Oral Surg Oral Med O
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Oral Surg Oral Med O · Aug 2002
Comparative Study Clinical Trial Controlled Clinical TrialComparison of topical anesthesia of 20% benzocaine and 60% lidocaine gel.
The purpose of this study was to determine the efficacies of 2 topical anesthetics commonly used in dentistry. ⋯ Twenty percent benzocaine did not significantly alter pain perception as measured by the pain rating score and visual analog scale with these 3 methods of stimulation. In contrast, 60% lidocaine significantly reduced pain perception according to these measurements. We conclude that 60% lidocaine gel is effective for topical anesthesia before infiltration anesthesia.
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Oral Surg Oral Med O · Aug 2002
A new method of continuous maxillary nerve block with an indwelling catheter.
We describe continuous maxillary nerve block at the pterygopalatine fossa and investigate the efficacy of this technique for perioperative pain control in oral surgery. ⋯ Indwelling maxillary nerve catheter methods decrease anesthetic consumption and provide good postoperative analgesia.
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Oral Surg Oral Med O · Jun 2002
Nitrous oxide-oxygen or oral midazolam for pediatric outpatient sedation.
A total of 1112 pediatric outpatient sedations, by either nitrous oxide-oxygen inhalation (N2O) or oral midazolam, administered over a 10-year period were reviewed. Patient responses and outcomes were evaluated to ascertain the safety of these sedation techniques. ⋯ The use of either oral midazolam or nitrous oxide-oxygen as single agents provides safe and effective conscious sedation in the pediatric outpatient population.
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Thrombosis and the complicating emboli that can result are important causes of illness and death. Thrombosis is of greater overall clinical importance in terms of morbidity and mortality than all of the hemorrhagic disorders combined. ⋯ Patients taking these antithrombotic agents may be at risk for excessive bleeding after invasive dental procedures. The current antithrombotic agents used in medicine are reviewed, and the dental management of patients taking these agents is discussed.
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Oral Surg Oral Med O · Apr 2002
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of ropivacaine and lidocaine with epinephrine for intraligamentary anesthesia.
The purpose of this study was to compare the efficacy of 2 different concentrations of ropivacaine with lidocaine containing epinephrine for intraligamentary anesthesia. ⋯ Lidocaine with epinephrine is more effective than ropivacaine as an intraligamentary anesthetic.