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Bilateral anesthesia into Spix's spine. Ten years' experience
C Arcuri1, F N Bartuli, F Germano
1Department of Dentistry and Stomatology, Fatebenefratelli Hospital, Tor Vergata University of Rome, Rome, Italy.
Minerva Stomatologica
|April 27, 2004
Summary
Bilateral block anesthesia for inferior wisdom teeth extraction significantly reduces complications and operation time compared to general anesthesia. Local anesthesia is preferred for most patients, with general anesthesia reserved for non-cooperative individuals.
Area of Science:
- Oral and Maxillofacial Surgery
- Anesthesiology
- Dental Procedures
Background:
- Bilateral block anesthesia to Spix's spine is a common technique for inferior wisdom teeth extraction.
- Previous studies have debated the efficacy and safety of this technique compared to general anesthesia.
Purpose of the Study:
- To evaluate the safety and efficacy of bilateral block anesthesia to Spix's spine for inferior wisdom teeth extraction.
- To compare complication rates and operation times between local anesthesia and general anesthesia.
Main Methods:
- A retrospective study analyzed 10,112 cases of lower third molar extractions over 10 years.
- All procedures utilized locoregional anesthesia with Mepivacaine 2% and epinephrine.
- A standardized protocol and instruments were used for all operations.
Main Results:
- Complication rates were three times lower with local anesthesia (LA) compared to general anesthesia (GA).
- Operation time was significantly reduced with LA (24 minutes) versus GA (46 minutes).
Conclusions:
- Local anesthesia offers significant reductions in complications and psychological benefits for patients.
- LA also facilitates the operational position, making it a preferred method over GA for cooperative patients.