Comparison of pain intensity of anterior middle superior alveolar injection with infiltration anesthetic technique in maxillary periodontal surgery
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The aim of the present clinical trial was to compare pain during injection of anterior middle superior alveolar (AMSA)technique with that of infiltration injection technique in the maxilla in periodontal flap surgeries of patients referring to the Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences. Methods: Twenty subjects with an age range of 20 to 40 years were selected for the present study. One side of the maxilla was randomly selected as the test side and the other as the control side using a flip of a coin. AMSA technique was used on the test side and infiltration technique was used on the control side for anesthesia. On both sides 2% lidocaine containing 1:80,000epinephrine was used for anesthesia. The operator obtained the visual analogue scale for each patient immediately after the injection and immediately after surgery. Data was analyzed using descriptive statistical methods (frequency percentages, means and standard deviations) and Wilcoxon’s test using SPSS ver. 13 (SPSS Inc.). Statistical significance was defined at P<0.05. Results: There were no statistically significant differences in pain during injection between the two techniques (P=0.856). There were statistically significant differences in postoperative pain between the two injection techniques (P=0.024). Conclusions: Postoperative pain in AMSA injection technique was less than that in the infiltration technique. Therefore, the AMSA technique is preferable in the periodontal surgeries for the anesthesia of palatal tissues given the fact that it has other advantages, too.
Abstract
Purpose: The aim of the present clinical trial was to compare pain during injection of anterior middle superior alveolar (AMSA)technique with that of infiltration injection technique in the maxilla in periodontal flap surgeries of patients referring to the Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences. Methods: Twenty subjects with an age range of 20 to 40 years were selected for the present study. One side of the maxilla was randomly selected as the test side and the other as the control side using a flip of a coin. AMSA technique was used on the test side and infiltration technique was used on the control side for anesthesia. On both sides 2% lidocaine containing 1:80,000epinephrine was used for anesthesia. The operator obtained the visual analogue scale for each patient immediately after the injection and immediately after surgery. Data was analyzed using descriptive statistical methods (frequency percentages, means and standard deviations) and Wilcoxon’s test using SPSS ver. 13 (SPSS Inc.). Statistical significance was defined at P<0.05. Results: There were no statistically significant differences in pain during injection between the two techniques (P=0.856). There were statistically significant differences in postoperative pain between the two injection techniques (P=0.024). Conclusions: Postoperative pain in AMSA injection technique was less than that in the infiltration technique. Therefore, the AMSA technique is preferable in the periodontal surgeries for the anesthesia of palatal tissues given the fact that it has other advantages, too.
참고문헌 (11)
- Malamed SF, "Handbook of local anesthesia. 5th ed" (2004), Mosby
- Friedman MJ, "A 21st century computerized injection system for local pain control", Compend Contin Educ Dent, 18, pp.995~1000 (1997)
- Friedman MJ, "The AMSA injection: a new concept for local anesthesia of maxillary teeth using a computer-controlled injection system", Quintessence Int, 29, pp.297~303 (1998)
- Friedman MJ, "Using AMSA and P-ASA nerve blocks for esthetic restorative dentistry", Gen Dent, 49, pp.506~511 (2001)
- Loomer PM, "Computer-controlled delivery versus syringe delivery of local anesthetic injections for therapeutic scaling and root planing", J Am Dent Assoc, 135, pp.358~365 (2004)
- Lee S, "Anesthetic efficacy of the anterior middle superior alveolar (AMSA) injection", Anesth Prog, 51, pp.80~89 (2004)
- Fukayama H, "Efficacy of anterior and middle superior alveolar (AMSA) anesthesia using a new injection system: the Wand", Quintessence Int, 34, pp.537~541 (2003)
- Holtzclaw D, "Alternative anesthetic technique for maxillary periodontal surgery", J Periodontol, 79, pp.1769~1772 (2008)
- Katz J, "Measurement of pain", Surg Clin North Am, 79, pp.231~252 (1999)
- Yenisey M, "Comparison of the pain levels of computer-controlled and conventional anesthesia techniques in prosthodontic treatment", J Appl Oral Sci, 17, pp.414~420 (2009)
- Blanton PL, "Dental local anesthetics: alternative delivery methods", J Am Dent Assoc, 134, pp.228~234 (2003)
