J Dent Anesth Pain Med.  2018 Feb;18(1):65-69. 10.17245/jdapm.2018.18.1.65.

Intraosseous anesthesia using a computer-controlled system during non-surgical periodontal therapy (root planing): Two case reports

• Han K
• Kim J

• KMID: 2405385
• DOI: http://doi.org/10.17245/jdapm.2018.18.1.65

Abstract

Local anesthesia is administered to control pain, but it may induce fear and anxiety. Root planing is a non-surgical periodontal therapy; however, when it is performed in an extensive manner, some tissue removal is inevitable. Notably, this removal may be so painful that local anesthesia is required to be administered to the area scheduled for the treatment. Although patients tend to accept root planing easily, they frequently express a fear of local anesthesia. Intraosseous anesthesia (IA) is an intraosseous injection technique, whereby local anesthetic is injected into the cancellous bone supporting the teeth. A computer-controlled IA system (CIAS) exhibits multiple benefits, such as less painful anesthesia, reduced soft tissue numbness, and the provision of palatal or lingual, as well as buccal, anesthesia via single needle penetration. In this report, we present two cases of root planing that were performed under local anesthesia, using a CIAS.

Keyword

Anesthesia, Local; Computer-Assisted; Intraosseous; Root Planing

MeSH Terms

Anesthesia*
Anesthesia, Local
Anxiety
Humans
Hypesthesia
Needles
Root Planing
Tooth

Figure

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  Fig. 1 Computer-controlled anesthetic system (Quicksleeper5®).

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  Fig. 2 Intraosseous anesthesia administration in the left mandibular area: (A) panoramic view, (B) infiltration, and (C) intraosseous injection.

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  Fig. 3 Intraosseous anesthesia administration in the left maxillary area: (A) panoramic view, (B) infiltration, and (C) intraosseous injection.

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