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Anesthesia and pain management.

J A Yagiela1

  • 1Division of Diagnostic and Surgical Sciences, University of California, Los Angeles School of Dentistry, California, USA.

Emergency Medicine Clinics of North America
|September 1, 2000
PubMed
Summary
This summary is machine-generated.

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Managing acute orofacial pain involves local anesthetics and systemic analgesics. Nerve blocks and infiltrations target specific areas, while NSAIDs and opioids provide systemic pain relief.

Area of Science:

  • Dentistry
  • Anesthesiology
  • Pain Management

Background:

  • Acute orofacial pain management typically involves local anesthetics and systemic analgesics.
  • Various nerve blockade techniques exist for different facial regions.

Purpose of the Study:

  • To outline current strategies for managing acute orofacial pain.
  • To detail anesthetic techniques for maxillary and mandibular regions.
  • To discuss systemic analgesic options.

Main Methods:

  • Review of local anesthetic techniques including intraoral maxillary nerve blockade and mandibular anesthesia (inferior alveolar-lingual nerve blockade).
  • Discussion of systemic analgesics such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), opioids, and acetaminophen.
  • Consideration of combined anesthetic and analgesic approaches.

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Main Results:

  • Intraoral maxillary nerve blockade is effective for midface pain; infiltrations are suitable for localized dental pain.
  • Inferior alveolar-lingual nerve blockade can be achieved via open or closed-mouth techniques.
  • Systemic pain relief is optimized with NSAIDs, supplemented by opioids or acetaminophen when necessary.

Conclusions:

  • Effective acute orofacial pain management requires a combination of appropriate local anesthetic techniques and systemic analgesics.
  • Tailoring anesthetic approaches to the pain's location and severity is crucial.
  • Systemic analgesics, particularly NSAIDs, form the cornerstone of non-anesthetic pain management.