title: Mandibular block or maxillary infiltration: does it influence children's opposition to a subsequent dental visit?
abstract: OBJECTIVE
  Local anesthesia by mandibular block or maxillary infiltration is commonly administered to children receiving dental treatment of primary molars. Discomfort, when presenting, most often involves the lower lip. The purpose of this study was to investigate whether children would be more opposed to attending a dental treatment following anesthesia by mandibular block than by maxillary infiltration.
  
  
  METHODS
  Each of 102 children in two age groups: 3 to 5 years, and 6 to 9 years, received the two types of local anesthesia at dental appointments one week apart. Their opposition to attending a subsequent appointment was assessed by parent report.
  
  
  RESULTS
  More adverse reactions were observed during and following anesthesia with mandibular block than with maxillary infiltration. Few of the children in either age group expressed opposition to attend a dental visit after receiving mandibular block or maxillary infiltration in the previous visit.
  
  
  CONCLUSIONS
  Though more adverse reactions were observed in children following mandibular block than maxillary infiltration, this did not result in increased opposition to attend a subsequent dental appointment.
authors: Department of Pediatric Dentistry, The Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel. dianar@ekmd.huji.ac.il
authors: D
authors: D
authors: Ram
authors: E
authors: E
authors: Amir
authors: R
authors: R
authors: Keren
authors: J
authors: J
authors: Shapira
authors: E
authors: E
authors: Davidovich
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D000766:Anesthesia, Dental; D000779:Anesthetics, Local / Q000008:administration & dosage; D001294:Attitude to Health; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D003299:Cooperative Behavior; D003442:Crowns / Q000523:psychology; D003448:Crying / Q000523:psychology; D019140:Dental Care for Children / Q000523:psychology*; D003793:Dental Restoration, Permanent / Q000523:psychology; D005260:Female; D006801:Humans; D007267:Injections; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008340:Mandibular Nerve; D008442:Maxillary Nerve; D008963:Molar / Q000473:pathology; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D011446:Prospective Studies; D011672:Pulpotomy / Q000523:psychology; D014081:Tooth Extraction / Q000523:psychology; D014094:Tooth, Deciduous / Q000473:pathology
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D008012:Lidocaine