
Augustusplatz 2, 55131 Mainz, Germany
Tel: 00496131-175086
Fax: 06131/17-6602
E-mail: [email protected]
Received April 10, 2012; Accepted June 11, 2012; Published June 18, 2012
Citation: Kämmerer PW, Palarie V, Schiegnitz E, Ziebart T, Al-Nawas B, et al. (2012) Clinical and Histological Comparison of Pulp Anaesthesia and Local Diffusion after Periodontal Ligament Injection and Intrapapillary Infiltration Anaesthesia. J Pain Relief 1:108 doi: 10.4172/2167-0846.1000108
Copyright: © 2012 Kämmerer PW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Improvements in local anaesthetic techniques may minimize pain during dental treatment. Block techniques of the trigeminal branches (II and III) are considered to be the most used and trusted methods in dentistry . However, the incidence of inadequate anaesthesia and technical complications is reported to be between 15-30% of cases. Other possibilities to achieve local anaesthesia are infiltration, intra-pulpal injection, intraosseous , intraseptal  and periodontal ligament injection (PDL). In the present time, PDL technique increases in popularity, especially because of specialized high pressure syringe
systems and computer controlled local anaesthesia devices. PDL has shown to provide sufficient anaesthesia of the pulp. It is less unpleasant and painful than inferior alveolar and palatinal injections.
Other advantages are well documented: single tooth anaesthesia, minimal anaesthetic agent dosage, rapid onset and safety in patients with bleeding problems as well as in medical compromised patients. Though, disadvantages like damage of periodontal tissue, damage of interdental septal crest, root resorption and severe bacteraemia are reported as well. Infection and/or inflammation may decrease
the anaesthetic efficacy and PDL may induce systemic reactions manifested in cardiovascular parameters changes  Intraseptalintraosseous anaesthesia (ISA) is described to be an alternative to PDL in order to overcome inconveniences associated with PDL, especially in compromised periodontal tissues. Still, probably because of the enosseous pathway, ISA has shown to cause cardiovascular
changes similar to PDL. Intrapapillary infiltration anaesthesia (IPA) is an intermediate of PDL and ISA and consists of application of the local anaesthetic agent into the mesial and distal papillae without
touching the periodontal ligament and without application in the bone. Therefore, cardiovascular side effects may be reduced. Such as for ISA, potential side effects like damage of periodontal tissue and
bacteraemia are limited. For IPA, normal syringes as well as pressure delivery systems can be used [18]. In order to minimize all possible side effects in general practice, we tested the new IPA technique for pulp anaesthesia. To our knowledge, there are no published studies that compare PDL and IPA. Therefore, the aim of the present study was to evaluate pulp anaesthesia (clinical setting) as well as local diffusion of the anaesthetic agent (histological setting) in both methods.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords