Moscow, Moscow, Russian Federation
employee
Moscow, Moscow, Russian Federation
employee
Moscow, Russian Federation
Nizhny Novgorod, Nizhny Novgorod, Russian Federation
Rostov-on-Don, Rostov-on-Don, Russian Federation
Rostov-on-Don, Rostov-on-Don, Russian Federation
UDC 616.31
The aim of the study was to comparatively evaluate the effectiveness of various local anesthesia techniques in dental procedures in the mandible. Materials and methods. The study involved 150 patients who were randomized into three groups, each of which received anesthesia using one of the following methods: traditional conduction anesthesia (mandibular), infiltration compression anesthesia, and infiltration anesthesia using a computer syringe. The local anesthetic used was 4% articaine with epinephrine 1:200,000 (Articaine Inibsa) in a dosage not exceeding half of the maximum permissible dose for the patient, taking into account their weight. Patients were randomly divided into three equal groups (50 people in each): the first group received dental treatment against the background under mandibular anesthesia; the second - with the use of compression infiltration anesthesia; the third - infiltration anesthesia using a computer syringe. The main efficacy indicators included the degree of analgesia according to electroodontometry, visual analog scale of pain sensations (VAS), time of onset and duration of anesthesia, as well as the frequency of complications and the level of patient comfort. The results showed that the use of a computer system provides a faster and softer onset of anesthesia with fewer local adverse events and a higher level of patient satisfaction, compared with the traditional method. Infiltration anesthesia is inferior in depth to conduction anesthesia, but demonstrates better comfort indicators. The level of patient satisfaction, measured on the Likert scale, was highest in the group receiving treatment with infiltration anesthesia with a computer syringe (average score 4.7 out of 5), compared with infiltration compression anesthesia (4.1) and traditional conduction, mandibular (3.8), which confirms an increase in comfort during treatment. Conclusion. The data obtained can contribute to the choice of the optimal method of anesthesia in dental practice.
local anesthesia, computer syringe, anesthesia, safety, dentistry, visual analog scale (VAS)
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