[Intraosseous anesthesia X-tip system in tooth extraction].
The purpose of this study was to determine the anesthetic efficacy of a intraosseous anesthesia (IOA) as an alternative to the infra alveolar nerve block (IANB) or the maxillary anesthesia. 55 subjects who underwent a tooth extraction received a primary X-tip intraosseous injection (LLC Lakewood, New Jersey, U.S.A.) of Ubistesin forte (articaini hydrochloridum 40 mg, adrenalinum 10 pg ut adrenalini hydrochloridum 1:100000, median 1.5 ml). A pulse oximeter measured the heart rate and the oxygen saturation. The results demonstrated, that the maximum heart rate was higher with the intraosseous injection (average 14.6 beats/min increase) during 1.5-2 minutes, but there was no depression of the oxygen saturation. The wound healing was uneventful. We registered five non-responders which were treated additionally with 1.3 ml of Ubistesin forte terminal anesthesia. For all patients the IOA was unpleasant similar to a "normal" anesthesia. Success of the intraosseous injection was 91%, comparable to the study of Turner et al. (2002) (or the clinical experience after an IANB). For non-responders to an IANB the IOA seems to be a good alternative method.
Poliklinik für Orale Chirurgie der Klinik für Zahn-, Mund- und Kieferkrankheiten und Kieferchirurgie der Universität Zürich. marcello.augello@zzmk.uzh.ch
Marcello
M
Augello
Thomas
T
Furrer
Michael
M
Locher
D000766:Anesthesia, Dental / Q000295:instrumentation*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D001842:Bone and Bones; D002355:Carticaine / Q000008:administration & dosage; D006339:Heart Rate; D006801:Humans; D007267:Injections / Q000295:instrumentation; D009339:Needles; D010092:Oximetry; D017060:Patient Satisfaction; D014081:Tooth Extraction; D016896:Treatment Outcome
D000779:Anesthetics, Local; D002355:Carticaine