하치조신경 마취 후 전기치수검사기(Electric pulp tester)를 이용한 하순부 감각 변화 평가
Evaluation of the change of lower lip sensation after inferior alveolar nerve block by using the electric pulp tester
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Introduction: As dental implant surgery is becoming increasingly popular, it has become one of the causes for the hypesthesia of the inferior alveolar nerve, along with other surgical procedures, such as a third molar extraction. In addition, it tends to cause legal problems between the operator and patient. Therefore, there must be a proper method that is reliable, objective and economical to assess the nerve impairment. For this reason, an attempt was made to use an Electric Pulp Tester to assess inferior alveolar nerve block anesthesia. Materials and Methods: Thirty patients were tested. Electric pulp testing of the lower jaw skin was performed at the three different times, before anesthesia, at the onset of sensory changes and after 15 minutes waiting from the onset, and on the 10 points of the chin, which produced 10 sections on the skin area. Results: Twenty seven patients (90%) could feel the electric stimulus on the chin at all 10 points before local anesthesia and the scores represent the statistical differences between the right and left points except R4 and L4. After anesthesia, the difference between the right and left points (L3-R3,L4-R4, L5-R5) increased significantly with time but two points (L2, R2) showed no significant difference. The scores on the left chin (L3, L4, L5)increased, whereas the other points (R1-R5, L1, L2) showed no significant differences. Conclusion: This study highlights the potential clinical use of an electric pulp tester for an assessment of inferior alveolar nerve impairment.
Abstract
Introduction: As dental implant surgery is becoming increasingly popular, it has become one of the causes for the hypesthesia of the inferior alveolar nerve, along with other surgical procedures, such as a third molar extraction. In addition, it tends to cause legal problems between the operator and patient. Therefore, there must be a proper method that is reliable, objective and economical to assess the nerve impairment. For this reason, an attempt was made to use an Electric Pulp Tester to assess inferior alveolar nerve block anesthesia. Materials and Methods: Thirty patients were tested. Electric pulp testing of the lower jaw skin was performed at the three different times, before anesthesia, at the onset of sensory changes and after 15 minutes waiting from the onset, and on the 10 points of the chin, which produced 10 sections on the skin area. Results: Twenty seven patients (90%) could feel the electric stimulus on the chin at all 10 points before local anesthesia and the scores represent the statistical differences between the right and left points except R4 and L4. After anesthesia, the difference between the right and left points (L3-R3,L4-R4, L5-R5) increased significantly with time but two points (L2, R2) showed no significant difference. The scores on the left chin (L3, L4, L5)increased, whereas the other points (R1-R5, L1, L2) showed no significant differences. Conclusion: This study highlights the potential clinical use of an electric pulp tester for an assessment of inferior alveolar nerve impairment.
참고문헌 (16)
- Noma H, "Disturbance and regeneration of the inferior alveolar nerves. 1st ed" (2001), Ishiyaku Publishing
- Certosimo AJ, "A clinical evaluation of the electric pulp tester as an indicator of local anesthesia", Oper Dent, 21, pp.25~30 (1996)
- Yikontiola L, "Comparison of different tests assessing neurosensory disturbances after bilateral sagittal split osteotomy", Int J Oral Maxillofac Surg, 27, pp.417~421 (1998)
- Korean Dental Society of Anesthesiology, "Dental Anesthesiology. 1st ed" (2005), Koonja Publishing
- Ghali GE, "Clinical neurosensory testing: practical applications", J Oral Maxillofac Surg, 47, pp.1074~1078 (1989)
- Ghali GE, "Somatosensory evoked potential assessment of the inferior alveolar nerve following third molar extraction", Int J Oral Maxillofac Surg, 19, pp.18~21 (1990)
- Jääskeläinen SK, "Neurophysiologic and quantitative sensory testing in the diagnosis of trigeminal neuropathy and neuropathic pain", Pain, 117, pp.349~357 (2005)
- 김예원, "하치조 신경손상에 따른 하순 및 이부의 지각이상시 적외선 체열검사(DITI)의 진단적 효용", 대한구강악안면외과학회지, 28(1), pp.8~60 (2002), 대한구강악안면외과학회
- Lerner TH, "Quantitative sensory nerve conduction threshold (sNCT) evaluation of the trigeminal nerve at the mental foramen area", J Prosthet Dent, 84, pp.103~107 (2000)
- 김재성, "정 전류원을 이용한 치수(齒髓) 검사기의 개발", 전자공학회논문지 - SC, 41(02), pp.123~130 (2004), 대한전자공학회
- Dal Santo FB, "Reproducibility of data from a hand-held digital pulp tester used on teeth and oral soft tissue", Oral Surg Oral Med Oral Pathol, 73, pp.103~108 (1992)
- Walline BW, "Comparison of methods for measuring root and mucogingival sensitivity", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 90, pp.641~646 (2000)
- McDaniel KF, "Tissue response to an electric pulp tester", J Prosthet Dent, 29, pp.84~87 (1973)
- Mikesell A, "Analgesic efficacy of volumes of lidocaine in human maxillary infiltration", J Endod, 13, pp.128~ (1987)
- Vreeland DL, "An evaluation of volumes and concentrations of lidocaine in human inferior alveolar nerve block", J Endod, 15, pp.6~12 (1989)
- 남기창, "전기 치수 검사 시 역치 작극 이후 과용(過用)자극 시간의 측정", Restorative Dentistry and Endodontics, 29(3), pp.226~232 (2004), 대한치과보존학회