PMID: 9431539Feb 12, 1998Paper

Anesthetic efficacy of the supplemental intraosseous injection of 3% mepivacaine in irreversible pulpitis

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
D ReismanJ Weaver

Abstract

To determine the efficacy of a supplemental intraosseous injection of 3% mepivacaine in mandibular posterior teeth with irreversible pulpitis. Intraosseous injection pain, subjective heart rate increase, and pain ratings during endodontic treatment were also assessed. Forty-eight patients with irreversible pulpitis received conventional inferior alveolar nerve blocks. Electric pulp testing was used to determine pulpal anesthesia. Patients who were positive to the pulp testing, or negative to pulp testing but felt pain during endodontic treatment, received an intraosseous injection of 1.8 ml of 3% mepivacaine. A second intraosseous injection of 3% mepivacaine (1.8 ml) was given if the first injection was unsuccessful. Seventy-five percent of patients required an initial intraosseous injection because of failure to gain pulpal anesthesia. The inferior alveolar block was 25% successful; the first intraosseous injection increased success to 80%. A second intraosseous injection further increased success to 98%. These differences were significant (p < 0.05). Eight percent (4/48) of the initial intraosseous injections resulted in solution being expressed into the oral cavity: these were considered technique failures. For mandibular po...Continue Reading

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Citations

Dec 7, 2011·Medicina oral, patología oral y cirugía bucal·D Peñarrocha-OltraM Peñarrocha
Dec 7, 2011·Medicina oral, patología oral y cirugía bucal·David Peñarrocha-OltraMiguel Peñarrocha
Mar 10, 2016·Anesthesia, Essays and Researches·Jalil ModaresiRoya Sabzian
Sep 14, 2010·Dental Clinics of North America·Taylor M Clark, John A Yagiela
May 4, 2010·Dental Clinics of North America·John M NussteinMelissa Drum
Mar 12, 2010·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Masoud ParirokhPaul V Abbott
Jan 27, 2009·Journal of Endodontics·Karl F WoodmanseyJianing He
Mar 18, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·F B PradoP H F Caria
Nov 14, 2015·British Dental Journal·S S VirdeeD Seymour
Jun 2, 2015·Journal of Maxillofacial and Oral Surgery·Himanshi Singla, Mohan Alexander
Dec 2, 2006·The Journal of the American Dental Association·Geoffrey SteinkrugerJoel Weaver
Dec 11, 2003·The Journal of the American Dental Association·Juliane GallatinJoel Weaver
Mar 15, 2003·The Journal of the American Dental Association·Patricia L Blanton, Arthur H Jeske
May 8, 2003·The Journal of the American Dental Association·Christopher H Kleber
Sep 9, 2011·The Journal of the American Dental Association·Paul A MooreChester J Sokolowski
Mar 23, 2011·Journal of Endodontics·Jaclyn G Pak, Shane N White
Mar 11, 2008·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Sanda Mihaela PopescuFlorica Popescu
Aug 22, 2006·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Jalil ModaresiMohammad Ali Mozayeni
Feb 23, 2008·Journal of Endodontics·Todd RemmersJianing He
Apr 22, 2008·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Jean-Louis Sixou, Maria Elizena Barbosa-Rogier

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