PMID- 22976568
OWN - NLM
STAT- MEDLINE
DCOM- 20130409
LR  - 20131121
IS  - 2247-2452 (Print)
IS  - 2247-2452 (Linking)
VI  - 11
IP  - 3
DP  - 2012 Sep
TI  - Aspiration in intra-ligamental anaesthesia of lower first molar teeth: a pilot 
      study.
PG  - 95-9
AB  - AIMS: This pilot prospective, randomised, crossover study of positive aspiration 
      frequency in intra-ligamental anaesthesia (ILA) was conducted with the following 
      aims: (1) to determine the frequency of positive aspiration of blood after the 
      administration of ILA at lower first molars, and (2) to evaluate the depth of the 
      pulpal anaesthesia of lower first molars after positive or negative aspiration of 
      blood, using electro-testing. METHODS: Intra-ligamental anaesthesia with 4% 
      articaine with epinephrine was administered to the lower first molars of 36 
      dental student participants. Pulpal analgesia of these 36 molars (17 left and 19 
      right) was obtained after 114 intra-ligamental insertions, with 3.2 insertions on 
      average, with the help of a computer syringe. The depth of pulpal analgesia after 
      each insertion administration was assessed with electro-testing. RESULTS: A total 
      of 114 intra-ligamental needle insertions were administered, of which 44 led to 
      pulpal analgesia. After up to five administrations of ILA, all 36 molars achieved 
      pulpal analgesia. In 34 of 36 (94.4%) subjects, ILA was accompanied by a positive 
      aspiration test (AT). In the other two cases, successful but slow onset pulpal 
      analgesia was obtained after five intra-ligamental needle insertions but with 
      negative ATs. CONCLUSIONS: For the first time, the aspiration of blood after the 
      administration of ILA has been studied. The frequency of positive aspiration of 
      blood and successful pulpal analgesia was 94%. There was a very strong 
      association between positive aspiration of blood after ILA and good pulpal 
      analgesia. When there was negative aspiration of blood after the administration 
      of an ILA, in rare cases pulpal analgesia developed after a delay of 3-5 minutes.
FAU - Medvedev, Denis
AU  - Medvedev D
AD  - Department of Therapeutic Stomatology, Tver Medical Academy, Russia.
FAU - Petrikas, Arnold
AU  - Petrikas A
FAU - Dyubaylo, Mariana
AU  - Dyubaylo M
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Oral Health Dent Manag
JT  - Oral health and dental management
JID - 101568098
RN  - 0 (Anesthetics, Local)
RN  - 0 (Vasoconstrictor Agents)
RN  - D3SQ406G9X (Carticaine)
RN  - YKH834O4BH (Epinephrine)
SB  - IM
MH  - Anesthesia, Dental/*methods
MH  - Anesthesia, Local/*methods
MH  - Anesthetics, Local/*administration & dosage
MH  - Blood
MH  - Carticaine/administration & dosage
MH  - Cross-Over Studies
MH  - Dental Pulp/drug effects
MH  - Dental Pulp Test
MH  - Electric Stimulation
MH  - Epinephrine/administration & dosage
MH  - Female
MH  - Humans
MH  - Injections/instrumentation
MH  - Male
MH  - Mandible/drug effects
MH  - Molar/*drug effects
MH  - Needles
MH  - Pain Measurement
MH  - Paracentesis/*methods
MH  - Periodontal Ligament/*drug effects
MH  - Pilot Projects
MH  - Prospective Studies
MH  - Syringes
MH  - Time Factors
MH  - Vasoconstrictor Agents/administration & dosage
MH  - Young Adult
EDAT- 2012/09/15 06:00
MHDA- 2013/04/10 06:00
CRDT- 2012/09/15 06:00
PHST- 2012/09/15 06:00 [entrez]
PHST- 2012/09/15 06:00 [pubmed]
PHST- 2013/04/10 06:00 [medline]
PST - ppublish
SO  - Oral Health Dent Manag. 2012 Sep;11(3):95-9.