J Dent Anesth Pain Med.  2018 Oct;18(5):287-294. 10.17245/jdapm.2018.18.5.287.

Local anesthesia for mandibular third molar extraction

• Kim C
• Hwang KG
• Park CJ

• KMID: 2424369
• DOI: http://doi.org/10.17245/jdapm.2018.18.5.287

Abstract

Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. However, its success rate is not high and it may lead to complications, such as aspiration and nerve injury. Therefore, various anesthesia methods are being investigated. Articaine has been proven to be efficacious in a number of studies and is being used with increasing frequency in clinical practice. In this review article, we will briefly review various local anesthesia techniques, anesthetics, and a computer-controlled local anesthetic delivery (CCLAD) system, which reduces pain by controlling the speed of drug injection, for mandibular third molar extraction.

Keyword

Extraction; Local Anesthesia; Mandible; Third Molar

MeSH Terms

Anesthesia
Anesthesia, Local*
Anesthetics
Carticaine
Dental Clinics
Mandible
Mandibular Nerve
Methods
Molar, Third*
Anesthetics
Carticaine

Figure

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  Fig. 1 Assessment of arching of the needle [12]

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  Fig. 2 The arched needle technique [12]

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  Fig. 3 Comparison of the insertion points of the conventional inferior alveolar nerve block and anterior technique [14]

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