Efficacy of intraosseous injections of anesthetic in children and adolescents

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Jean-Louis Sixou, Maria Elizena Barbosa-Rogier

Abstract

The goal of this study was to determine the efficacy of the intraosseous (IO) injections of anesthetic as a primary technique in children and adolescents. A cohort of 181 children and adolescents underwent a total of 225 sessions of IO injections of 4% articaine with 1:200,000 epinephrine using the Quick Sleeper 2 system. Evaluations could be performed in 215 sessions (171 patients, 247 teeth), yielding success rates of 91.2% (sessions) and 91.9% (teeth). The success rate was 95% (133 of 140) for temporary teeth (endodontics 96.6%, restorations 100%, extractions 88%) and 87.9% (94 of 107) for permanent teeth (endodontics 92.3%, restorations 89.9%, extractions 75%). No difference was noted in terms of age (P > .05). No cases of biting of mucosa or postinjection pain were noted. The IO injection of anesthetic using a computer-controlled osseous perforation and delivery system can be considered as a good alternative or supplement to classic infiltration techniques in children and adolescents.

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Citations

Apr 9, 2011·British Dental Journal·K E YappP Parashos
Mar 12, 2018·Clinical Oral Investigations·Vincenzo CampanellaGiuseppe Marzo
Jun 3, 2009·International Journal of Paediatric Dentistry·Jean-Louis SixouJean-Claude Robert
Jan 12, 2010·International Journal of Paediatric Dentistry·Ghaeth H Yassen
Feb 28, 2020·The Cochrane Database of Systematic Reviews·Joana MonteiroHamdan Alamri
Aug 9, 2015·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·J-L Sixou, A Marie-Cousin
Jul 30, 2016·The Journal of Clinical Pediatric Dentistry·Ülkü Şermet ElbayÜlkem Cilasun
Apr 5, 2011·Primary Dental Care : Journal of the Faculty of General Dental Practitioners (UK)·Stephen M Doman

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