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نوع الوثيقة |
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رسالة جامعية |
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عنوان الوثيقة |
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A comparative study of the anterior and middle superior alveolar nerves injection using a computer-controlled local anesthetic delivery system vs. the traditional injections in children A comparative study of the anterior and middle superior alveolar nerves injection using a computer-controlled local anesthetic delivery system vs. the traditional injections in children |
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لغة الوثيقة |
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الانجليزية |
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المستخلص |
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Introduction: Pain control is an important part of dentistry and particularly of
pediatric dentistry and is required for many dental procedures. Recently, a palatal
approach to the anterior and middle superior alveolar nerves (AMSA) has been
defined where the anesthetic solution diffuses through the porous bone of the
maxilla, and produces anesthesia from the second premolar to the central incisor.
This technique was facilitated by the introduction of a computer-controlled local
anesthetic delivery system (CCLAD) known also as the "Wand" that permits
controlled slow delivery of the solution. However, there were few studies in the
literature conducted on children.
The aim of this study was to evaluate the anesthetic effectiveness of the
Anterior Middle Superior Alveolar (AMSA) injection administered through a
computer-controlled local anesthetic delivery system (CCLAD), and compare it
with the traditional buccal and palatal injections used to anaesthetize maxillary
primary molars. Furthermore, an assessment of children's pain reactions and
perceptions was carried out, comparing the AMSA injection using theCCLAD to
the traditional buccal and palatal injections.
Materials and Methods: The study sample was chosen according to certain
criteria from children attending the dental clinics in King Abdulaziz University
Hospital (KAUH). The study was divided into 2 parts. Part one included 80
primary maxillary molars, this group was divided into eight subgroups, each
comprised ten teeth. The effectiveness of the technique was measured and
comparedin 1st molars and 2ndmolars and for pulpotomy or extraction treatments
through the sounds, eyes and motor scale (SEM), where the evaluator was blinded from the anesthetic technique. In part two, the pain reactions and perceptions of the
children to either technique was measured in a group of 40 children who received
both anesthetic techniques on two visits. The child served as his own control. The
pain reactions evaluation was carried out by the same SEM scale and the pain
perception through the Eland color scale. Statistical analysis was carried out using
SPSS version 10.0.
Results: The AMSA injection with the CCLAD was found to be effective in
anesthetizing maxillary primary molars in pulpotomy and extraction procedures.
There was no significant difference between the two anesthetic techniques except in
the step of gingival retraction buccally in which the traditional injections were more
effective than the CCLAD during extractions. No significant difference was found
between both primary molars, gender and age groups in the anesthetic effectiveness
of both techniques. In the second part, the AMSA injection delivered with the
CCLAD was found to have significantly lower pain reaction and pain perception
scores compared to traditional buccal and palatal injections.
Conclusions: The AMSA injection using CCLAD was found to be effective in
children, additionally it was found to be less painful than the traditional injections;
however, further research in this field is necessary. |
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المشرف |
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Prof. Najlaa Alamoudi |
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نوع الرسالة |
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رسالة ماجستير |
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سنة النشر |
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1429 هـ
2008 م |
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المشرف المشارك |
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Prof. Aly Sharaf |
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تاريخ الاضافة على الموقع |
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Sunday, February 14, 2010 |
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الباحثون
| مي فدا | Feda, May | باحث | ماجستير | |
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