title: Advanced techniques and armamentarium for dental local anesthesia.
abstract: Computer-controlled local anesthetic delivery (C-CLAD) devices and systems for intraosseous (IO) injection are important additions to the dental anesthesia armamentarium. C-CLAD using slow infusion rates can significantly reduce the discomfort of local anesthetic infusion, especially in palatal tissues, and facilitate palatal approaches to pulpal nerve block that find special use in cosmetic dentistry, periodontal therapy, and pediatric dentistry. Anesthesia of single teeth can be obtained using either C-CLAD intraligamentary injections or IO injections. Supplementary IO anesthesia is particularly suited for providing effective pain control of teeth diagnosed with irreversible pulpitis.
authors.affiliation: Dental Anesthesiology Residency Program, School of Dentistry, University of California, Los Angeles, Los Angeles, CA 90095-1668, USA.
authors.forename: Taylor M
authors.initials: TM
authors.lastname: Clark
authors.forename: John A
authors.initials: JA
authors.lastname: Yagiela
mesh_terms: D000766:Anesthesia, Dental / Q000295:instrumentation / Q000379:methods*; D000772:Anesthesia, Local / Q000295:instrumentation* / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002648:Child; D019140:Dental Care for Children / Q000295:instrumentation; D016503:Drug Delivery Systems; D006801:Humans; D017148:Infusions, Intraosseous; D008838:Microcomputers; D010513:Periodontal Ligament; D013594:Syringes; D013610:Tachycardia / Q000209:etiology; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000009:adverse effects
chemical_list: D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents